Muscle energy technique versus cervical and scapulothoracic stabilization exercises for upper crossed syndrome
Official title: Effects of Muscle Energy Technique Versus Cervical and Scapulothoracic Stabilization Exercises on Pain, Disability and Craniovertebral Angle in Patients With Upper Crossed Syndrome
Run by Riphah International University · NCT07025993 · Data updated 2026-11-12
This trial will test whether muscle energy technique helps adults (18–65) with neck pain from upper crossed syndrome have less pain, better posture, and improved neck function compared with stabilization exercises.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 34 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Lahore, Punjab Province) |
| Status | Recruiting |
| Started | March 1, 2025 |
| Main results expected | August 30, 2025 |
| Study ends | September 30, 2025 |
| Registry record updated | June 18, 2025 |
| Trial ID | NCT07025993 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 diagnosed with upper crossed syndrome who have 4–12 weeks of neck pain and report NRPS pain >6/10, and who can attend clinic visits and provide written consent are ideal candidates.
✕Probably not a fit
People with chronic systemic or structural conditions (e.g., long-standing tuberculosis, carcinoma, severe osteoporosis, cervical stenosis, neurologic compromise), ongoing chemo/radiotherapy or steroid/anticoagulant therapy, hyperflexibility, open sores, or hot-pack allergy are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, parallel-group clinical trial enrolling 40 adults (age 18–65) with subacute neck pain attributed to upper crossed syndrome at clinical sites in Daska and Lahore, Pakistan. Participants will be randomly assigned to two groups; both groups receive moist hot packs, cervical segmental mobilizations, and active neck range-of-motion exercises, while one group receives eccentric muscle energy technique and the other receives cervical and scapulothoracic stabilization exercises. Outcomes include pain measured by the Numeric Rating Pain Scale (NRPS), function measured by the Neck Disability Index (NDI), and posture measured by craniovertebral angle, with measures taken at baseline and after the intervention period. Non-probability consecutive sampling is used and informed consent is required.
Why it matters
Potential benefit: If successful, adding muscle energy technique could reduce neck pain and improve posture and daily neck function for people with upper crossed syndrome.
How similar studies have gone: Manual therapy and targeted exercise approaches for neck pain and postural syndromes have shown mixed but often positive results in prior studies, though direct head-to-head comparisons for this exact question are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Both gender diagnosed with upper crossed syndrome * Patient having neck pain of 4 to 12 weeks * Pain reported on NRPS score ˃6/10 in the neck region * Subjects agree to sign the written consent form. Exclusion Criteria: * Exclusion criteria Patients were excluded if they were diagnosed with the following conditions for ˃6 months * Tuberculosis, carcinoma, heart disease, and osteoporosis * Neural disorders due to prolapsed intervertebral disc * Any trauma or localized infection in neck region * Upper motor neuron disease, cervical stenosis, and metabolic diseases in bone and joint * Hyper flexibility * Open sores * Ongoing radiotherapy, chemotherapy, steroid therapy, or anticoagulants * Psychiatric diseases such as phobia/obsession and depression * Allergy to hot pack
Where it's running
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Riphah Rehabilitation Clinic
Lahore, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Danish Hassan, PhD — Riphah International University
- Study coordinator: Syed Shakil ur Rehman, PhD
- Email: shakil.urrehman@riphah.edu.pk
- Phone: +92 345 7946009
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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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.
-
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.
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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.
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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.
-
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.
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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.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.