Effect Of PNF Techniques Versus CCEP On Pain, Function and Quality of Life In Patients With Upper Cross Syndrome

Elite College of Management Sciences, Gujranwala, Pakistan

Status: Completed

Conditions: Upper Cross Syndrome

Treatments: Other: Comprehensive corrective exercise protocol; Other: Proprioceptive Neuromuscular Facilitation (PNF) Techniques

Study type: Interventional

Funder types: Other

Identifiers

NCT07058272

2020-GCUF-079297

Details and patient eligibility

About

The study aims to determine which approach either PNF Techniques or Comprehensive Corrective Exercise Protocol provides better outcomes for pain relief, functional improvement, and quality of life in patients with upper cross syndrome.

Full description

Upper crossed syndrome is caused due to altered muscle activation and movement patterns of the neck, shoulders, head and back muscles. In addition to postural deviations (forward head and rounded shoulders, and an excessive curve of the thoracic spine), upper cross syndrome is characterized by abnormal posture brought on by changed muscle activation patterns and varied movement patterns. Most cases of this condition occurred in people over 20. The symptoms of upper cross syndrome managed by correcting posture, stretching and strengthening the affected muscles, and making ergonomic adjustments.

It will be a Randomized Clinical Trial with sample size of 38. They will be randomly allocated into two groups by using chit and draw method. 19 participants in Group 1 will get PNF protocol while 19 participants in Group 2 get CCEP .For eight weeks, each patient will receive four sessions per week through which their neck disability index, visual analogue scale, and quality of life would measure .Data will be collected at the start of the trial, after four weeks of treatment, and again at the end of treatment. In participants with upper cross syndrome, the goal for applying a comprehensive corrective exercise program and a proprioceptive neuromuscular facilitation technique is to alleviate pain and improve functioning, posture, and quality of life.

Enrollment: 38 patients

Sex: All

Ages: 25 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age : 25-65
• Symptoms of upper cross syndrome appeared from maximum 6 months
• Occiput to wall test positive
• Patients presenting postural changes e.g: severe kyphosis

Exclusion criteria

• Any apparent misalignment in the pelvis or lower limbs.
• Rotation exceeding 5 degrees during forward bending as a result of scoliosis.
• Prior history of joint disorders in the spine, shoulders, and pelvis.
• Body weight that falls outside the normal range (BMI between 18 and 25)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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38 participants in 2 patient groups

Group 1

Active Comparator group

Description:

CCEP and TENS

Treatment:

Other: Comprehensive corrective exercise protocol

Group 2

Experimental group

Description:

PNF and TENS

Treatment:

Other: Proprioceptive Neuromuscular Facilitation (PNF) Techniques