Administrative StaffSE vs CENCT07766070
Comparative Effects of Stabilization Exercises and Corrective Exercises in Administrative Staff With Upper Cross Syndrome
A study testing Stabilization Exercises and Corrective Exercises in people with Administrative Staff and Upper Cross Syndrome, run by University of Faisalabad at 1 site in Pakistan.
Trial summary
This study compares two types of rehabilitation strategies' - the stabilization exercises and the corrective exercises - to improve pain, respiratory function, and postural alignment in administrative staff with upper cross syndrome. Participants undertook a six-week intervention program. Read more about this study
- Who is it for?
- Ages 24 to 40 years
- Conditions the study is for
- Administrative Staff, Upper Cross Syndrome, Forward Head Posture
- What is being tested?
- Stabilization Exercises and Corrective Exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 sitePakistan
- Study dates
- 24 Apr 2026to 9 Aug 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 24 to 40 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age 24-40 years.
- Prolonged computer working hours =6 hours/day .
- Prolonged computer working years for =6 months .
- Clinical features of UCS i.e.;
- Participant must meet =3 of the following on clinical exam:
- Cranio-vertebral angle (CVA) < 50°.
Show all 11Show fewer
- Visible FHP and rounded shoulders on the lateral view.
- Abnormality in the position and rhythm of the scapula.
- Excessive thoracic kyphosis >42 .
- Non-specific chronic cervical pain =3 months.
- NPRS 3-6 (mild-moderate) .
Who cannot join
- Pregnant females.
- Reported history of smoking.
- Having a medical prescription that specifically dictated therapeutic exercises for posture.
- History of any fracture of upper limb and spine.
- History of any operations involving the neck, upper extremity and trunk.
- Reported history of recent spinal trauma .
Show all 11Show fewer
- Reported any history of respiratory disorder i.e: COPD, TB, asthma etc.
- Reported any history of cardiac disorder i.e: angina, myocardial infarction, cardiac failure etc.
- Congenital spinal deformity i.e: structural kyphosis and scoliosis etc.
- Any history of neurological disease i.e: stroke, epilepsy, myasthenia gravis etc .
- Reported history of any cancer i.e: bone cancer, breast cancer etc
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Department of Rehabilitation Sciences, The University of Faisalabad
Faisalabad, Punjab Province, 38000
About this study
Official title: Comparative Effects of Stabilization Exercises and Corrective Exercises on Pain, Respiratory Function, and Postural Alignment in Administrative Staff With Upper Cross Syndrome
This study compares two types of rehabilitation strategies' - the stabilization exercises and the corrective exercises - to improve pain, respiratory function, and postural alignment in administrative staff with upper cross syndrome. Participants undertook a six-week intervention program. Random sampling technique was employed and 50 participants were included out of which 4 participants drops out. Randmoization was done via computer generator.The participants were divided into two groups: group A (Stabilization Exercises) and group B (Corrective Exercises). The process of data collection was conducted at MTH, and united hospital and participants will have included according to inclusion criteria. Pain was assessed by using the numeric pain rating. Respiratory function was assessed by using a digital spirometer. Postural alignment i.e., CVA \& SHA was assessed by using kinovea-2D video analysis. Mid thoracic curve was assessed by using Flexi curve rule.This study aims to determine which treatment produces greater improvement, which may help physiotherapists to give more effective evidence based treatment patients with UCS in Pakistan.
Read the detailed description
Background: Upper cross syndrome describes a pattern of muscle imbalance over the head and shoulder region, which is mostly brought on by misalignment. The rounded forward shoulder girdle and arm posture associated with upper crossed syndrome are commonly referred to as rounded shoulders. Studies show that upper cross syndrome affects 67% of computer workers. IT professionals should spend less time sitting down because prolonged sitting can lead to poor posture. Rehabilitation strategies like stabilization exercises are the mainstay of conventional treatment, but new research shows that corrective exercises are a promising way to improve postural alignment and restore respiratory function.
Objectives: The primary objective of this study was to compare the effects of stabilization exercises and corrective exercises in improving pain and respiratory function in administrative staff with upper cross syndrome. Secondary objectives included determining to compare the effects of stabilization exercises and corrective exercises in improving postural alignment and mid-thoracic curve in administrative staff with upper cross syndrome.
