Upper Cross SyndromeNCT07061782
Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome Among IT Professionals
A study testing Group A and Group B in people with Upper Cross Syndrome, run by Foundation University Islamabad at 1 site in Pakistan.
Trial summary
This study is a randomised control trial and the purpose of this study is to determine the "Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome among IT professionals Read more about this study
- Who is it for?
- Ages 20 to 40 years
- Conditions the study is for
- Upper Cross Syndrome
- What is being tested?
- Group A and Group B
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 15 Jul 2024to 15 Jul 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 20 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- IT profressionals 20 - 40 years Both genders Diagnosed UCS Pain from 2 months Minimum 4 - 6 hours working
Who cannot join
- History of cervical spine Fracture Trauma to neck
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Foundation University College of Physical Therapy
Islamabad, 44000
Ruqia Begum, MS-OMPT, +92311-5532544, ruqia@fui.edu.pk
About this study
This study is a randomised control trial and the purpose of this study is to determine the "Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome among IT professionals
Read the detailed description
The purpose of this study is to determine the "Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome among IT professionals
Investigator will make 2 groups control and treatment group . investigator will give NMR technique to treatment group and PFS technique to control group in patients with upper cross syndrome.
first investigator will take base line readings of cervical ROM by using goniometer , NPRS AND neck diasbilty index.
after 2 weeks of treatment again investigator will take same readings and compare both readings.
with techniques investigator will also perform strengthning excercise of weal muscles for both groups
- Conditions
- Upper Cross Syndrome
- Being tested
- Group A, Group B
- 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.
Group AProcedure or surgery
Treatment protocol given to the both groups will be carried out for 7 sessions for 2 weeks on alternative days.
It will consist of a 10 minute hot pack.
Neuromuscular reeducation for following muscles. Pectoralis major Upper trapezius Levator scapulae
Strengthening exercises of:
Rhomboids Lower \& middle trapezius Deep flexors Neuromuscular reeducation It will break adhesion result in loosen the scar tissue will increase the temperature and cause in increase of blood flow . Muscles contract when myosin pulls actin filaments together using energy from ATP shortening the muscle fiber and causing contraction. They relax when calcium is removed, allowing the filaments to slide apart muscle will return to its resting state. The continuously muscle contraction and relaxation help to loosen up and become more flexible .
Strengthening exercises
Group BProcedure or surgery
Treatment protocol was given to both groups for 7 session sessions for 2 weeks on alternative days.
It was comprises of HOT PACK for 10 minutes . Post facilitation stretch for following muscles. Pectoralis major Upper trapezius Levator scapulae
Strengthening exercises of:
Rhomboids Lower \& middle trapezius Deep flexors
Post facilitation stretch :
Post Facilitation Stretch is an isometric Contraction in which he participants were instructed to contract the muscles to the maximum voluntary capacity that involves first putting the target muscle through a high-intensity isometric contraction (roughly 75-100% of maximal effort) for 5-10 seconds, and then quickly and continuously passively stretching the same muscle for at least 10 seconds.
Strengthening exercises
| Study group | Role | What they receive |
|---|---|---|
| Group A | Active comparator | On group A hot pack 10 min on cervical area investigator will perform NEUROMUSCULAR REEDUCATION TECHNIQUE: investigator will perform this technique on tight muscles which are:
1. levator scapulae
2. upper trapezius
3. pectoralis major
4. strengthening exercises Receives: Procedure: Group A |
| Group B | Experimental | On group B hot pack for 10 min on cervical area investigator will perform POST FACILITATION STRETCH TECHNIQUE on tight muscles same as group A
1. levator scapulae
2. upper trapezius
3. pectoralis major
4. strengthening exercises Receives: Procedure: Group B |
What is being measured
The primary outcome is the main question the study is designed to answer.
Upper cross syndrome pain
Assessed using the Numeric Pain Rating Scale (NPRS). Patient is asked to rate the intensity of pain in numbers ranging from 0 to 10. This self-assessment tool uses an 11 point numeric scale ranging from 0 (no pain ) to 10 (worst pain)
Measured: baseline and after 2 weeks
Posture and Muscle Balance
Assessed using the Neck disability index (NDI) It is a self- rating questionnaire includes ten items . Each item in the neck disability index has six different options or scores indicating the progressive levels of pain or activity of daily life limitations. Item are scored from 0 to 5 where 0 indicates no pain or limitation and 5 indicates maximum possible pain and limitation. Investigator use Janda approach to check the muscles tightness and weaknesss For tight muscles investigator use Muscle length test For weak muscles investigator use Muscle strength test
Measured: baseline and after 2 weeks
Cervical range of motion
Flexion, extension, lateral flexion, and rotation measured using a goniometer
Measured: baseline and after 2 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2025
- Study start15 Jul 2024
- Primary completion15 Jul 2025 (estimated)
- Study completion15 Jul 2025 (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
- Randomized Control Trial
- Masking
- None (open label)
- Enrolment
- 44 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
- NCT07061782
- Sponsor's protocol ID
- FUI/CTR/2024/82
- Status last verified
- Jun 2025
- First submitted
- 4 Jun 2025
- Last updated
- 11 Jul 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome Among IT Professionals
- ClinicalTrials.gov ID
- NCT07061782
- Acronym / sponsor ID
- FUI/CTR/2024/82
- Conditions
- Upper Cross Syndrome
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Foundation University IslamabadUniversity, hospital or other
- Study start
- 15 Jul 2024 (actual)
- Primary completion
- 15 Jul 2025 (estimated)
- Study completion
- 15 Jul 2025 (estimated)
- First posted
- 11 Jul 2025 (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.
