Effects of Alexander Technique in Children With Upper Cross Syndrome.

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age13-16
SponsorRiphah International University

About this trial

This randomized clinical trial will involve 50 participants aged 13 to 16, recruited from Faisal Hospital Faisalabad and different schools nearby. Participants will be randomly assigned to either the Alexander Technique group, which will include home-based exercises supervised by parents, or a control group performing traditional posture-corrective exercises. The outcomes will be measured using tools such as the Cranio-Vertebral Angle (CVA), Shoulder Protraction Measurement (SPM), Thoracic Kyphotic Angle (TKA), and Visual Analogue Scale (VAS) for pain assessment. The findings are expected to provide insights into the benefits of the Alexander Technique as a therapeutic strategy for addressing UCS and improving overall health outcomes in adolescents. Data collection will be done before and after the intervention. Data will be analyzed through SPSS version 26.00.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age between 13 -16

School going children

Disqualifiers

Fractures

Surgeries

Joint problems

Injuries in the spine

Trial design

Design model

Parallel

Treatments tested in this trial

  • Alexander technique

    Other intervention

    In the AT group, parents will supervise the patients exercises at home base on the explanations and training the corrective movements specialist provided in the first session. In the AT group, adolescents were taught the considerations and habits they should remember and focus on daily basis. These included teaching ergonomic considerations and individual postural habits during daily activities such as standing, walking, sitting, sleeping, reading, using a computer, and other repetitive and continuous activities performed during the day.

  • Corrective exercises

    Other intervention

    The Corrective exercises will be done in home base setting, and the corrective movements' specialist will be responsible for supervising their performance twice a week. Selected CE will designed to correct posture and address the mentioned abnormalities through stretching exercises for shortened muscles and strengthening exercises for individuals with weak muscles. These exercises will include a 5-10-minute warm-up followed by stretching exercises for the chest, hip- flexor-psoas, upper trapezius, intercostal muscles, upper neck extensors, and then strengthening exercises for the shoulder protractors, deep neck flexors, lower neck extensors, and thoracic spine extensors

Treatment groups

36 Participants
are divided into 2 treatment groups
Group A: GROUP AActive comparator 1 intervention
Group B: GROUP BActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Cranio-vertebral angle (CVA)

Cranio-vertebral angle (CVA) is the most widely known measurement method used to determine how forward the head is tilted in a person in FHP. For CVA measurement, the digital camera (Canon 650D, Canon, Japan) was fixed and mounted at a distance of 1m, and the side of the subject was photographed, for accurate measurement of CVA, a plumb line suspended from the ceiling was allowed to descend directly next to the subject.Subjects were instructed to stand comfortably with both arms relaxed on the side of the trunk and maintain a natural head posture. CVA was defined as the angle between the horizontal line and the line from the spinous process of the seventh cervical vertebra to the ear tragus. The CV angle means that the smaller the angle, the greater the flexion of the lower cervical spine

Time frame
8 weeks
2

Shoulder Protraction Measurement (SPM)

The complexity of these combined motions as well as the thick surrounding soft tissues present challenges to accurate angular measurement of scapular motion. However, observing these scapular motions superiorly provides a perspective of the superficial acromion as an indicator of scapular position relative to the medial superior angle and therein may lie the opportunity for goniometric assessment.

Time frame
8 weeks
3

Thoracic Kyphotic Angle (TKA)

The thoracic kyphotic angle (TKA) is defined as the angle formed by the intersection of two lines drawn along the superior endplate of the uppermost thoracic vertebra and the inferior endplate of the lowermost thoracic vertebra. This angle is crucial for assessing spinal alignment and postural abnormalities.

Time frame
8 weeks
4

Visual Analogue Scale (VAS)

VAS is widely used as a measure of pain intensity in globally. It has been shown that VAS is valid, reliable and interval scale. VAS has high testretest reliability and repeatability. In this VAS, it has a continuous scale consist of a horizontal and vertical line that called vertical VAS and horizontal visual analog scale.

Time frame
8 weeks

Secondary outcomes

Other outcomes

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