Scapular Stabilization Exercises Versus Eccentric Muscle Energy Techniques in Patients With Upper Crossed Syndrome

Riphah International University

Status: Enrolling

Conditions: Upper Crossed Syndrome

Treatments: Other: Protocol of Scapular Stabilization Exercises;; Other: Protocol of Muscle Energy technique;

Study type: Interventional

Funder types: Other

Identifiers

NCT06509594

REC/RCR & AHS/23/01111

Details and patient eligibility

About

This study will be a Randomized Clinical Trial in which Scapular Stabilization Exercises and Eccentric Muscle Energy technique will be applied on the individuals with upper crossed syndrome and changes will be recorded using different method and tools. Convenient sampling technique will be used to collect the data. The sample size of 34 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method. 17 patients will be allocated in each group. Group A will be treated with Scapular Stabilization Exercises along with hot pack; Group B will be treated with Eccentric Muscle Energy Technique along with hot pack. Craniovertebral Angle (CVA), Numeric Pain Rating Scale (NPRS), and Neck Disability Index (NDI) will be used as Data collecting tools.

Full description

Upper Crossed Syndrome is defined byJanda as the involvement of different muscles of skeletal system which leads to shortness and tightness of anterior and upper trunk or weakness of posterior part of skeletal muscles. Alteration of muscles activity such as facilitation of different muscles as levator scapula, sternocleidomastoid, pectoralis muscles and inhibition of cervical flexors, serratus anterior The muscular imbalance occurs because of weak/tight and tonic muscles. Neck pain is the most frequent problem in developed countries. The prevalence of neck pain is approximately 10-15%. Neck pain is the most common reason for patients visiting healthcare professionals. Poor posture typically causes upper cross syndrome (UCS), resulting in neck pain. This syndrome can cause dysfunctional tone in posture and muscular disparity of head, neck and shoulder region.

Enrollment: 34 estimated patients

Sex: All

Ages: 18 to 35 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Age: participants having range 18-35 years both male and female are included.

  • Craniovertebral angle<52
  • NPRS>3 and NDI>10
  • Patients having neck pain during movements.
  • Patients having neck pain due to sustained posture and after activity

Exclusion criteria

• Inflammation malignancy, neurological disorder
• Metabolic disorders
• Neck pain radiating into arms and upper extremity
• Neck pain associated with headache and facial pain
• Recent surgery
• History of recent trauma and fractures of cervical spine
• Patients having any other therapeutic intervention or medical treatment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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34 participants in 2 patient groups

Group A will be treated with Scapular Stabilization Exercises along with hot pack;

Active Comparator group

Description:

Participants in the exercise group performed three scapular stabilization exercises at 3 sets of 10 repetitions, holding 10 seconds per one repetition, 5 days per week for 4 weeks under supervision. The exercises included:

Treatment:

Other: Protocol of Scapular Stabilization Exercises;

Group B will be treated with Eccentric Muscle Energy Technique along with hot pack.

Active Comparator group

Description:

Eccentric muscle energy technique was applied to subjects' cervical spine. The Cervical spine was brought to the barrier of motion in each plane i.e. Flexion/extension, lateral bending and rotation. Then subjects were asked to push their heads into the direction opposite that of the barrier. The therapist provided Isometric resistance for 7-10 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. Three to five repetitions were performed(2). We will apply protocol for 4 weeks 20 Sessions (5 sessions in a week) and 10 sec rest between each segment with 3-5 time's repetition than their will 7-10 sec Isometric contraction followed by 5 sec relaxation than 30 sec hold for MET stretch.

Treatment:

Other: Protocol of Muscle Energy technique;