This study is a randomised control trial and the purpose of this study is to determine the "Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome among IT professionals
Detailed description
The purpose of this study is to determine the "Effects of Neuromuscular Reeducation Versus Post Facilitation Stretch Technique for Upper Cross Syndrome among IT professionals
Investigator will make 2 groups control and treatment group . investigator will give NMR technique to treatment group and PFS technique to control group in patients with upper cross syndrome.
first investigator will take base line readings of cervical ROM by using goniometer , NPRS AND neck diasbilty index.
after 2 weeks of treatment again investigator will take same readings and compare both readings.
with techniques investigator will also perform strengthning excercise of weal muscles for both groups
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomized Control Trial
| Arm | Type | Receives |
|---|---|---|
| Group A | Active comparator | Procedure: Group AOn group A hot pack 10 min on cervical area investigator will perform NEUROMUSCULAR REEDUCATION TECHNIQUE: investigator will perform this technique on tight muscles which are: 1. levator scapulae 2. upper trapezius 3. pectoralis major 4. strengthening exercises |
| Group B | Experimental | Procedure: Group BOn group B hot pack for 10 min on cervical area investigator will perform POST FACILITATION STRETCH TECHNIQUE on tight muscles same as group A 1. levator scapulae 2. upper trapezius 3. pectoralis major 4. strengthening exercises |
Who may qualify
- Ages
- 20 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- IT profressionals 20 - 40 years Both genders Diagnosed UCS Pain from 2 months Minimum 4 - 6 hours working
Key exclusion criteria (1 listed)
- History of cervical spine Fracture Trauma to neck
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 |
|---|---|---|
| Group ATreatment protocol given to the both groups will be carried out for 7 sessions for 2 weeks on alternative days. It will consist of a 10 minute hot pack. Neuromuscular reeducation for following muscles. Pectoralis major Upper trapezius Levator scapulae Strengthening exercises of: Rhomboids Lower \& middle trapezius Deep flexors Neuromuscular reeducation It will break adhesion result in loosen the scar tissue will increase the temperature and cause in increase of blood flow . Muscles contract when myosin pulls actin filaments together using energy from ATP shortening the muscle fiber and causing contraction. They relax when calcium is removed, allowing the filaments to slide apart muscle will return to its resting state. The continuously muscle contraction and relaxation help to loosen up and become more flexible . Strengthening exercises | Procedure or surgery | Group A |
| Group BTreatment protocol was given to both groups for 7 session sessions for 2 weeks on alternative days. It was comprises of HOT PACK for 10 minutes . Post facilitation stretch for following muscles. Pectoralis major Upper trapezius Levator scapulae Strengthening exercises of: Rhomboids Lower \& middle trapezius Deep flexors Post facilitation stretch : Post Facilitation Stretch is an isometric Contraction in which he participants were instructed to contract the muscles to the maximum voluntary capacity that involves first putting the target muscle through a high-intensity isometric contraction (roughly 75-100% of maximal effort) for 5-10 seconds, and then quickly and continuously passively stretching the same muscle for at least 10 seconds. Strengthening exercises | Procedure or surgery | Group B |
Primary outcome
Upper cross syndrome pain
Time frame: baseline and after 2 weeks
Assessed using the Numeric Pain Rating Scale (NPRS). Patient is asked to rate the intensity of pain in numbers ranging from 0 to 10. This self-assessment tool uses an 11 point numeric scale ranging from 0 (no pain ) to 10 (worst pain)
Posture and Muscle Balance
Time frame: baseline and after 2 weeks
Assessed using the Neck disability index (NDI) It is a self- rating questionnaire includes ten items . Each item in the neck disability index has six different options or scores indicating the progressive levels of pain or activity of daily life limitations. Item are scored from 0 to 5 where 0 indicates no pain or limitation and 5 indicates maximum possible pain and limitation. Investigator use Janda approach to check the muscles tightness and weaknesss For tight muscles investigator use Muscle length test For weak muscles investigator use Muscle strength test
Cervical range of motion
Time frame: baseline and after 2 weeks
Flexion, extension, lateral flexion, and rotation measured using a goniometer
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2025.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Group A and Group B 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 1 inclusion and 1 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: looking for participants now, as of the sponsor's last update on 11 Jul 2025. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Hina Ayub, DPT (+923495830798, hinaayub881@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Upper cross syndrome pain (time frame: baseline and after 2 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 11 Jul 2025; AzTrials last refreshed its copy on 7 Nov 2026.