Indumathi, K (2019) A Study on the Effectiveness of Fascial Manipulation in Amateur Bicyclists with Symptomatic Upper Cross Syndrome. Masters thesis, RVS College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION: Upper cross syndrome is becoming more prevalent in today's population. It develops because of imbalances among muscles and its motor control. The term upper crossed syndrome was coined by Dr. Vladimir Janda (1988). The upper cross syndrome is defined as tightness of the upper trapezius, pectoralis major, and levator scapulae and weakness of the rhomboids, serratus anterior, middle and lower trapezius, and the deep neck flexors (Rectus Capitus Anterior, Rectus Capitus Lateralis, Longus Capitus, Longus Colli) and the scalene muscles. Janda named this syndrome ‘‘Upper Crossed’’ because when the weakened and shortened muscles are connected in the upper body, they form a cross. (Umashankar Mohanty - 2015). Upper-cross syndrome (UCS) is also referred to as proximal or shoulder girdle crossed syndrome (Vladimir Janda 1988). In UCS, 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 and lower trapezius. This pattern of imbalance creates joint dysfunction, particularly at the atlanto-occipital joint, C4-C5 segment, cervicothoracic joint, glenohumeral joint, and T4-T5 segment. Janda noted that these focal areas of stress within the spine correspond to transitional zones in which neighboring vertebrae change in morphology. OBJECTIVES: 1. To experiment the efficacy of Fascial Manipulation on pain among patients who are amateur bicyclists with symptomatic Upper Cross Syndrome. 2. To experiment the efficacy of Fascial Manipulation in neck function in patients who are amateur bicyclists with symptomatic Upper Cross Syndrome. METHODOLOGY: 10 Subjects who are recreational bicyclists with Upper cross syndrome with symptoms of neck, shoulder and/or arm pain were recruited from various places of the city through snowball referral sampling. Signed consent from the participants obtained on a purely voluntary basis. Out of 10 subjects 7 males and 3 females, mean age 26 years. Subjects were informed about every single treatment method and the modes of evaluation. Study Setting: The study was conducted in the Physiotherapy out-patient department of RVS College of Physiotherapy, Sulur, Coimbatore. Selection of subjects: Ten Patients were randomly selected who fulfilled the inclusion and exclusion criteria. Variables: Dependent variables: Pain, Neck Disability. Independent variable: Fascial Manipulation. Study Design The study design used was a pre-test and post-test experimental design. Inclusion criteria: • Clinically Patients diagnosed with Upper Cross Syndrome, • Both genders, • Age group of 18 to 30 years, • Amateur bicyclists who ride bicycle weekly atleast 5 to 8 hours, • Any profession, • With or without radiating pain in upper extremities, • Any duration of symptoms. Exclusion criteria: • Cervical instability, • Cord compression, • Spinal tumors, • Spinal infections, • Debilitating Cardio vascular diseases, • Severe osteoporosis, • Cervical myelopathy, • Ligamentous instability, • Vertebral artery insufficiency, • Patients on Anelgesics, • Patients on Anti-inflammatory drugs, • Ankylosing Spondylitis, • Spondylo-arthropathy, • Altered Sensorium. RESULTS: Ten clinically diagnosed symptomatic upper cross syndrome subjects were taken for the study and were treated with fascial manipulation for a period of ten days. Pain and neck disability index were measured before intervention and after two sessions of fascial manipulation with 5 days interval. Analysis of dependent variable pain in patients: In the patients for pain the calculated paired ‘t’ value is 9.78 and ‘t’ table value is 3.250 at 0.005 level. Since the calculated ‘t’ value is more than ‘t’ table value, it shows that there is significant difference in pain following Fascial Manipulation in amateur bicyclists with Upper Cross Syndrome. Analysis of dependent variable Neck Disability Index in patients: In the patients for neck disability the calculated paired ‘t’ value is 59.9 and ‘t’ table value is 3.250 at 0.005 level. Since the calculated ‘t’ value is more than ‘t’ table value, it shows that there is significant difference in pain following Fascial Manipulation in amateur bicyclists with UCS. CONCLUSION: The study was conducted on 10 subjects aimed to discover the effectiveness of Fascial Manipulation in amateur bicyclists with symptomatic Upper Cross Syndrome. It was proceeded with 2 sessions of Fascial Manipulation in 5 days interval. Pre and post treatment values calculated with VAS and Neck disability index score and from the results it can be concluded that there is significant difference in reduction of pain and neck disability in the patient population.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271750023 |
| Uncontrolled Keywords: | Fascial Manipulation, Amateur Bicyclists, Symptomatic Upper Cross Syndrome. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Ravindran C |
| Date Deposited: | 20 Sep 2019 03:40 |
| Last Modified: | 20 Sep 2019 06:33 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11533 |
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