Upper Cross SyndromeNCT06534736
Effects of Scapular Stabilization Exercises Combined With Post Facilitation Stretch in Patients With Upper Cross Syndrome: A Randomized Control Trial
A study testing Electrotherapy and physical agents, Post Facilitation Stretch and Scapular Stabilization Exercise in people with Upper Cross Syndrome, run by Foundation University Islamabad at 1 site in Pakistan.
Trial summary
Upper Cross Syndrome is characterized by the postural deviation of head , neck , shoulders and altered muscular muscular activation which included weakness of rhomboids , middle and lower trapezius and serratus anterior and tightness of upper trapezius , pectorallis and levator scapulae . Read more about this study
- Who is it for?
- Ages 18 to 45 yearsHealthy volunteers can take part
- Conditions the study is for
- Upper Cross Syndrome
- What is being tested?
- Electrotherapy and physical agents, Post Facilitation Stretch and Scapular Stabilization Exercise
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 sitePakistan
- Study dates
- 10 Jun 2024to 30 Dec 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Aged 18 to 45 with neck pain for more than 3 months
- Both genders males and females
- NPRS scoring of greater than or equal to 4 points
- No History of serious pathology or recent neck trauma
- Diagnosed Upper Cross Syndrome cases using Janda approach
Who cannot join
- Known Scapular or shoulder pathology
- Cervical and thoracic fractures , dislocations or surgeries or whiplash injury
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Foundation University College of Physical Therapy
Rawalpindi, Punjab Province, 46000
About this study
Upper Cross Syndrome is characterized by the postural deviation of head , neck , shoulders and altered muscular muscular activation which included weakness of rhomboids , middle and lower trapezius and serratus anterior and tightness of upper trapezius , pectorallis and levator scapulae . It is a combinaton of scapular dyskinesia , forward head posture , rounded shoulder and thoracic kyphosis.This study aims to assess the enduring effects scapular stabilization exercises along with post facilitation stretch on Upper Cross Syndrome with the goal of preventing its reoccurrence over time, If there are improved results by the combination of both treatments than any of them alone , then it can used in combination for better results on patients
- Conditions
- Upper Cross Syndrome
- Being tested
- Electrotherapy and physical agents, Post Facilitation Stretch, Scapular Stabilization Exercise
- Medical subject headings
- Oculocerebral hypopigmentation syndrome type Preus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Electrotherapy and physical agentsProcedure or surgery
It will comprise of hot pack for 10 minutes, Tens for 10 minutes.
Post Facilitation StretchProcedure or surgery
Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles
Scapular Stabilization ExerciseProcedure or surgery
Scapular Stabilization exercises protocol will consist of scapular wall slide exercise, scapular retraction, wall Ball Circle exercises, scapula squeeze, wall press ups. Exercise program 3 sets of 5 - 10 repetition for 10 seconds hold a 20 second break between each sets. The intervention will be applied 2 weeks 3 times a week and 30 min per session. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions
| Study group | Role | What they receive |
|---|---|---|
| Post Facilitation Stretch Group | Experimental | Treatment protocol given to both groups will be carried out for 3 sessions per week for 4 weeks.
It will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles Receives: Procedure: Electrotherapy and physical agents; Procedure: Post Facilitation Stretch |
| Stabilization Exercises along with the PFS Group | Experimental | It will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles Scapular Stabilization exercises protocol will be carried out in 4 weeks , 3 sessions per week. Scapular wall slide exercise will be carried out with body weight .Scapular retraction with body weight. Wall Ball Circle exercise with body weight for the first two weeks and then with dumbbells for the next two weeks. Scapular Squeeze again with the body weight and dumbbells. Wall press ups will be performed. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions Receives: Procedure: Electrotherapy and physical agents; Procedure: Post Facilitation Stretch; Procedure: Scapular Stabilization Exercise |
What is being measured
The primary outcome is the main question the study is designed to answer.
pain intensity
Measured with Numeric Pain Rating Scale
Measured: 4 weeks
Neck Disability
Neck disability index is used for assessing self-rated disability in neck pain patients
Measured: 4 weeks
Cervical Range of Motion
Goniometer will be used to measure Cervical Range of Motion
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Aug 2024
- Study start10 Jun 2024
- Primary completion10 Dec 2024 (estimated)
- Study completion30 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Upper Cross SyndromeStudies of the same condition, open and under way.
