Effects of Biofeedback-Guided Training on Muscle Strength and Postural Alignment in Upper Cross Syndrome.

Launched by RIPHAH INTERNATIONAL UNIVERSITY · Jun 11, 2025

Keywords

ClinConnect Summary

This clinical trial is studying how a special type of training called biofeedback-guided training compares to regular therapy in helping adults with Upper Cross Syndrome (UCS). UCS is a condition that causes muscle weakness and poor posture, especially in the neck and upper back, often leading to chronic neck pain and a forward head position. The study aims to see if biofeedback, which uses visual or audio signals to help people control their muscle activity, can improve muscle strength and posture better than conventional therapy.

Adults between 25 and 45 years old who have specific signs of UCS—like weak neck muscles, limited neck movement, a forward head posture, increased rounding of the upper back, and neck pain lasting more than three months—may be eligible to join. Participants will be split into two groups; one will receive biofeedback training, and the other will get regular therapy. Both groups will attend 12 sessions over 4 weeks. The researchers will check muscle strength and posture before, during, and after the treatment period to see which method works best. This study has not started recruiting yet, and people with recent neck surgery, neurological problems, or other treatments for UCS won’t be able to join.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • • Adults aged 25-45 years with both genders.
• * Individuals meeting the following diagnostic criteria for upper cross syndrome will be included:
• • Reduced strength of deep cervical flexors = unable to maintain pressure beyond 22-24 mm Hg (assessed via cranio-cervical flexion test).
• • Limited cervical range of motion (Flexion: \< 80 degrees, Extension: \< 70 degrees, Rotation: \< 90 degrees on both sides, Lateral Flexion: \< 20 degrees)
• • Postural deviations: forward head posture (CVA \<50 degrees), increased thoracic kyphosis (via flexi curve \>45 degrees).
• • Neck pain with a duration of over 3 months
• Exclusion Criteria:
• • • History of recent neck surgery or injury.
• • Patients with neurological disorders affecting muscle tone.
• • Involvement in other physical therapy programs focused on UCS.
• • Diagnosed musculoskeletal condition that could impact muscle performance.