Upper Crossed Syndrome Research Articles

Impact of upper crossed syndrome on pulmonary function among the recreational male players: A preliminary report

Background: The upper crossed syndrome (UCS) is the one where participants present with rounded shoulders and a poked chin posture due to muscular imbalance that affects head position, spine, and shoulder girdle. The presence of this syndrome leads to secondary health problems such as myofascial trigger points, cervicogenic headache, impingement syndromes, neck pain, rotator cuff injury, and reduced lung capacity. Objective: The objective of this study is to find the impact of UCS on respiration among the recreational male players. Methodology: Sixty recreational male players were recruited in two stratified age groups, 21–30 years (Group A) and 31–40 years (Group B), and were recruited for this cross-sectional study. Among them, 30 were healthy male recreational male players while thirty recreational male players with UCS. The lung function in both the groups was compared with the two stratified age groups and analyzed. Results: Recreational male players with UCS in both the stratified age groups, 21–30 years and 30–40 years, have reduced maximum voluntary ventilation when compared to their healthy counterparts. Conclusion: Recreational male players with UCS have lower pulmonary performance when compared with their age-matched normal individuals.

The Torsional Upper Crossed Syndrome: A multi-planar update to Janda's model, with a case series introduction of the mid-pectoral fascial lesion as an associated etiological factor

The Upper Crossed Syndrome (UCS) was presented by Janda to introduce neuromotor aspects of upper body muscle imbalances, describing sagittal plane postural asymmetries as barriers to recovery from chronic locomotor system pain syndromes. The UCS describes muscle imbalances of key antagonists causing forward postures of the head and shoulders and associated changes in the spinal curves -particularly an increased thoracic kyphosis - as well as changed function in the shoulder girdle. The role of fascial tissue has gained remarkable interest over the past decade, previously emphasizing its anatomic compartmental and binding role, while more recently emphasizing load transfer, sensory and kinetic chain function. The authors introduce the Mid-Pectoral Fascial Lesion (MPFL) as a myofascial disorder, describing 11 ipsilateral chest wall cases. While managing these cases, the authors encountered and subsequently designated the Torsional Upper Crossed Syndrome (TUCS) as a multi-planar addition to Janda's classic sagittal plane model. This article integrates published updates regarding the role of posture and fascia with the effects of chest wall trauma and a newly described associated postural syndrome as illustrated with this case series. An effective therapeutic approach to release the MPFL is then briefly described.

The Comparison of Effect of Three Programs of Strengthening, Stretching and Comprehensive on Upper Crossed Syndrome

Introduction: Upper crossed syndrome is a form of muscle skeletal system involvement that leads muscles of the anterior and upper trunk be short and tight and the posterior part of the muscles be weak. Janda Upper cross syndrome mostly associated with abnormalities of the forward head , forward shoulder, away scapula and increased thoracic kyphosis and will cause wide variations in a quarter of the upper body. Common methods of correcting these abnormalities are corrective exercises. The Purpose of this study was to investigate the effects of strength training, stretch training and comprehensive training in patients with upper crossed syndrome. Materials and Methods: Forty females students with excessive forward head > 46 ﹾﹾ , forward shoulder > 52 ﹾﹾ and kyphosis > 42 ﹾﹾ angle were chosen as samples using purposive sampling method. The average of age 22.22 ± 1.77 years, weight 61/2.2 ± 1.90 kg, height 161.85 ± 2.55 cm and body mass index of the samples 23.37 ± 0.90 kg/m 2 . The subjects were randomly divided into four groups of 10 experimental and control groups. The first experimental group performed strength training, second group stretch training and third group comprehensive training for 6 weeks. In this period, the control group did not receive any training. In this study, photogrammetric method technique was used to measure the angle of the forward head and forward shoulder. A flexible ruler was used to measure the angle of kyphosis (r = 0.93). Angle of forward head, forward shoulder and kyphosis was measured before and after 6 weeks. data were analyzed using paired t-test and SPSS (P ≤ 0.05). Results: According to in study, paired T-test results in the experimental group showed that the significant decrease in the angle forward shoulder (P = 0.001), forward head (P = 0.005) and kyphosis (P = 0.001) of three types of exercise (strengthing, stretching, comprehensive) was found after 6 weeks. However, a significant decrease in the angle of forward head and shoulder and kyphosis was not found in the control group. One-way analysis of variance (ANOVA) showed that between the effects of different exercises on the forward shoulder angle (p = 0.001), forward head angle (P = 0.001) and kyphosis angle (P = 0.001) there are significant difference. According to the tukey test results, implementation of corrective exercises, strengthing (P = 0.001), stretching (P = 0.001), and comprehensive (P = 0.001) there is a significant difference with the control group. However between the strength training groups, stretching and comprehensive with each other in forward shoulder group, no significant difference was observed. While between of effect the comprehensive training in forward head and kyphosis abnormalities was significant difference compared to other exercises. Conclusion: Forward head and kyphosis angle decreased in the comprehensive group compared to other training programs, showed the Better efficiency of this training program. While between the group strength training, stretching and comprehensive with each other on the forward shoulder significant difference was not found. Importantly, the data showed that although there is no significant difference in the training program. However, statistical trends and the effectiveness has been more of the comprehensive training program. The results demonstrated a significant decrease in the angle of forward head, forward shoulder and kyphosis in the experimental group. Therefore, using this program is recommended in subjects with upper crossed syndrome deformity.

Prevalence and Risk Factors for the Development of Upper-Crossed Syndrome (UCS) among DPT Students of University of Lahore

Prevalence and Risk Factors for the Development of Upper-Crossed Syndrome (UCS) among DPT Students of University of Lahore