- Being tested
- Stabilization Exercises, Corrective Exercises
- Keywords
- Upper cross syndrome, Stabilization exercises, Corrective exercise, Respiratory function, Postural alignment, Administrative Staff
- Medical subject headings
- Oculocerebral hypopigmentation syndrome type Preus, Respiratory Aspiration
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Stabilization ExercisesOther
What: A supervised scapular stabilization exercise program designed to improve scapular muscle activation, strength, and postural alignment in computer workers with Upper Cross Syndrome. The program includes serratus anterior punches with resistance band, scapular retraction with external rotation using resistance band, and resistance band overhead press targeting the lower trapezius. Exercises are performed under supervision three times per week for 6 weeks.
When:45 minutes per session, 3 sessions per weeks for 6 weeks (total 18 sessions).
How much : The dosage of these exercises was 3 sets × 10 reps with 5 sec hold for 3 days /week for 6 weeks.
By Whom: by licensed physiotherapist trained in stabilization exercise
Where: outpatient rehabilitation department of MTH (Madinah Teaching Hospital) and United Hospital, Faisalabad, Punjab, Pakistan
Corrective ExercisesOther
What: A supervised comprehensive postural corrective exercise program designed to address postural muscle imbalance and improve cervical, thoracic, and scapular alignment in computer workers with Upper Cross Syndrome. The program includes chin tuck exercises for activation of the deep cervical flexors, seated stability ball T exercises for core and back extensor activation, foam roller shoulder opener, and prone T, Y, and W exercises. Exercises are performed under supervision three times per week for 6 weeks.
When:45 minutes per session, 3 sessions per weeks for 6 weeks (total 18 sessions).
How much : The dosage of these exercises was 10 s hold ×7 to 15 s hold ×10 hold for 3 days /week for 6 weeks.
By Whom: by licensed physiotherapist trained in corrective exercise
Where: outpatient rehabilitation department of MTH (Madinah Teaching Hospital) and United Hospital, Faisalabad, Punjab, Pakistan.
| Study group | Role | What they receive |
|---|---|---|
| Stabilization Exercises Group | Experimental | The participants within group A had received stabilization exercises. Exercise to activate the serratus anterior muscle was serratus anterior punches with thera band. Exercise to activate middle trapezius and rhomboids was retraction plus external rotation exercise with thera band. Exercise to activate the lower trapezius muscle was resistance band overhead press with thera band. The dosage of these exercises was 3 sets × 10 reps with 5 sec hold for 3 days /week for 6 weeks. The length of treatment session was 45 minutes supervised. Receives: Other: Stabilization Exercises |
| Corrective Exercises Group | Active comparator | Participants were receiving baseline treatment including hot pack and static stretching of the trapezius, levator scapulae of the affected side with 2 sets of 5 repetitions with 5-second hold, followed by corrective exercises focused on chin tuck, seated stability ball T exercises with swiss ball, foam roller shoulder opener, prone T, Y \& W raises. The dosage of these exercise was from 10 s hold ×7 to 15 s hold ×10 for 3 days /week for 6 weeks. The length of treatment session was 45 minutes supervised by clinical physiotherapist. There was no HEP Receives: Other: Corrective Exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain Intensity
Pain intensity was measured by using the Numeric Pain Rating Scale (NPRS), a 0-10 scale where 0 indicates no pain and 10 indicates worst imaginable pain. Participants werel mark their perceived pain level, and the score will recorded. The Numeric Pain Rating Scale (NPRS) is a valid and reliable tool for assessing pain severity, with reported validity coefficients ranging from r = 0.71 to 0.78 and great reliability (ICC = 0.97
.
