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Comparative Effects of Global Postural Re-education and NASM-based Corrective Exercises in Patients With Upper Cross Syndrome (UCS)

NCT07528248 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 46

Last updated 2026-04-14

No results posted yet for this study

Summary

The goal of this clinical trial is to learn the comparative effects of Global postural re-education (GPR) and National Academy of Sports Medicine (NASM) based corrective exercises in participants with upper cross syndrome (UCS). The main questions it aims to answer:

* Is there any difference between the effects of GPR and NASM-based corrective exercises in decreasing pain and disability and improving endurance in participants with upper cross syndrome?
* Is there any difference between the effects of GPR and NASM-based corrective exercises in improving cranio-vertebral angle of participants with upper cross syndrome? Researchers will compare GPR and NASM-based corrective exercises to see if there is difference between the two treatments in decreasing pain, disability and improving endurance and cranio-vertebral angle.

Participants will be:

* Given treatment 3 times a week for 8 weeks.
* Assessed before first treatment session (baseline), at 4th week of intervention and at the end of last treatment session (8th week).

Conditions

  • Upper Cross Syndrome

Interventions

OTHER

Global Postural Re-education

Global Postural Re-education 1st position: Patient will lie in supine, shoulders abducted to 30°, forearms supinated and the pelvis will be kept in a neutral position, while the lumbar spine remain supported. This position is characterized by a progression from flexion to extension of both hips and knees. 2nd position: Patient will remain in supine with their hips at 90° of flexion and perform gradual knee extensions. The participants will remain between 15 \& 20 min in each of these two positions. Under the supervision and verbal and/or manual guidance of the physiotherapist performing the intervention, they will perform 5-10s isomet contractions of the antagonist muscles of the muscle chain targeted by each posture. Subjects can also make active adjustments to their position, the physiotherapist can favor with some manual contact, sustained stretching and some joint traction to complete the session, the participants will be requested to maintain an upright posture in standing for 5min

OTHER

NASM-based Corrective exercises

NASM-based Corrective Exercises The four-stage exercise for UCS begins with preventing or reducing excessive muscle contraction (frequent foam wrapping), relaxing these same muscles, which fully eliminates dysfunctional muscles, and finally restores functional mobility. Step 1: inhibit or self-myofascial release overactive muscles: It includes the levator scapulae, trapezius (upper fibre), and sternocleidomastoid muscles. Hold pressure will be applied for 30 s on the tender spots. Step 2: Lengthen/ Static stretch. Upper trapezius Levator scapulae Sternocleidomastoid (SCM) Step 3: Activate/Strengthen. Chin tucks Floor Cobra Step 4: Integrate. Ball combination A routine/conventional evidence based physiotherapy treatment will also be given to both arms.

Sponsors & Collaborators

  • Rehana Hayat

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Model
PARALLEL

Eligibility

Min Age
20 Years
Max Age
45 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-03-05
Primary Completion
2026-05-10
Completion
2026-05-10

Countries

  • Pakistan

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07528248 on ClinicalTrials.gov