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Upper cross syndrome is a common postural dysfunction that is caused due to alternating tightness and weakness in the opposite muscle groups of the neck, shoulders and upper back which results in abnormal postural deviations. The aim of the study will be to compare the effects of Egoscue exercises and Feldenkrais exercises on pain, craniovertebral angle and functional disability in upper cross syndrome.
A Randomized clinical trial will be conducted at Ghurki Trust Teaching Hospital, Lahore and Riphah clinic, Lahore through non probability convenience sampling technique on 54 patients which will be allocated using simple random sampling through sealed opaque envelop into Group A and Group B. Group A will be treated with Egoscue exercises and conventional therapy and Group B will be treated with Feldenkrais exercises and conventional therapy at the frequency of 3 sets with 10 repetitions thrice a week. Outcome measures will be conducted through pain, craniovertebral angle and functional disability after 4 weeks. Data will be analyzed with SPSS software version 26. After assessing the normality of data by Shapiro-Wilk test, it will be decided either parametric or non- parametric will be used within the group or between the groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Egoscue exercises | Experimental |
| |
| Feldenkrais exercises | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Egoscue exercises | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disability Index (DNI) | This questionnaire will be used to asses disability. It comprises of 10 items; 7 related to daily living activities; 2 related to pain and 1 related to concentration. Each item is scored from 0 to 5. Total score is expressed as a percentage, with higher scores related to greater disability. Minimum detectable change measurements vary from 4.2 to 13.4, and minimum clinically important differences vary from 5 and 9.5 | 6th week |
| Craniovertebral angle (CVA) | Craniovertebral angle can be measured with Image J software. If the angle is less than 50 degrees (< 50 degree). The angle will be between tragus of the ear to cervical spinous process C7. | 6th week |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rabiya Noor, phd | Contact | 03344355660 | Rabiya.Noor@riphah.edu.pk | |
| Iqbal Tariq, phd | Contact | 03338236752 | Iqbal.tariq@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| areesha shakeel, MSPT(CP) | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rabiya Noor | Recruiting | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38541838 | Background | Jeong GH, Lee BH. Effects of Telerehabilitation Combining Diaphragmatic Breathing Re-Education and Shoulder Stabilization Exercises on Neck Pain, Posture, and Function in Young Adult Men with Upper Crossed Syndrome: A Randomized Controlled Trial. J Clin Med. 2024 Mar 11;13(6):1612. doi: 10.3390/jcm13061612. |
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| ID | Term |
|---|---|
| C537866 | Oculocerebral hypopigmentation syndrome type Preus |
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| Feldenkrais exercises | Other |
|
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