Abstract
Upper crossed Syndrome is one of the most prominent anomalous alignments currently. Janda defines 4 Upper Crossed Syndrome as the involvement of several skeletal system muscles that results in shortness and tightness of the anterior and upper trunk or weakening of the posterior section of the skeletal muscles. Objective: To compare the effects of Comprehensive corrective exercises versus muscle energy techniques in patients with upper cross syndrome. Methods: Randomized controlled trial with non-probability convenient sampling was conducted. Fifty-two patients were randomly allocated into 2 groups. The exercise duration period was of eight weeks and three sessions were conducted in one week. Group A was given muscle energy techniques and Group B was given comprehensive corrective exercises. The study was single (assessor) blinded. NDI and VAS were used as an outcome measure to quantify pain and disability in patients with upper cross syndrome. Measurements were taken at baseline (pretest), 8th week (posttest) and 12th week (follow up). Results: There were 52 diagnosed patients having upper cross syndrome with the mean age of 26.03 in group A (METS) in which 46.2% male and 53.8% females. The mean age of 28.76 in group B (CCEP) in which 65.4% males and 34.6% females. It was resulted that there was significant improvement at each level assessment. Statistically, comparison showed no significant difference were found between comprehensive corrective exercises and muscle energy techniques. However, both VAS and NDI showed better improvement in the CCEP group as compared to the MET group. Conclusion: Both techniques relived the pain and lowered the disability in upper cross syndrome patients; Whereas, Comprehensive corrective exercises are convenient and easy approach. Furthermore, these set of exercises maintained the effectiveness till 4 weeks post intervention.
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