Actively Recruiting

Phase Not Applicable
Age: 20Years - 45Years
All Genders
ID07528248

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

Led by Rehana Hayat · Updated on 2026-04-14

46

Participants Needed

1

Research Sites

N/A

Total Duration

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AI-Summary

What this Trial Is About

Researchers are evaluating and comparing the effects of Global Postural Re-education (GPR) and National Academy of Sports Medicine (NASM) based corrective exercises in people with upper cross syndrome (UCS). The study aims to find out if there is any difference between these two treatments in reducing pain and disability, improving endurance, and enhancing the cranio-vertebral angle in participants with UCS. Participants will receive treatment three times a week for eight weeks. One group will get Global Postural Re-education combined with routine physiotherapy, involving specific postures and isometric contractions under supervision. The other group will do NASM-based corrective exercises alongside conventional treatment, which includes muscle release, stretching, strengthening, and integration exercises. Assessments will be done before treatment starts, at four weeks, and at the end of the eight weeks. During the study, participants will be evaluated using tests measuring endurance, pain levels, and disability scores from the start to week eight. The cranio-vertebral angle will also be measured to assess posture improvement. These assessments will happen at baseline, week four, and week eight to track changes over time. The goal is to understand how each treatment affects symptoms and posture in UCS.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 20Years - 45Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 20 and 45 years
  • Pain in the upper back and neck region
  • Both male and female patients
  • Rounded shoulders
  • Craniovertebral angle less than 47 degrees
  • Willingness to participate
Not Eligible

You will not qualify if you...

  • History of spinal surgery
  • Neurological deficits such as radiculopathy, myelopathy, or disc herniation
  • Severe scoliosis or structural deformity
  • Active cervical spine problems like spondylosis, stenosis, or fracture

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants perform either Global Postural Re-education or NASM-based corrective exercises combined with conventional physiotherapy treatment. Exercises are repeated three times a week to improve posture and reduce symptoms of Upper Cross Syndrome.

3 visits per week

Trial Site Locations

Total: 1 location

1

District Headquarter Hospital (DHQ) Okara

Okāra, Punjab Province, Pakistan, 56300

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Adding a smartphone app to global postural re-education to improve neck pain, posture, quality of life, and endurance in people with nonspecific neck pain: a randomized controlled trial.

Fatemeh Abadiyan, Malihe Hadadnezhad, Zohre Khosrokiani...

https://pubmed.ncbi.nlm.nih.gov/33845880

Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial.

Syeda Nida Gillani, Qurat -Ul- Ain, Shakil Ur Rehman...

https://pubmed.ncbi.nlm.nih.gov/32207413

A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain.

Tânia Mendes Fernandes, Roberto Méndez-Sánchez, Ana S Puente-González...

https://pubmed.ncbi.nlm.nih.gov/36598342

Photogrammetric Analysis of Upper Cross Syndrome among Teachers and the Effects of National Academy of Sports Medicine Exercises with Ergonomic Intervention on the Syndrome.

Razieh Karimian, Nader Rahnama, Gholamali Ghasemi...

https://pubmed.ncbi.nlm.nih.gov/31586371