Comparing GPR versus NASM corrective exercises for upper-cross posture and neck pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults with upper cross syndrome (craniovertebral angle <47°) will be assigned to receive either Global Postural Re-education (GPR) or NASM-based corrective exercises three times per week for eight weeks. Pain, disability, muscle endurance, and craniovertebral angle will be measured at baseline, at four weeks, and at the end of the eight-week program. Each intervention consists of therapist-led, posture-focused exercise sessions designed to correct muscle imbalances and improve alignment. The trial compares the two active exercise programs to see if one produces greater improvements in symptoms and posture.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Age between 20-45 years
2. Pain in the upper back and neck region.
3. Both male and female patients
4. Rounded shoulders
5. Craniovertebral angle less than 47 degrees
6. Willingness to participate

Exclusion Criteria:

1. History of spinal surgery
2. Neurological deficits (radiculopathy, myelopathy, disc herniation)
3. Severe scoliosis or structural deformity
4. Active cervical spine pathology (spondylosis, stenosis and fracture)

Where it's running

• District Headquarter Hospital (DHQ) Okara
  Okāra, Punjab Province, Pakistan Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Kendall exercises with and without positional release therapy for upper crossed syndrome

  This study tests Kendall exercises with and without positional release therapy to see if they reduce neck and shoulder pain and improve posture in adults with upper crossed syndrome.

  Recruiting at 2 sites Riphah International University · Lahore, Punjab Province and 1 other locations · NCT07854119

• Breathing and manual therapy to improve function in college students with upper cross syndrome

  In college students with upper cross syndrome, adding a specific breathing technique (ujjayi pranayama) to manual therapy is being tested to see if it helps spinal alignment relate to better functional performance.

  Recruiting Al-Zaytoonah University of Jordan · Cairo · NCT07786415

• Kendall vs Janda’s Approach with Diaphragmatic Breathing for Upper Crossed Syndrome

  This trial tests whether Kendall exercises with diaphragmatic breathing help reduce pain and disability in people with Upper Crossed Syndrome compared with Janda’s approach plus diaphragmatic breathing.

  Recruiting Riphah International University · Sialkot, Punjab Province · NCT07724574

• Egoscue vs Feldenkrais for Upper Cross Syndrome

  This trial compares two exercise approaches, Egoscue and Feldenkrais, to see if one can reduce neck and shoulder pain and improve posture in adults with upper cross syndrome.

  Recruiting Riphah International University · Lahore, Punjab Province · NCT07628413

• Maitland mobilization plus Kendall exercises vs Kendall exercises alone for upper cross syndrome

  This trial tests whether adding Maitland mobilization to Kendall exercises helps reduce neck/upper back pain and improve posture in adults with Upper Cross Syndrome.

  Recruiting Ibadat International University, Islamabad · Peshawar, KPK · NCT07588061

• Rib mobilization with postural correction exercises for Upper Crossed Syndrome

  This will test whether adding rib mobilization to postural correction exercises helps people aged 20–45 with Upper Crossed Syndrome reduce neck pain and improve posture and thoracic mobility.

  Recruiting Riphah International University · Chak Six Hundred Twenty-four, Khyber Pakhtunkhwat · NCT07573553

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.