Effect Of Schroth Method On Balance In Upper Crossed Syndrome

Study Overview
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Brief Summary
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The study will be conducted to investigate the effect of Schroth method on balance in patients with the upper cross syndrome

Detailed Description
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Upper crossed syndrome (UCS) is the most common postural dysfunction in the musculature of the shoulder girdle /cervicothoracic region, which creates joint dysfunction, particularly at the atlanto-occipital joint, cervicothoracic joint C4-C5 segment, glenohumeral joint and T4-T5 segment. The Schroth method helps patients to halt curve progression, reverse abnormal curves, reduce pain, increase vital capacity and improve posture and appearance The Schroth method consists of sensorimotor, postural, and breathing exercises aimed at recalibration of normal postural alignment, static and dynamic postural control and spinal stability. There are no studies on Schroth method on the upper cross syndrome, so this study will be conducted to know the effective method of treatment for upper cross syndrome.. forty patients with the upper cross syndrome will be allocated randomly to two equal groups; one experimental group will receive Schroth method twice a week for four weeks and control group will receive postural correction exercise twice a week for four weeks.

Official Title
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Effect Of Schroth Method On Balance In Upper Crossed Syndrome

Conditions
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Postural; Defect

Intervention / Treatment
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* Other: schroth exercise
* Other: postural correction exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patient's age ranged from 17 to 22 years Body mass index between 20-25 kg/m2 The participants are diagnosed with upper cross syndrome Patients with normal cognitive aspects willing and able to participate in a program safely Exclusion Criteria: The participants have experienced any recent trauma (within 3 months of the initial consultation) The participant's primary complaint is that of headaches or facial pain. Participants have any sort of structural abnormality in upper and middle back e.g., Scoliosis, or had a positive Adams test. Participants who are taking anti-inflammatory or muscle relaxant medication had to have a three-day wash out period before participating in the study

Ages Eligible for Study
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Minimum Age: 17 Years
Maximum Age: 22 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Schroth exercise and postural correction group
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: schroth exercise<br>the patients will receive Schroth exercise twice a week for four weeks | Other: schroth exercise<br>* the patients will receive the Schroth three-dimensional exercise. patient first assumes a posture in the cervico-cranial and shoulder girdle and the thoracic region is held in the correct posture. The patient inspires air into the concave side and during the exhalation phase isometric and isotonic muscle tensing occur. While the patient is breathing, the therapist should observe the posture and movement of the thoracic cage and diaphragm. Basic posture correction in sitting and walking and Sensorimotor training by the ball will be applied<br>Other: postural correction exercise<br>* the patients will receive postural correction exercises, stretches, and exercises to the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors. The stretches included sitting chair stretches, Brugger's, wall angels, and doorway stretches. The exercises included push up- plus, head-neck-retraction, and Kibler squeeze<br>|
| Active Comparator: postural correction exercise<br>the patients will receive postural correction exercise twice a week for four weeks | Other: postural correction exercise<br>* the patients will receive postural correction exercises, stretches, and exercises to the pectoralis major, elevator scapulae, upper trapezius, serratus anterior, rhomboids, and deep neck flexors. The stretches included sitting chair stretches, Brugger's, wall angels, and doorway stretches. The exercises included push up- plus, head-neck-retraction, and Kibler squeeze<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| stability index | stability index will be measured by Biodex balance system | up to four weeks | 
| spinal curvature | spinal mouse will be used to assess thoracic spine curvature. Total angle of the thoracic spine is 41-44 degree | up to four weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| craniovertebral angle | craniovertebral angle will be measured by photogrammetric method | up to four weeks | 
| pain intensity | pain will be measured by visual analogue scale. It consists of a line of 10 cm with opposite edges; one edge has no pain and the other edge has the worst pain | up to four weeks | 
| neck function | neck function will be measured by Arabic neck disability index.. It consisting of 10 items with six choices. There is no disability for scores from 0 to 4; 5-14 is mild; 15-24 is moderate; 25-34 is severe, and finally more than 34 is a complete disability | up to four weeks | 
| Respiratory pulmonary functions | Respiratory pulmonary functions will be assessed by spirometry. assess breathing and respiratory ability by forced vital capacity test (FVC) and forced expiratory volume at one second test (FEV1) | up to four weeks | 
| shoulder posture | The shoulder's rounded position will be measured by tap measurement. the patients will be in supine and the therapist measure the distance from their shoulder to the plinth using tape measurements. | up to four weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Schroth Method, upper cross syndrome, balance