Measured: Baseline (week 0, before first intervention session), mid-intervention; week 3, after 9th session, and post-intervention (week 6, within 48 hours after the final intervention session)
Respiratory Function
The Respiratory function was assessed using a CareFusion digital spirometer. Spirometric parameters including Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV1), FEV1/FVC ratio, and Peak Expiratory Flow (PEF) will be recorded according to standard spirometry procedures. It has great validity (r > 0.99) and reliability (ICC = 0.99)
Measured: Baseline (week 0, before first intervention session), mid-intervention; week 3, after 9th session, and post-intervention (week 6, within 48 hours after the final intervention session)
Postural Alignment
Postural alignment was assessed using photographic analysis. Craniovertebral angle and sagittal head angle will be measured from lateral view images using Kinovea software. Standard anatomical landmarks was used to determine head and neck posture. Tragus of ear and C7 will be used for craniovertebral angle while tragus of ear and canthus of eye will be used for saggital head angle For assessing postural angles, such as the Craniovertebral Angle (CVA) and Sagittal Head Angle (SHA), Kinovea has shown very great validity (r = 1.0) and excellent reliability (ICC = 0.99)
Measured: Baseline (week 0, before first intervention session), mid-intervention; week 3, after 9th session, and post-intervention (week 6, within 48 hours after the final intervention session).
Secondary outcomes (1)
Mid-Thoracic Curve
Mid-thoracic curvature was assessed using a flexicurve ruler. The ruler was be molded along the thoracic spine (typically T1-T12), and the traced curve will be used to calculate thoracic kyphosis angle using standard methods A Flexi curve Ruler, which has been shown to have good to excellent reliability (ICC ≈ 0.80-0.97) and moderate to high validity (r ≈ 0.60-0.90), was used to measure thoracic kyphosis
Measured: Baseline (week 0, before first intervention session), and post-intervention (week 6, within 48 hours after the final intervention session.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Aug 2026
- Study start24 Apr 2026
- Primary completion10 Jul 2026
- Study completion9 Aug 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Administrative StaffStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Faisalabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07766070
- Sponsor's protocol ID
- 2024-MS-PT-016
- Acronym
- SE vs CE
- Status last verified
- Aug 2026
- First submitted
- 10 Aug 2026
- Last updated
- 14 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Sarfraz K, Salman R, Liaqat A et al. (2025) Prevalence of forward head posture and associated respiratory function changes among computer workers. Insights-Journal of Health and Rehabilitation 3(2): 232-238. Seidi F, Bayattork M, Minoonejad H et al. (2020) Comprehensive corrective exercise program improves alignment, muscle activation and movement pattern of men with upper crossed syndrome: A randomized controlled trial. Scientific Reports 10(1): 20688. Singh K and Wah YC (2023) Effect of scapular stabilization in improving shoulder range of motion and reducing pain among patients with upper crossed syndrome. Asian Institute of Medicine Science and Technology 27(1): 1-22. Thacker D, Jameson J, Baker J et al. (2011) Management of upper cross syndrome through the use of active release technique and prescribed exercises. Logan College of Chiropractic 12(1): 1-14. Titcomb D A, Melton B F, Bland H W et al. (2024) Evaluation of the craniovertebral angle in standing versus sitting positions in young adults with and without severe forward head posture. International Journal of Exercise Science 17(1): 73. Yaghoubitajani Z, Gheitasi M, Bayattork M et al. (2022) Corrective exercises administered online vs at the workplace for pain and function in the office workers with upper crossed syndrome: A randomized controlled trial. International Archives of Occupational and Environmental Health 95(8): 1703-1718. Yan X and Kim TH (2025) The impact of combined scapular stabilization and breathing training on pain and respiratory function in individuals with upper cross syndrome. Applied Sciences 15(11): 6147. Zárate-tejero CA, Rodríguez-rubio PR, Brandt L et al. (2024) Measuring craniovertebral angle reference values in adults using kinovea software. Applied Sciences 14(19): 8639. Zhang H, Li L, Jiao D et al. (2020) An interrater reliability study of pulmonary function assessment with a portable spirometer. Respiratory Care 65(5): 665-672.
