Comparative Effects of Comprehensive Corrective Exercises versus Muscle Energy techniques in Patients with Upper Cross Syndrome:A Randomized Controlled Trial
Compare the Effects of Comprehensive Corrective Exercises veraus Muscle Energy techniques in patients with Upper Cross Syndrome
Design
Diagnosed patients of UCS will be randomly assigned. Participants were randomized using concealed allocation through opening sealed envelops and card inside envelop indicated the group into which participants was randomly allocated. After randomization participants took part in baseline assessment process, and then groups receive the interventions for eight weeks. All measurements were repeated after ending the interventions. Finally follow up assessment was performed after 4-week detraining period.
The participants consisted of 52 men and women aged 20-35 years with UCS.
The duration of exercise protocol was eight weeks and three sessions per week, and each session was about an hour. All exercises were performed under supervision.
Group A:
Follow Muscle energy technique with. Routine physical Therapy
Group-B:
Follow Comprehensive Corrective Exercises with Routine physical Therapy
Settings and conduct
Federal Medical and Rehabilitation Centre Lahore.
Single blinded study.Participants are blinded.
Participants/Inclusion and exclusion criteria
Patients with UCS and neck pain history of 4-12 weeks are included.
Any other impairement, cervical Surgery and history of trauma excluded.
Intervention groups
The duration of exercise protocol was eight weeks and three sessions per week, and each session was about an hour. All exercises were performed under supervision.
Group A:
Follow Muscle energy technique with. Routine physical Therapy
Group-B:
Follow Comprehensive Corrective Exercises with Routine physical Therapy
Main outcome variables
Pain will be measured by Visual Analogue scale (VAS)
Disability will be measured by Neck Disability Index (NDI)
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20210730052025N1
Registration date:2021-10-08, 1400/07/16
Registration timing:retrospective
Last update:2021-10-08, 1400/07/16
Update count:0
Registration date
2021-10-08, 1400/07/16
Registrant information
Name
Hafsa Azam
Name of organization / entity
The University of Lahore
Country
Pakistan
Phone
+92 44 2522066
Email address
pptm02191008@student.uol.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-07-31, 1400/05/09
Expected recruitment end date
2021-08-25, 1400/06/03
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparative Effects of Comprehensive Corrective Exercises versus Muscle Energy techniques in Patients with Upper Cross Syndrome:A Randomized Controlled Trial
Public title
Effects of Corrective Exercises Versus Muscle energy techniques in treatment of Upper Cross Syndrome.
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Neck pain history of 4-12 weeks
Both Gender
Age between 20 and 35 years
Exclusion criteria:
Any other spine surgery or trauma
Age
From 20 years old to 35 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
52
Randomization (investigator's opinion)
Randomized
Randomization description
Participants were randomized using concealed allocation through opening sealed envelops and card inside envelop indicated the group into which participants was randomly allocated.
Blinding (investigator's opinion)
Single blinded
Blinding description
Only the assessor is unaware of the treatment the patients receive.It is advisable that the assessor should not belong to the team performing treatment and therefore not know whether the patient received the intervention 1 or intervention 2.
Placebo
Not used
Assignment
Parallel
Other design features
The participants consisted of 52 men and women aged 20-35 years with the UCS.The duration of exercise protocol was eight weeks and three sessions per week, and each session was about an hour. All exercises were performed under supervision
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
"Ethics Committee of University Of Lahore"
Street address
159A opf phase 1 Lahore
City
Lahore
Postal code
5300
Approval date
2021-09-18, 1400/06/27
Ethics committee reference number
IRB-UOL-FAHS/890-III/2021
Health conditions studied
1
Description of health condition studied
Neck pain or Upper Cross Syndrome
ICD-10 code
G71.8
ICD-10 code description
Other primary disorders of muscles
Primary outcomes
1
Description
Pain, Disability
Timepoint
Before Intervention,after intervention( 8 week) and 4 week after detraining period.
Method of measurement
Visual Analogue scale to measure pain and Neck disability Index to measure disability.
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group 1: Follow Muscle energy technique with Routine physical Therapy. Muscle energy technique will be applied to subjects' cervical spine. The cervical spine brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then subjects were asked to push their heads into the direction opposite that of the barrier. The therapist provided isometric resistance for 3-5 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. Three to five repetitions performed.Cervical segmental mobilisation was performed slowly, with varied rhythm and speed. Three sets of grade I-II mobilisation (posterioanterior) with 8-10 repetition for 2- 3 minutes in resting position will be given.
Category
Rehabilitation
2
Description
Intervention group 2:Follow Comprehensive Corrective Exercises with Routine physical Therapy. To correct musculoskeletal malalignment by functional approach such as CCEP.Comprehensive corrective exercise: Each exercise session begins with 10 min of warm- up activity and ends with 5 min of cool-down. Selected exercises are designed in three phases:Initial Phase: The initial phase duration is 2 weeks and the exercises will be performed for seven sets of 10-s hold to ten sets of 15-s hold.Improvement Phase: Therefore, during this phase Thera-Bands, weights, and training balls will be used.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Federal Medical and Rehabilitation Centre Lahore
Full name of responsible person
Dr Bushra Jabeen
Street address
159A opf phase 1 Lahore
City
Lahore
Postal code
5300
Phone
+92 42 35418313
Email
ahfsa6211@gmail.com
Web page address
https://fihs.edu.pk
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
University Of Lahore
Full name of responsible person
Hafsa Azam
Street address
Bhopatian chowk Lahore
City
Lahore
Postal code
5300
Phone
+92 44 2522066
Email
Info@Uol.edu.pk
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
University Of Lahore
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
The University of Lahore
Full name of responsible person
Hafsa Azam
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
159A opf phase 1 Lahore
City
Lahore
Province
Punjab
Postal code
5300
Phone
+92 44 2522066
Fax
Email
Pptm02191008@student.uol.edu.pk
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
The University of Lahore
Full name of responsible person
Hafsa Azam
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
159A opf phase 1 Lahore
City
LAHORE
Province
Punjab
Postal code
5300
Phone
+92 305 8831368
Fax
Email
ahfsa6211@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
University Of Lahore
Full name of responsible person
Hafsa Azam
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Bhopatian chowk Lahore
City
Lahore
Province
Punjab
Postal code
5300
Phone
+92 305 8831368
Fax
Email
Info@Uol.edu.pk
Sharing plan
Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
I think this will not risk the patient's health
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Demographic data family history
When the data will become available and for how long
At baseline and available till end
To whom data/document is available
People working in the research
Under which criteria data/document could be used
Researcher and supervisir will review it
From where data/document is obtainable
ahfsa6211@gmail.com
What processes are involved for a request to access data/document