Dynamic Neuromuscular Stabilization Versus Corrective Exercises in Upper Cross Syndrome

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-40
SponsorCairo University

About this trial

The purpose of the study will be to investigate dynamic neuromuscular stabilization versus National American Academy of Sports Medicine (NASM) corrective exercises on pain, functional disability, cranio-vertebral angle, forward shoulder angle, and thoracic kyphosis in upper cross syndrome.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Having non-specfic neck Pain.

Patients having a CVA of < 52 .

Forward shoulder angle > 52 degrees.

Disqualifiers

Participants having conditions such as osteoporosis, blood disease, congestive heart disease, cancer, severe skin sensitization, major mental disease, and frozen shoulder, will be excluded from the study. Neck pain has a specific underlying pathology such as fractures, rheumatoid arthritis, osteoporosis, or whiplash injuries as well as neck pain associated with radiculopathy.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Dynamic neuromuscular stabilization

    Other intervention

    Dynamic neuromuscular stabilization involves precise co-activation of the intrinsic muscles of the spine which forms the Integrated spinal stabilization system (ISSS) and includes cervical flexors and extensors, diaphragm, transverses abdominis, multifidus and pelvic floor.

  • NASM corrective exercises

    Other intervention

    It is corrective exercise protocol, which includes four phases, i.e. inhibit, lengthen, activate, and integrate stage

Treatment groups

45 Participants
are divided into 3 treatment groups
Group A: Dynamic neuromuscular stabilizationExperimental treatment 1 intervention
Group B: Corrective exercisesExperimental treatment 1 intervention
Group C: Combined Dynamic neuromuscular stabilization and corrective exercises groupExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Neck pain intensity

Neck pain intensity will be measured through Numerical pain rating scale. A scale from 0 to 10, with 0 indicating no pain and 10 signifying excruciating pain.

Time frame
At baseline at the first session and reassessed at the end of six weeks of intervention.

Secondary outcomes

1

Neck disability

The patient will be asked to fill the 10- section of the questionnaire. Higher score indicate higher disability.

Time frame
At baseline at the first session and after 6 weeks of intervention.
2

Craniovertebral angle

craniovertebral angle will be measured using Kinovea software to assess forward head posture

Time frame
At baseline and after 6 weeks of intervention
3

Forward shoulder angle

Forward shoulder angle will be measured using Kinovea software to assess rounded shoulder posture

Time frame
At baseline and after 6 weeks of intervention
4

Thoracic kyphosis angle

Thoracic kyphosis angle will be measured using a bubble inclinometer

Time frame
At baseline and after 6 weeks of intervention

Other outcomes

Sponsors and contacts

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