Nemati M, Saki F and Ramezani F (2025) Adding respiratory exercises to scapular stabilization training in adolescent girls with upper cross syndrome: A randomized controlled trial. BioMed Central Sports Science, Medicine and Rehabilitation 17(1): 1-12. Nitayarak H and Charntaraviroj P (2021) Effects of scapular stabilization exercises on posture and muscle imbalances in women with upper crossed syndrome: A randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation 34(6): 1031-1040. Pathak A, Sharma S and Jensen MP (2018) The utility and validity of pain intensity rating scales for use in developing countries. Pain Reports 3(5): e672. Pathan H, Pawar A, Rao R et al. (2022) A structured exercise program for upper cross syndrome. Journal of Medicine and Pharmceutical Chemistry Allied Sci 11(S1): 259-63. Prince R, Devine A and Dick I (2007) The clinical utility of measured kyphosis as a predictor of the presence of vertebral deformities. Osteoporosis International 18(5): 621-627. Ranđelović I, Jorgić B, Antić V et al. (2020) Effects of exercise programs on upper crossed syndrome: A systematic review. Fizičko Vaspitanje I Sport Kroz Vekove 7(2); 152-68. Rezaei H, Gheitasi M and Hosseini S (2025) Does corrective exercises influence the performance, posture, range of motion and shoulder pain of swimmers with upper crossed syndrome? A randomized clinical trial. BioMed Center Sports Science, Medicine and Rehabilitation 17(1): 193. Russin NH, Robertson C and Montalvo A (2026) Upper crossed syndrome in the workplace: A narrative review with clinical recommendations for non-pharmacologic management. International Journal of Environmental Research and Public Health 23(1): 120.
Kirthika S, Sudhakar S, Padmanabhan K et al. (2018) Impact of upper crossed syndrome on pulmonary function among the recreational male players: A preliminary report. Saudi Journal of Sports Medicine 18(2): 71-74. Kothari VN (2022) Effect of deep cervical flexor training v/s scapular stabilisation exercises on forward head posture among it professionals: A randomized clinical trial. Abhinav Bindra Sports Medicine and Research Institute 12(1): 1-68. Liaqat K, Basit L, Ibrar I et al. (2025) Correlation of upper cross syndrome with prolonged sitting among it workers in lahore. The Professional Medical Journal 32(11): 1568-1574. Mehri A, Letafatkar A (2018) Efficacy of corrective exercise intervention on forward head angle, pain and timing of superficial neck muscles activation during posterior-anterior perturbation in women with chronic neck pain. Medical Journal of Tabriz University of Medical Sciences 40(1): 66-76. Mehri A, Letafatkar A and Khosrokiani Z (2020) Effects of corrective exercises on posture, pain, and muscle activation of patients with chronic neck pain exposed to anterior-posterior perturbation. Journal of Manipulative and Physiological Therapeutics 43(4): 311-324. Murali S (2021) Prevalence of upper crossed syndrome among software professionals. International Journals of Medical and Exercise Science 7(3): 1061-1071. Muscolino J (2015) Upper crossed syndrome. Journal of the Australian Traditional-Medicine Society 21(2): 80-85. Mylonas K, Tsekoura M, Billis E et al. (2022) Reliability and validity of non-radiographic methods of forward head posture measurement: A systematic review. Cureus 14(8): e27696.
Hrvatin I and Puh U (2021) Measurement properties of the numerical pain rating scale in patients with musculoskeletal impairments of the limbs: A systematic literature review. Slovenian Medical Journal 90(9-10): 512-20. Hu X, Bao G, Quan X et al. (2025) The effect of neuromuscular combined with biomechanical scapular stabilizer muscle corrective exercises on upper crossed syndrome in chinese secondary school students: A randomized controlled trial. Research Square 4(1): 1-33. Jeong GH and Lee BH (2024) Effects of telerehabilitation combining diaphragmatic breathing re-education and shoulder stabilization exercises on neck pain, posture, and function in young adult men with upper crossed syndrome: A randomized controlled trial. Journal of Clinical Medicine 13(6): 1612. Kamble A, Naik S, Phadke S et al. (2022) Analysis of working posture using kinovea software to identify the incidence of forward head among bank employees: A cross-sectional study. International Journal for Multidisciplinary Research 4(6): 1-8. Kang N, Im S, Kim K et al. (2021) Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial. Turkish Journal of Physical Medicine and Rehabilitation 67(3): 291.
