The study will be conducted to investigate the effect of Schroth method on balance in patients with the upper cross syndrome
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
40
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
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
Faculty of physical therapy Cairo university
Giza, Egypt
stability index
stability index will be measured by Biodex balance system
Time frame: 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
Time frame: up to four weeks
craniovertebral angle
craniovertebral angle will be measured by photogrammetric method
Time frame: 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
Time frame: 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
Time frame: 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)
Time frame: 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.
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Time frame: up to four weeks