Research On Diagnostic Criteria Of Upper Crossed Syndrome Based On WOS And CNKI Literature

Abstract

The incidence of upper crossed syndrome (UCS) has become younger, but now, the diagnosis and screening criteria of UCS are different, and researchers can not quickly and intuitively understand the research trend. PURPOSE: Analyze and sort out the research on UCS in Chinese and English databases, and sort out the current diagnostic screening criteria of UCS research, so as to provide some reference for researchers related to UCS in the future. METHODS: All relevant literature on UCS published in CNKI and WOS databases were searched and analyzed by the literature method. RESULTS: WOS research is mainly screened by observing three factors related to UCS, including body angle, muscle activation and movement mode. The scapula is the cornerstone of UCS evaluation, so the scapula dyskinesia test will be conducted. Meanwhile, it will also be measured by photogrammetry and the forward head (≥ 44°), round shoulder (≥ 49°) or thoracic kyphosis (≥ 42°); Some researchers only set the criteria as rake angle, round shoulder angle and kyphosis, and some set the inclusion criteria of Craniovertebral angle as greater than 46°. Haifah considered that skull angle and shoulder angle met one or both of the inclusion criteria of UCS. Moreover, there are also criteria for selecting the deviation of cervical spine line from the centre greater than 2.5 cm based on GPS test, or the horizontal distance from the centre of the external auditory canal to acromioclavicular joint greater than 1 cm. CNKI's clinical diagnostic criteria for UCS mainly start from the three aspects of shoulder and neck pain, head forward and round shoulder. It also includes the situation of pterygoid scapula but almost does not directly include the relevant angles of neck and shoulder as the diagnostic criteria, but as the observation index before and after an intervention. In short, the diagnostic criteria of CNKI's research are more functional symptoms, combined with the history of chronic strain, pain signs, cervical spine imaging data, etc. CONCLUSION: The diagnostic criteria of CNKI are pain and functional symptoms, and WOS focuses on the measurement angle. Supported by Education Science Project of "14th Five-year Plan" of Henan Province Grant ROI 2021YB0031, and Science and Technology Development Project of Kaifeng Grant ROI 2104006.