Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Trials
Published in: Trials 1/2020

Open Access 01-12-2020 | Study protocol

The effectiveness of a comprehensive corrective exercises program and subsequent detraining on alignment, muscle activation, and movement pattern in men with upper crossed syndrome: protocol for a parallel-group randomized controlled trial

Authors: Mohammad Bayattork, Foad Seidi, Hooman Minoonejad, Lars Louis Andersen, Phil Page

Published in: Trials | Issue 1/2020

Login to get access

Abstract

Background

Upper crossed syndrome (UCS) refers to specific altered muscle activation and changed movement patterns along with some postural deviations in the upper quarter of the body. This syndrome might contribute to the dysfunction of the cervicothoracic and glenohumeral joints.

Objectives

The present study will aim to investigate the effectiveness of a comprehensive corrective exercises program (CCEP) and subsequent detraining on alignment, muscle activation and movement pattern in men with UCS.

Methods/design

This is a parallel-group randomized controlled trial. Participants will be 22 men aged 18 to 28 years who are suffering from UCS. Participants in the intervention group will conduct CCEP (three times a week for 8 weeks), followed by 4 weeks of detraining. The control group will do their daily activities. Participants will be randomized (1:1) into the intervention or the control group. The primary outcome will be upper trapezius activations. Secondary outcomes consist of electromyography of middle and lower trapezius and serratus anterior muscles, scapular dyskinesis test, forward head and shoulder angles, thoracic kyphosis angle, and neck flexion pattern test.

Discussion

We propose to evaluate the effectiveness of a randomized controlled trial of a CCEP in men with UCS on their alignment, selected muscle activations, and relevant movement patterns. Results from our trial may provide new insights into the effects of exercise not only on the alignment but also on muscle activation and movement patterns that are important outcomes for people with postural malalignments and, if successful, could assist therapists in evidence-based clinical decision-making.