Abd El-Azeim AS, Mahmoud AG, Mohamed MT et al. (2022) Impact of adding scapular stabilization to postural correctional exercises on symptomatic forward head posture: A randomized controlled trial. European journal of physical and rehabilitation medicine 58(5): 757. Abdollahzade Z, Shadmehr A, Malmir K et al. (2017) Effects of 4 week postural corrective exercise on correcting forward head posture. Journal of Modern Rehabilitation 11(2): 85-92. Arshadi R, Ghasemi GA and Samadi H (2019) Effects of an 8-week selective corrective exercises program on electromyography activity of scapular and neck muscles in persons with upper crossed syndrome: A randomized controlled trial. Physical Therapy in Sport 37(2):113-119. Baek C, Ahn J, Lee J et al. (2025) Effect of digital health corrective posture exercise program on head and shoulder posture in adolescents: A cluster randomized controlled trial. Medicine 104(12): e41893. Bayattork M, Seidi F, Minoonejad H et al. (2020) The effectiveness of a comprehensive corrective exercises program and subsequent detraining on alignment, muscle activation, and movement pattern in men with upper crossed syndrome: Protocol for a parallel-group randomized controlled trial. Trials 21(1): 255. Chang M, Choo Y, Hong K et al. (2023) Treatment of upper crossed syndrome: A narrative systematic review. Healthcare 11(16): 2328. Daneshjoo A, Mousavi SSK and Pourahmad F (2021) Effect of corrective exercise vs corrective games on upper crossed syndrome in female students. Physical Treatments 11(1): 13-24. De Oliveira T, Candotti C, La Torrem M et al. (2012) Validity and reproducibility of the measurements obtained using the flexicurve instrument to evaluate the angles of thoracic and lumbar curvatures of the spine in the sagittal plane. Rehabilitation Research and Practice 2012(1): 1-9. Gao Y, Liang B, Su X et al. (2025) Reliability and usability of a portable spirometer compared to a laboratory spirometer. BMC Pulmonary Medicine 25(1): 228.
Study at a glance
From the registry record, last updated by the sponsor on 14 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Stabilization Exercises and Corrective Exercises on Pain, Respiratory Function, and Postural Alignment in Administrative Staff With Upper Cross Syndrome
- ClinicalTrials.gov ID
- NCT07766070
- Acronym / sponsor ID
- SE vs CE / 2024-MS-PT-016
- Keywords
- Upper cross syndrome, Stabilization exercises, Corrective exercise, Respiratory function, Postural alignment, Administrative Staff
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- University of FaisalabadUniversity, hospital or other
- Study start
- 24 Apr 2026 (actual)
- Primary completion
- 10 Jul 2026 (actual)
- Study completion
- 9 Aug 2026 (actual)
- First posted
- 14 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study compares two types of rehabilitation strategies' - the stabilization exercises and the corrective exercises - to improve pain, respiratory function, and postural alignment in administrative staff with upper cross syndrome. Participants undertook a six-week intervention program. Random sampling technique was employed and 50 participants were included out of which 4 participants drops out. Randmoization was done via computer generator.The participants were divided into two groups: group A (Stabilization Exercises) and group B (Corrective Exercises). The process of data collection was conducted at MTH, and united hospital and participants will have included according to inclusion criteria. Pain was assessed by using the numeric pain rating. Respiratory function was assessed by using a digital spirometer. Postural alignment i.e., CVA \& SHA was assessed by using kinovea-2D video analysis. Mid thoracic curve was assessed by using Flexi curve rule.This study aims to determine which treatment produces greater improvement, which may help physiotherapists to give more effective evidence based treatment patients with UCS in Pakistan.
Detailed description
Background: Upper cross syndrome describes a pattern of muscle imbalance over the head and shoulder region, which is mostly brought on by misalignment. The rounded forward shoulder girdle and arm posture associated with upper crossed syndrome are commonly referred to as rounded shoulders. Studies show that upper cross syndrome affects 67% of computer workers. IT professionals should spend less time sitting down because prolonged sitting can lead to poor posture. Rehabilitation strategies like stabilization exercises are the mainstay of conventional treatment, but new research shows that corrective exercises are a promising way to improve postural alignment and restore respiratory function.
