Comparative Effects of Eldova Technique and Corrective Exercises in Upper Cross Syndrome

The objective of the study is to compare the effects of ELDOA technique and corrective exercises in Upper cross syndrome. The study will be randomized control trial including two experimental groups having 42 participants in each group.

Musculoskeletal disorders are most common among people aged between 20 to 50 years with primary complaint of headache and neck pain due to their abnormal posture for prolong time. Upper cross syndrome refers to a specific muscles imbalance in upper quadrant of the body. Which brings postural deviation and may affects cervicothoracic and glenohumeral joints movements.Upper cross syndrome alters muscle activation pattern in the neck, trunk and scapula muscles and affect movement pattern of scapula along with postural deviation. These abnormalities lead to various musculoskeletal symptoms in the upper body.Upper cross syndrome is also referred as cervical cross syndrome is described as predictive pattern of alternative tightness and weakness of upper traps, pectoralis muscles, leavator scapulae, rhomboid, and serratus anterior and deep flexors of the neck. These muscles changes also alter the stability of glenohumeral joint stability which end up in more abduction due to the tightness of levator scapulae muscle.Due to the weakness of serratus anterior muscle, which affect the stability of scapula and alter the movement pattern of the scapula than lead to scapular dyskinesia.Scapular dyskinesia is a term that refers to, the alteration in the function and position of scapula. Scapular dyskinesis is further divided in two separates groups, static scapular positional(the asymmetry in the scapular resting position which can be observed by looking to the scapula in which inferior border is prominent and dynamic scapular stability (the alteration in the scapular motion with arm alleviation due alteration in scapular stabilizer muscles). The clinical assessment of scapula have three methods (A) direct observation (Lateral scapular slide test,(B) manually assisted movements(scapular assistance test),(C) assessment of surrounding structures. Scapula dyskinesia can be treated by stretching of the tight muscles and strengthening of the weak muscles. As mention earlier weakness of lower trap, med trap, serratus anterior and tightness of upper trap, pects muscles and levator scapulae occur with upper cross syndrome which can lead to scapula alteration, rounded shoulder and forward head posture. Due to abnormal posture of cervical in upper cross syndrome can cause forward head syndrome . Hyperextension of upper cervical(C1/C2) and hyper flexion of lower cervical (C3-C7) is referred to Forward head posture. Many studies have been conducted regarding treatment of upper cross syndrome through stretching and strengthening but the gap in previous literature is that there is no study designed yet to evaluate and compare both eldova technique and corrective exercises. Current study had addressed the comparison of eldova technique and corrective exercises in upper cross syndrome with the aim of evaluating and identifying the most effective intervention for managing this specific condition, the integration of Eldova techniques and corrective exercises in Upper cross syndrome management offers a holistic approach that addresses both structural and functional aspects, aiming for optimal outcomes in pain relief, postural correction, and functional restoration.

Eligibility Criteria:
Inclusion Criteria:

* Male and Female subjects
* Age between 15 to 35 years
* Subjects with scapular dyskinesia
* Subject with rounded shoulders

Exclusion Criteria:

* Subjects with cervical discogenic pain
* Subjects with spinal stenosis
* Cervical spine surgery