To find the longitudinal effects of myofascial release with and without 8-Week Corrective exercise in correcting Upper Cross Syndrome.
Design
This study will be Randomized Controlled trial.
Settings and conduct
Shapes, Maxrehab, Lahore
Participants/Inclusion and exclusion criteria
INCLUSION
Subjects between 18-28 years old male/female
Rounded shoulder angle >52°
Forward head posture/ Cranio-vertebral angle ≤ 50°
EXCLUSION
Patients will be excluded if they will exhibit;
History of a shoulder surgery within the previous year.
Joint diseases in the spine and shoulder.
Not participating in two consecutive training sessions.
Any red flags (tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, resting blood pressure greater than 140/90 mm hg, prolonged history of steroids use, etc.)
Having lower crossed syndrome.
Having various upper extremity and /or problems (fracture history, tumor) cognitive problems.
Intervention groups
GROUP A (Myofascial Release)
For MFR therapy, the “cross-hand release” technique will be used. Collagen bands need about 90-120 sec to be released, at least 90 sec will be required for cross-hand release. Accordingly, MFR therapy will be applied twice each time for 90 seconds on the determined areas. With seven minutes of hot pack at upper back and anterior chest and patient education about faulty posture as baseline treatment.
GROUP – B (myofascial release with 8-Week corrective exercise)
Group B will perform corrective exercises plus MFR therapy for 8 weeks (3 sessions per week and each session for 60 min) under the direct supervision of the therapist. For CE+MFR group, training protocol included four parts of warming up, MFR therapy, main exercises, and cooling down and baseline treatment.
Main outcome variables
Functional performance: Neck disability index (NDI)
Pain: Numeric pain rating scale (NPRS)
Angle through Photogrammetry method
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20200512047409N1
Registration date:2020-06-12, 1399/03/23
Registration timing:registered_while_recruiting
Last update:2020-06-12, 1399/03/23
Update count:0
Registration date
2020-06-12, 1399/03/23
Registrant information
Name
Komal Ahmed
Name of organization / entity
Riphah College of Rehabilitation & Allied health Sciences
Country
Pakistan
Phone
+92 42 35713306
Email address
ahmed.komal@ymail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-06-01, 1399/03/12
Expected recruitment end date
2020-07-01, 1399/04/11
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Longitudinal effects of Myofascial release with and without 8-Week Corrective exercise in correcting Upper Cross Syndrome.
Public title
Longitudinal effects of Myofascial release with and without 8-Week Corrective exercise in correcting Upper Cross Syndrome.
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Subjects between 18-28 years old male/female
Rounded shoulder angle >52°
Forward head posture/ Cranio-vertebral angle ≤ 50°
Exclusion criteria:
History of a shoulder surgery within the previous year.
Joint diseases in the spine and shoulder.
Not participating in two consecutive training sessions.
Any red flags (tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, resting blood pressure greater than 140/90 mm hg, prolonged history of steroids use, etc.)
Having lower crossed syndrome.
Having various upper extremity and /or problems (fracture history, tumor) cognitive problems
Age
From 18 years old to 28 years old
Gender
Both
Phase
2
Groups that have been masked
No information
Sample size
Target sample size:
24
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization by lottery method. Allocation concealment through sealed envelope.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Non-probability convenient sampling technique will be used to recruit the individuals for the study and then randomization will be done by lottery method to divide the individuals into 2 treatment groups. sealed envelope will be used for allocation concealment.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Riphah College of Rehabilitation & Allied health Sciences
Upper-crossed syndrome (UCS) is also referred to as proximal or shoulder girdle crossed syndrome. In UCS, the pectoralis major and minor, upper trapezius, levator scapulae, and sternocleidomastoid all tighten and shorten. Simultaneously, the lower and middle trapezius, serratus anterior, and rhomboids all weaken. This results in pain and decrease ROM, altered posture of shoulders and head.