Objectives: The primary objective of this study was to compare the effects of stabilization exercises and corrective exercises in improving pain and respiratory function in administrative staff with upper cross syndrome. Secondary objectives included determining to compare the effects of stabilization exercises and corrective exercises in improving postural alignment and mid-thoracic curve in administrative staff with upper cross syndrome.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Stabilization Exercises Group | Experimental | Other: Stabilization ExercisesThe participants within group A had received stabilization exercises. Exercise to activate the serratus anterior muscle was serratus anterior punches with thera band. Exercise to activate middle trapezius and rhomboids was retraction plus external rotation exercise with thera band. Exercise to activate the lower trapezius muscle was resistance band overhead press with thera band. The dosage of these exercises was 3 sets × 10 reps with 5 sec hold for 3 days /week for 6 weeks. The length of treatment session was 45 minutes supervised. |
| Corrective Exercises Group | Active comparator | Other: Corrective ExercisesParticipants were receiving baseline treatment including hot pack and static stretching of the trapezius, levator scapulae of the affected side with 2 sets of 5 repetitions with 5-second hold, followed by corrective exercises focused on chin tuck, seated stability ball T exercises with swiss ball, foam roller shoulder opener, prone T, Y \& W raises. The dosage of these exercise was from 10 s hold ×7 to 15 s hold ×10 for 3 days /week for 6 weeks. The length of treatment session was 45 minutes supervised by clinical physiotherapist. There was no HEP |
Who may qualify
- Ages
- 24 to 40 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (11 listed)
- Age 24-40 years.
- Prolonged computer working hours =6 hours/day .
- Prolonged computer working years for =6 months .
- Clinical features of UCS i.e.;
- Participant must meet =3 of the following on clinical exam:
Key exclusion criteria (11 listed)
- Pregnant females.
- Reported history of smoking.
- Having a medical prescription that specifically dictated therapeutic exercises for posture.
- History of any fracture of upper limb and spine.
- History of any operations involving the neck, upper extremity and trunk.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Stabilization ExercisesWhat: A supervised scapular stabilization exercise program designed to improve scapular muscle activation, strength, and postural alignment in computer workers with Upper Cross Syndrome. The program includes serratus anterior punches with resistance band, scapular retraction with external rotation using resistance band, and resistance band overhead press targeting the lower trapezius. Exercises are performed under supervision three times per week for 6 weeks. When:45 minutes per session, 3 sessions per weeks for 6 weeks (total 18 sessions). How much : The dosage of these exercises was 3 sets × 10 reps with 5 sec hold for 3 days /week for 6 weeks. By Whom: by licensed physiotherapist trained in stabilization exercise Where: outpatient rehabilitation department of MTH (Madinah Teaching Hospital) and United Hospital, Faisalabad, Punjab, Pakistan | Other | Stabilization Exercises Group |
| Corrective ExercisesWhat: A supervised comprehensive postural corrective exercise program designed to address postural muscle imbalance and improve cervical, thoracic, and scapular alignment in computer workers with Upper Cross Syndrome. The program includes chin tuck exercises for activation of the deep cervical flexors, seated stability ball T exercises for core and back extensor activation, foam roller shoulder opener, and prone T, Y, and W exercises. Exercises are performed under supervision three times per week for 6 weeks. When:45 minutes per session, 3 sessions per weeks for 6 weeks (total 18 sessions). How much : The dosage of these exercises was 10 s hold ×7 to 15 s hold ×10 hold for 3 days /week for 6 weeks. By Whom: by licensed physiotherapist trained in corrective exercise Where: outpatient rehabilitation department of MTH (Madinah Teaching Hospital) and United Hospital, Faisalabad, Punjab, Pakistan. | Other | Corrective Exercises Group |
Primary outcome
Pain Intensity
Time frame: Baseline (week 0, before first intervention session), mid-intervention; week 3, after 9th session, and post-intervention (week 6, within 48 hours after the final intervention session)
Pain intensity was measured by using the Numeric Pain Rating Scale (NPRS), a 0-10 scale where 0 indicates no pain and 10 indicates worst imaginable pain. Participants werel mark their perceived pain level, and the score will recorded. The Numeric Pain Rating Scale (NPRS) is a valid and reliable tool for assessing pain severity, with reported validity coefficients ranging from r = 0.71 to 0.78 and great reliability (ICC = 0.97 .
Respiratory Function
Time frame: Baseline (week 0, before first intervention session), mid-intervention; week 3, after 9th session, and post-intervention (week 6, within 48 hours after the final intervention session)
The Respiratory function was assessed using a CareFusion digital spirometer. Spirometric parameters including Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV1), FEV1/FVC ratio, and Peak Expiratory Flow (PEF) will be recorded according to standard spirometry procedures. It has great validity (r > 0.99) and reliability (ICC = 0.99)
Postural Alignment
Time frame: Baseline (week 0, before first intervention session), mid-intervention; week 3, after 9th session, and post-intervention (week 6, within 48 hours after the final intervention session).