Trial registration

Iranian Registry of Clinical Trials, IRCT201810040412​32N1. Registered on 26 October 2018.
Appendix
Available only for authorised users
Literature
1.
Langenfeld A, Humphreys BK, de Bie RA, Swanenburg J. Effect of manual versus mechanically assisted manipulations of the thoracic spine in neck pain patients: study protocol of a randomized controlled trial. Trials. 2015;16(1):233.CrossRefPubMedPubMedCentral
2.
Gaffney BM, Maluf KS, Davidson BS. Evaluation of novel EMG biofeedback for postural correction during computer use. Appl Psychophysiol Biofeedback. 2016;41(2):181–9.CrossRefPubMed
3.
Kamper SJ, Apeldoorn A, Chiarotto A, Smeets R, Ostelo R, Guzman J, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ. 2015;350:h444.CrossRefPubMedPubMedCentral
4.
Yoo W-G, Park S-Y. Effects of posture-related auditory cueing (PAC) program on muscles activities and kinematics of the neck and trunk during computer work. Work. 2015;50(2):187–91.CrossRefPubMed
5.
Barrett E, O'Keeffe M, O'Sullivan K, Lewis J, McCreesh K. Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Man Ther. 2016;26:38–46.CrossRefPubMed
6.
Morris CE, Greenman PE, Bullock MI, Basmajian JV, Kobesova A. Vladimir Janda, MD, DSc: tribute to a master of rehabilitation. Spine. 2006;31(9):1060–4.CrossRefPubMed
7.
Page P. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. Int J Sports Phys Ther. 2011;6(1):51.PubMedPubMedCentral
8.
Page P. Cervicogenic headaches: an evidence-led approach to clinical management. Int J Sports Phys Ther. 2011;6(3):254.PubMedPubMedCentral
9.
10.
Kang J-H, Park R-Y, Lee S-J, Kim J-Y, Yoon S-R, Jung K-I. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012;36(1):98–104.CrossRefPubMedPubMedCentral
11.
Czaprowski D, Stoliński Ł, Tyrakowski M, Kozinoga M, Kotwicki T. Non-structural misalignments of body posture in the sagittal plane. Scoliosis Spinal Disord. 2018;13(1):6.CrossRefPubMedPubMedCentral
12.
Page P. Sensorimotor training: a “global” approach for balance training. J Bodyw Mov Ther. 2006;10(1):77–84.CrossRef
13.
Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. Int J Sports Phys Ther. 2013;8(1):62.PubMedPubMedCentral
14.
15.
Seidi F, Rajabi R, Ebrahimi I, Alizadeh MH, Minoonejad H. The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle. J Back Musculoskelet Rehabil. 2014;27(1):7–16.CrossRefPubMed
16.
Hrysomallis C. Effectiveness of strengthening and stretching exercises for the postural correction of abducted scapulae: a review. J Strength Cond Res. 2010;24(2):567–74.CrossRefPubMed
17.
Hrysomallis C, Goodman C. A review of resistance exercise and posture realignment. J Strength Cond Res. 2001;15(3):385–90.PubMed
18.
Hamill J, van Emmerik RE, Heiderscheit BC, Li L. A dynamical systems approach to lower extremity running injuries. Clin Biomech. 1999;14(5):297–308.CrossRef
19.
Davids K, Glazier P, Araujo D, Bartlett R. Movement systems as dynamical systems. Sports Med. 2003;33(4):245–60.CrossRefPubMed
20.
Janda V. On the concept of postural muscles and posture in man. Aust J Physiother. 1983;29(3):83–4.CrossRefPubMed
21.
Hodges P, Paul W, Van Dieën JH, Cholewicki J. Time to reflect on the role of motor control in low back pain. Alexandria: JOSPT Inc.; 2019.CrossRef
22.
Bae WS, Lee HO, Shin JW, Lee KC. The effect of middle and lower trapezius strength exercises and levator scapulae and upper trapezius stretching exercises in upper crossed syndrome. J Phys Ther Sci. 2016;28(5):1636–9.CrossRefPubMedPubMedCentral
23.
Vaughn DW, Brown EW. The influence of an in-home based therapeutic exercise program on thoracic kyphosis angles. J Back Musculoskelet Rehabil. 2007;20(4):155–65.CrossRef
24.
Harman K, Hubley-Kozey CL, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. J Man Manipulative Ther. 2005;13(3):163–76.CrossRef
25.
Hajihosseini E, Norasteh A, Shamsi A, Daneshmandi H. The effects of strengthening, stretching and comprehensive exercises on forward shoulder posture correction. Phys Treat Specif Phys Ther J. 2014;4(3):123–32.
26.
27.
Kibler WB, Sciascia AD, Uhl TL, Tambay N, Cunningham T. Electromyographic analysis of specific exercises for scapular control in early phases of shoulder rehabilitation. Am J Sports Med. 2008;36(9):1789–98.CrossRefPubMed
28.
Worsley P, Warner M, Mottram S, Gadola S, Veeger H, Hermens H, et al. Motor control retraining exercises for shoulder impingement: effects on function, muscle activation, and biomechanics in young adults. J Shoulder Elb Surg. 2013;22(4):e11–e9.CrossRef
29.
30.
Tsai N-T, McClure PW, Karduna AR. Effects of muscle fatigue on 3-dimensional scapular kinematics1. Arch Phys Med Rehabil. 2003;84(7):1000–5.CrossRefPubMed
31.
Brody LT. Effective therapeutic exercise prescription: the right exercise at the right dose. J Hand Ther. 2012;25(2):220–32.CrossRefPubMed
32.
Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee I-M, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334–59.CrossRefPubMed
33.
Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000;10(5):361–74.CrossRefPubMed
34.
De Mey K, Danneels L, Cagnie B, Cools AM. Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms effect of a 6-week training program on muscle recruitment and functional outcome. Am J Sports Med. 2012;40(8):1906–15.CrossRefPubMed
35.
McClure P, Tate AR, Kareha S, Irwin D, Zlupko E. A clinical method for identifying scapular dyskinesis, part 1: reliability. J Athl Train. 2009;44(2):160–4.CrossRefPubMedPubMedCentral
36.
Kibler WB, Ludewig PM, McClure PW, Michener LA, Bak K, Sciascia AD. Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘Scapular Summit’. Br J Sports Med. 2013;47(14):877–85.CrossRefPubMed
37.
Gadotti IC, Armijo-Olivo S, Silveira A, Magee D. Reliability of the craniocervical posture assessment: visual and angular measurements using photographs and radiographs. J Manip Physiol Ther. 2013;36(9):619–25.CrossRef
38.
Ruivo RM, Pezarat-Correia P, Carita AI. Intrarater and interrater reliability of photographic measurement of upper-body standing posture of adolescents. J Manip Physiol Ther. 2015;38(1):74–80.CrossRef
39.
Greendale G, Nili N, Huang M-H, Seeger L, Karlamangla A. The reliability and validity of three non-radiological measures of thoracic kyphosis and their relations to the standing radiological Cobb angle. Osteoporos Int. 2011;22(6):1897–905.CrossRefPubMed
40.
Barrett E, McCreesh K, Lewis J. Reliability and validity of non-radiographic methods of thoracic kyphosis measurement: a systematic review. Man Ther. 2014;19(1):10–7.CrossRefPubMed
41.
Carman D, Browne R, Birch J. Measurement of scoliosis and kyphosis radiographs. Intraobserver and interobserver variation. J Bone Joint Surg Am. 1990;72(3):328–33.CrossRefPubMed
42.
Derakhshani A, Letafatkar A, Khosrokiani Z. Comparing the effects of SUREE programs on people with scapular downward rotation syndrome: a randomized clinical trial. J Sport Rehabil. 2018;28(8):787–95.
43.
Claus AP, Hides JA, Moseley GL, Hodges PW. Thoracic and lumbar posture behaviour in sitting tasks and standing: Progressing the biomechanics from observations to measurements. Appl Ergon. 2016;53:161–8.CrossRefPubMed
Metadata
Title
The effectiveness of a comprehensive corrective exercises program and subsequent detraining on alignment, muscle activation, and movement pattern in men with upper crossed syndrome: protocol for a parallel-group randomized controlled trial
Authors
Mohammad Bayattork
Foad Seidi
Hooman Minoonejad
Lars Louis Andersen
Phil Page
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Trials / Issue 1/2020
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-020-4159-9

Other articles of this Issue 1/2020

Trials 1/2020 Go to the issue

Study protocol

Impact of vitamins A, B, C, D, and E supplementation on improvement and mortality rate in ICU patients with coronavirus-19: a structured summary of a study protocol for a randomized controlled trial

Study protocol

Adjuvant psychotherapy in early-stage bipolar disorder: study protocol for a randomized controlled trial

Study protocol

Lessening Organ dysfunction with VITamin C (LOVIT): protocol for a randomized controlled trial

Study protocol

Uptake of Task-Strengthening Strategy for Hypertension (TASSH) control within Community-Based Health Planning Services in Ghana: study protocol for a cluster randomized controlled trial

Study protocol

The effectiveness of an electronic pain management programme for the working population with chronic pain: study protocol for a randomized controlled trial

Study protocol

Postoperative complications and mobilisation following major abdominal surgery with vs. without fitness tracker-based feedback (EXPELLIARMUS): study protocol for a student-led multicentre randomised controlled trial (CHIR-Net SIGMA study group)