The effectiveness of a multimodal approach in the treatment of patients with upper crossed syndrome: A randomized controlled trial

Aneis, Yasser M.; El-Badrawy, Noha M.; El-Ganainy, Abdel-Rahman; Atta, Hanaa Kenawy

doi:10.1016/j.jbmt.2022.05.011

Cited by 5 publications

(14 citation statements)

References 40 publications

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“…Among 11 studies, 5 studies compared the therapeutic effect of exercise programs with controls in patients with UCS [ 2 , 12 , 13 , 14 , 15 ]. Six studies compared different rehabilitative treatment strategies (e.g., the muscle energy technique (MET) vs. stretching exercises) [ 16 , 17 , 18 , 19 , 20 , 21 ]. Regarding the study design, ten studies were randomized controlled trials (RCTs) [ 2 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 20 , 21 ] and one study was a prospective observational study (POS) [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…Six studies compared different rehabilitative treatment strategies (e.g., the muscle energy technique (MET) vs. stretching exercises) [ 16 , 17 , 18 , 19 , 20 , 21 ]. Regarding the study design, ten studies were randomized controlled trials (RCTs) [ 2 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 20 , 21 ] and one study was a prospective observational study (POS) [ 19 ]. The characteristics of the included studies are summarized in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

“…Six studies investigated the effect of various rehabilitative treatment methods on UCS [ 16 , 17 , 18 , 19 , 20 ]. Five studies were RCTs [ 16 , 17 , 18 , 20 , 21 ] and one study was a POS [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most recently, in 2022, Aneis et al conducted an RCT on 40 patients with UCS [ 21 ]. A multimodal approach, including postural correction training with ergonomic advice, the MET, cervical stabilization exercises, and scapulothoracic stabilization exercises, was given to 20 patients (intervention group), and the results were compared with 20 patients in the control group who received the MET only.…”

Section: Resultsmentioning

confidence: 99%

“…Out of the RCTs assessed, two studies [ 15 , 18 ] had an overall low risk of bias, two studies [ 2 , 21 ] had some concerns regarding bias, and one study [ 20 ] had a high risk of bias. Additionally, five studies [ 12 , 13 , 14 , 16 , 17 ] had insufficient information for a proper evaluation of bias.…”

Section: Resultsmentioning

confidence: 99%

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Treatment of Upper Crossed Syndrome: A Narrative Systematic Review

Chang,

Choo,

Hong

et al. 2023

Healthcare

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Background and Objectives: Upper crossed syndrome (UCS) is a common musculoskeletal condition that is characterized by tightness and weakness of the muscles of the neck, shoulders, and upper back. The aim of this current study is to summarize and provide an overview of the treatment in patients with UCS. Materials and Methods: A MEDLINE (PubMed), Cochrane library, Embase, Scopus, and Web of Science database search was conducted for English-language articles about upper crossed syndrome that were published until 19 January 2023. To identify potentially relevant articles, the following key search phrases were combined: “upper crossed syndrome”, “upper cross syndrome”, “diagnosis”, and “treatment”. A total of 233 articles were identified. After reading the titles and abstracts and assessing their eligibility based on the full-text articles, 11 articles were finally included in this review. The risk of bias (RoB) was assessed using RoB-2 and ROBINS-I for the randomized controlled trials (RCTs) and the non-randomized clinical trial (non-RCT), respectively. Results: Among eleven studies that investigated the effect of treatment programs for UCS, five studies compared the therapeutic effect of exercise programs with controls, whereas six compared different rehabilitative treatment strategies, such as the muscle energy technique, soft-tissue mobilization, and stretching exercises. In addition, regarding the study design, ten studies were RCTs and only one study was a prospective observational study. Conclusions: Treatment programs including various types of exercises and techniques to correct an abnormal posture and restore neuromuscular imbalances are effective for decreasing pain and improving neck disabilities and postural deviations in patients with UCS.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Treatment of Upper Crossed Syndrome: A Narrative Systematic Review

Chang,

Choo,

Hong

et al. 2023

Healthcare

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A systematic review of the added value of perioperative pain neuroscience education

Machado,

Carmo,

Leal

et al. 2023

Patient Education and Counseling

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Impact of physical exercise (strength and stretching) on repairing craniovertebral and reducing neck pain: A systematic review and meta-analysis

Nazwar,

Bal’afif,

Wardhana

et al. 2024

Journal of Craniovertebral Junction and Spine

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Background: The craniovertebral (CV) junction is crucial for head support, mobility, and protecting the upper spinal cord and vital nerve structures. Disorders in this area can cause severe symptoms such as neck pain, restricted movement, and neurological issues such as headaches and balance problems. Exercise and physical activity improves muscle strength, flexibility, joint stability, reducing pain, and enhancing joint function, while specifically for the CV junction, exercise can relieve muscle tension, boost blood flow, and improve posture, although the specific impact on CV junction health remains underexplored. Methods: A comprehensive literature search was conducted using databases MEDLINE, Cochrane, Lilacs, and ScienceDirect, alongside manual searches through reference lists. The review focuses on exercise and CV junction issues and includes randomized controlled trials, cohort or case–control studies, and systematic reviews. Primary outcomes include pain levels, joint mobility, function, and quality of life. Results: Results yield four meta-analyses with corrective exercise and conventional exercise in improving forward head posture risk difference 0.00 (−0.09, 0.09) 95% confidence interval (CI), between cervical and thoracic exercises odds ratio 1.04 (0.59, 1.84) 95% CI. Comparing exercise treatment and physiotherapy showed risk difference 0.11 (−0.10, 0.32) 95% CI and the comparative analysis between training and no treatment showed risk difference 0.09 (−0.01, 0.20) 95% CI. Conclusion: Exercise-based rehabilitation programs tailored to patients with CV junction problems offer robust evidence, benefiting clinical management, and prevention efforts.

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The effectiveness of a multimodal approach in the treatment of patients with upper crossed syndrome: A randomized controlled trial

Cited by 5 publications

References 40 publications

Treatment of Upper Crossed Syndrome: A Narrative Systematic Review

Treatment of Upper Crossed Syndrome: A Narrative Systematic Review

A systematic review of the added value of perioperative pain neuroscience education

Impact of physical exercise (strength and stretching) on repairing craniovertebral and reducing neck pain: A systematic review and meta-analysis

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