- More trials run by Foundation University IslamabadThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This is a randomized controlled trial having two groups.Sample will be divided into two groups , Group A and Group B.Group A i.e Control group will receive Post Faciliation Stretch only for 4 weeks on alternative days.Group B i.e intervention hgroup will undergo Scapular Stabilization exercises along with post facilitation stretch for 4 weeks on alternative days
- Masking
- None (open label)
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Foundation University Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06534736
- Sponsor's protocol ID
- FUI/CTR/2024/19
- Status last verified
- Jul 2024
- First submitted
- 30 Jul 2024
- Last updated
- 2 Aug 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Scapular Stabilization Exercises Combined With Post Facilitation Stretch in Patients With Upper Cross Syndrome: A Randomized Control Trial
- ClinicalTrials.gov ID
- NCT06534736
- Acronym / sponsor ID
- FUI/CTR/2024/19
- Conditions
- Upper Cross Syndrome
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 10 Jun 2024 (actual)
- Primary completion
- 10 Dec 2024 (estimated)
- Study completion
- 30 Dec 2024 (estimated)
- First posted
- 2 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Upper Cross Syndrome is characterized by the postural deviation of head , neck , shoulders and altered muscular muscular activation which included weakness of rhomboids , middle and lower trapezius and serratus anterior and tightness of upper trapezius , pectorallis and levator scapulae . It is a combinaton of scapular dyskinesia , forward head posture , rounded shoulder and thoracic kyphosis.This study aims to assess the enduring effects scapular stabilization exercises along with post facilitation stretch on Upper Cross Syndrome with the goal of preventing its reoccurrence over time, If there are improved results by the combination of both treatments than any of them alone , then it can used in combination for better results on patients
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- This is a randomized controlled trial having two groups.Sample will be divided into two groups , Group A and Group B.Group A i.e Control group will receive Post Faciliation Stretch only for 4 weeks on alternative days.Group B i.e intervention hgroup will undergo Scapular Stabilization exercises along with post facilitation stretch for 4 weeks on alternative days
| Arm | Type | Receives |
|---|---|---|
| Post Facilitation Stretch Group | Experimental | Procedure: Electrotherapy and physical agents, Procedure: Post Facilitation StretchTreatment protocol given to both groups will be carried out for 3 sessions per week for 4 weeks. It will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles |
| Stabilization Exercises along with the PFS Group | Experimental | Procedure: Electrotherapy and physical agents, Procedure: Post Facilitation Stretch, Procedure: Scapular Stabilization ExerciseIt will comprise of hot pack for 10 minutes, Tens for 10 minutes. Participants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles Scapular Stabilization exercises protocol will be carried out in 4 weeks , 3 sessions per week. Scapular wall slide exercise will be carried out with body weight .Scapular retraction with body weight. Wall Ball Circle exercise with body weight for the first two weeks and then with dumbbells for the next two weeks. Scapular Squeeze again with the body weight and dumbbells. Wall press ups will be performed. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Aged 18 to 45 with neck pain for more than 3 months
- Both genders males and females
- NPRS scoring of greater than or equal to 4 points
- No History of serious pathology or recent neck trauma
- Diagnosed Upper Cross Syndrome cases using Janda approach
Key exclusion criteria (2 listed)
- Known Scapular or shoulder pathology
- Cervical and thoracic fractures , dislocations or surgeries or whiplash injury
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Electrotherapy and physical agentsIt will comprise of hot pack for 10 minutes, Tens for 10 minutes. | Procedure or surgery | Post Facilitation Stretch Group, Stabilization Exercises along with the PFS Group |
| Post Facilitation StretchParticipants will be instructed to maintain the contraction for 6 to 10 seconds and then relax the muscles as quickly as possible.The stretch will be held for 15 seconds in an attempt to lengthen the shortened facscial structures.The muscles which will be targeted are Levator Scapular Upper Trapezius Sternocleidomastoid scalene Pectoralis Muscles | Procedure or surgery | Post Facilitation Stretch Group, Stabilization Exercises along with the PFS Group |
| Scapular Stabilization ExerciseScapular Stabilization exercises protocol will consist of scapular wall slide exercise, scapular retraction, wall Ball Circle exercises, scapula squeeze, wall press ups. Exercise program 3 sets of 5 - 10 repetition for 10 seconds hold a 20 second break between each sets. The intervention will be applied 2 weeks 3 times a week and 30 min per session. Post Facilitation stretch of the targeted muscles also will be carried out during the sessions | Procedure or surgery | Stabilization Exercises along with the PFS Group |
Primary outcome
pain intensity
Time frame: 4 weeks
Measured with Numeric Pain Rating Scale
Neck Disability
Time frame: 4 weeks
Neck disability index is used for assessing self-rated disability in neck pain patients
Cervical Range of Motion
Time frame: 4 weeks
Goniometer will be used to measure Cervical Range of Motion
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Aug 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Electrotherapy and physical agents, Post Facilitation Stretch and Scapular Stabilization Exercise in people with Upper Cross Syndrome, run by Foundation University Islamabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 2 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
pain intensity (time frame: 4 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Aug 2024.