Comparative Effect of Maitland Mobilization Combined With Kendall Exercises for Pain and Postural Alignment in Adults With Upper Cross Syndrome

Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome

This randomized controlled trial aims to compare the effects of Maitland mobilization combined with Kendall exercises versus Kendall exercises alone on pain and postural alignment in adults with Upper Cross Syndrome (UCS). Upper Cross Syndrome is characterized by muscle imbalance leading to forward head posture, rounded shoulders, and increased thoracic kyphosis. The study will evaluate pain intensity, craniovertebral angle, thoracic kyphosis, and rounded shoulder posture

Inclusion Criteria:

• Age 18 to 45 years
• Neck and/or upper thoracic pain for a duration of > 6 weeks
• Pain Severity: VAS > 5 (Afzal, Noor, Mumtaz, Bashir, & Saqulain, 2023)
• Pain exacerbated by prolonged postures
• Adults diagnosed with Upper Cross Syndrome
• Diagnostic criteria: Upper Cross Syndrome will be diagnosed when individuals demonstrate: thoracic kyphosis > 40°, craniovertebral angle < 50°, and acromion-to-couch distance > 2.5 cm based on established normative values.

Exclusion Criteria:

• History of neck or shoulder surgery or trauma
• Inflammatory conditions such as rheumatoid arthritis or gout
• Pregnancy
• Neurological conditions affecting upper limb function, and
• Cardiovascular Problems
• Congenital issues i.e.; torticollis, and scoliosis
• Disc prolapse and other spine issues
• Currently taking any medication or taking physical therapy