NCT07064031

Effects of Post Isometric Relaxation and Janda's Approach in Patient With Shoudler Girdle Crossed Syndrome

Effects of Post Isometric Relaxation and Janda's Approach on Pain, Muscle Endurance and Disability in Patient With Shoudler Girdle Crossed Syndrome

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 54 (estimated)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 18 Years – 50 Years
• Healthy volunteers: Not accepted

Summary

Shoulder girdle crossed syndrome referred as upper crossed syndrome. In this syndrome, tightness of the upper trapezius and levator scapula on the dorsal side crosses with tightness of the pectoralis major and minor. Weakness of the deep cervical flexors, ventrally, crosses with weakness of the middle, lower trapezius and Rhomboids. Janda Approach treatment involves steps i.e Normalize the Periphery, Restore Muscle Balance, Increase afferent input to facilitate reflexive stabilization and increase endurance in muscles.

Detailed description

This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore. Non-probability convenient sampling will be used to collect the data. Sample size of 54 subjects with age group between 18-50 years will be taken. Data will be collected from the patients having present complaint of neck pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Neck disability index (NDI) for disability and Muscle Endurance tests for neck flexors, extensors and lateral flexors, an informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Both the Groups will receive Janda treatment as standard physical therapy, while Group A will receive janda's Technique and Muscle Energy Technique. In Janda technique weak muscles will be Strengthened and Tight muscles will be stretched. While group B is control group and receive only Janda Technique. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Conditions

• Upper Crossed Syndrome

Interventions

Type	Name	Description
OTHER	Neck Isometrics , TENS and Hot pack	Hot apck and TENS applied for 10min each. Using the same amount of light pressure, gently push your head into your hand as you did before. This time, allow the head to move slowly toward the shoulder against the pressure of the hand. This too can be repeated on the opposite side, forwards, backward, and into left and right rotation

Timeline

• Start date: 2025-07-01
• Primary completion: 2025-09-01
• Completion: 2025-10-01
• First posted: 2025-07-14
• Last updated: 2025-07-14

Locations

1 site across 1 country: Pakistan