Clinical trial NCT06004076: Fascial Release on Upper Cross Syndrome.
Official title: Effect of Release of Upper Track of Deep Front Fascial Line on Upper Cross Syndrome.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Upper Cross Syndrome
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2023-08-22
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Release of upper track of deep front fascial line and supervised corrective exercises
Primary purpose: TREATMENT

Brief summary: This study will be a randomized controlled trial conducted to investigate the effect of release of upper track of deep front fascial line on patients with Upper Cross Syndrome.A sample size of 40 will be randomly allocated to two group ,(20 participants in each group), by using computer-generated random number list method.

Experimental group will receive release of upper track of deep front fascial line in addition supervised corrective exercises for upper crossed syndrome and Control group which will receive supervised corrective exercise only. Both groups will receive eight sessions (2 sessions per week for 4 weeks).

Detailed description: Upper Cross Syndrome is a characterized by muscular imbalance of skeletal muscles activation and inhibition rather than just single muscle involvement. Individuals who present with upper crossed syndrome will show a forward head and neck posture Working in abnormal posture for prolonged duration is the main risk factor.

Although this posture does not necessarily lead to pain, but when prolonged, individuals do often experience upper back and neck pain.Stress on cervico-cranial and Cervico-thoracic junction is caused by the poor posture .Some postural patterning of forward shoulders, increases kyphosis, forward head posture, and loss of cervical lordosis is created by this poor posture.

Many researches studied effect of Exercises, stretching ,muscle energy technique,active release technique.Research on fascia gains more and more attention in basic science.

Fascial tissue plays an important role not only in functional anatomy,but also in sport and exercise science as well as in numerous therapeutic approaches as well as in clinical rehabilitation.Accordingly,There is no studies in the literature investigated the the effect of release of upper anterior track of deep front fascial line in subjects with upper cross syndrome, therefore this is the purpose study.

Eligibility criteria: Inclusion Criteria:

1. Age ranged from 18 to 40 years.
2. Body Mass Index ≤30 kg/m².
3. All participants have forward head ,craniovertebral angle less than 48-50 degrees.
4. All participants have round back(kyphosis angle ≥ 42°).
5. The subjects were chosen from both genders.
6. Based on assessment for upper cross syndrome by photogrammetric analysis

Exclusion Criteria:

1. History of trauma or surgery in cervical region.
2. Bone fractures or acute soft tissue injuries .
3. Osteoporosis .
4. Heart attack .
5. Unstable angina pectoris .
6. Implanted pacemaker or defibrillator .
7. Pregnant women.
8. Cancer .
9. Rheumatoid arthritis.
10. Connective tissue disease: This includes diseases such as osteomyelitis, lupus and scleroderma.
11. Neurological conditions.

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Primary outcomes:
measure: Neck disability index
timeFrame: up to 4 weeks
measure: Craniovertebral angle (CVA)
timeFrame: up to 4 weeks
Secondary outcomes:
measure: Thoracic kyphosis angle
timeFrame: up to 4 weeks
measure: Chest expansion
timeFrame: up to 4 weeks
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: Faculty of Physical Therapy Cairo University
Study officials:
References: