A structured exercise program for upper cross syndrome

Heena Pathan, Anushree Pawar, Ruchita Rao, Pratik Phansopkar*, Neha Chitale, Sakshi P. Arora

Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

ABSTRACT

Musculoskeletal injuries have been regarded as the major problem in young population. As stated by Karel Lewitt, muscle imbalances occur prior the functional dysfunction. In 1988 Dr. Janda put forth an interesting concept by dividing muscles in to two groups: Postural and Phasic. He attributes a predicted pattern that encompasses neck, upper part of thoracic spine and shoulder joint, Upper Cross Syndrome. Abnormal posture and its direction affect the physical activity and its direction lead to over stress on supportive structure as well as repetitive bending. Therefore the optimum mechanical condition of body and the energy consumption in daily life activities and exercise has particular importance. He noticed that imbalance inchildren begins in upper limb as compared to the lower limb, as seen in adults. Different factors like hereditary, stress, bad posture while working and lack of regular exercises can influence the frequency of such disorders. Musculoskeletal disorder (MSD) is one of the important problems encountered by ergonomist in various workplaces around the world. Cervical spine and soft tissue disorder example ligament, facet joint, muscles and disc are important reasons for neck pain due to abnormal posture. A multidisciplinary physiotherapy is advised to approach the impairments including exercises, manual therapy and modalities. Assessment methods for upper cross syndrome include postural examination, measurement range of motion for the cervical spine, muscle length testing, and evaluation of muscle strength. Various interventions include the use of modalities, manual therapy techniques, Therapeutic exercises, Muscle Stretching, and Instrument-Assisted soft tissue mobilization.

Keywords:

Upper Cross Syndrome, Bad Posture, Soft Tissue Disorder, Postural Abnormality Physiotherapy Interventions