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Comparative Effects of Reverse Natural Apophyseal Glides Versus Sustained Natural Apophyseal Glides in Patients With Upper Cross Syndrome

RecruitingNAAges 20 Years - 40 YearsAllFoundation University Islamabad
NCT07834177 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

This study will compare the effectiveness of two manual therapy interventions combined with a standardized conventional physiotherapy protocol in individuals with Upper Cross Syndrome. Participants will be randomly allocated into two groups. Group A will receive Reverse Natural Apophyseal Glides, while Group B will receive Sustained Natural Apophyseal Glides. Both manual therapy interventions will primarily target the lower cervicaland upper thoracic spine specifically C6 to T2 and will be administered for 3 times a week for 4 weeks. The conventional physiotherapy protocol will be identical for both groups and will include a 10-minute hot pack followed by stretching of the pectoralis, upper trapezius and levator scapulae, each stretching exercise will be performed for 10 repetitions, 3 sets, with a 10 second hold per repetition. The strengthening program will target the deep cervical fle

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📋 Eligibility rules (as published)
Inclusion Criteria * Both genders. * Age 20 to 40 years. * Patients who had been experiencing chronic neck pain for three months or longer. * Pain intensity of 3 or more and less than 8 on NPRS. * Craniovertebral angle less than 48 degrees. * Thoracic kyphosis angle greater than 40 degrees * Participants able to understand instructions and provide informed consent. Exclusion Criteria * Cervical radiculopathy * Vertebrobasilar insufficiency * Patients with a history of spinal surgery * Any history of trauma or whiplash injury (from the past 6 months to 1 year) * Diagnosed cases of osteoporosis * Pregnancy * Patients with diagnosed systemic diseases. * Patients with a known medical diagnosis of spinal cord compression.
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What it tests

  • Reverse Natural Apophyseal Glides
  • Sustained Natural Apophyseal Glides
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Where

1 site
Foundation University College of Physical Therapy
Islamabad, Pakistan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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