Postural alignment was assessed using photographic analysis. Craniovertebral angle and sagittal head angle will be measured from lateral view images using Kinovea software. Standard anatomical landmarks was used to determine head and neck posture. Tragus of ear and C7 will be used for craniovertebral angle while tragus of ear and canthus of eye will be used for saggital head angle For assessing postural angles, such as the Craniovertebral Angle (CVA) and Sagittal Head Angle (SHA), Kinovea has shown very great validity (r = 1.0) and excellent reliability (ICC = 0.99)
1 secondary outcome
Mid-Thoracic Curve
Time frame: Baseline (week 0, before first intervention session), and post-intervention (week 6, within 48 hours after the final intervention session.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Aug 2026.
- BackgroundSarfraz K, Salman R, Liaqat A et al. (2025) Prevalence of forward head posture and associated respiratory function changes among computer workers. Insights-Journal of Health and Rehabilitation 3(2): 232-238. Seidi F, Bayattork M, Minoonejad H et al. (2020) Comprehensive corrective exercise program improves alignment, muscle activation and movement pattern of men with upper crossed syndrome: A randomized controlled trial. Scientific Reports 10(1): 20688. Singh K and Wah YC (2023) Effect of scapular stabilization in improving shoulder range of motion and reducing pain among patients with upper crossed syndrome. Asian Institute of Medicine Science and Technology 27(1): 1-22. Thacker D, Jameson J, Baker J et al. (2011) Management of upper cross syndrome through the use of active release technique and prescribed exercises. Logan College of Chiropractic 12(1): 1-14. Titcomb D A, Melton B F, Bland H W et al. (2024) Evaluation of the craniovertebral angle in standing versus sitting positions in young adults with and without severe forward head posture. International Journal of Exercise Science 17(1): 73. Yaghoubitajani Z, Gheitasi M, Bayattork M et al. (2022) Corrective exercises administered online vs at the workplace for pain and function in the office workers with upper crossed syndrome: A randomized controlled trial. International Archives of Occupational and Environmental Health 95(8): 1703-1718. Yan X and Kim TH (2025) The impact of combined scapular stabilization and breathing training on pain and respiratory function in individuals with upper cross syndrome. Applied Sciences 15(11): 6147. Zárate-tejero CA, Rodríguez-rubio PR, Brandt L et al. (2024) Measuring craniovertebral angle reference values in adults using kinovea software. Applied Sciences 14(19): 8639. Zhang H, Li L, Jiao D et al. (2020) An interrater reliability study of pulmonary function assessment with a portable spirometer. Respiratory Care 65(5): 665-672.
- BackgroundNemati M, Saki F and Ramezani F (2025) Adding respiratory exercises to scapular stabilization training in adolescent girls with upper cross syndrome: A randomized controlled trial. BioMed Central Sports Science, Medicine and Rehabilitation 17(1): 1-12. Nitayarak H and Charntaraviroj P (2021) Effects of scapular stabilization exercises on posture and muscle imbalances in women with upper crossed syndrome: A randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation 34(6): 1031-1040. Pathak A, Sharma S and Jensen MP (2018) The utility and validity of pain intensity rating scales for use in developing countries. Pain Reports 3(5): e672. Pathan H, Pawar A, Rao R et al. (2022) A structured exercise program for upper cross syndrome. Journal of Medicine and Pharmceutical Chemistry Allied Sci 11(S1): 259-63. Prince R, Devine A and Dick I (2007) The clinical utility of measured kyphosis as a predictor of the presence of vertebral deformities. Osteoporosis International 18(5): 621-627. Ranđelović I, Jorgić B, Antić V et al. (2020) Effects of exercise programs on upper crossed syndrome: A systematic review. Fizičko Vaspitanje I Sport Kroz Vekove 7(2); 152-68. Rezaei H, Gheitasi M and Hosseini S (2025) Does corrective exercises influence the performance, posture, range of motion and shoulder pain of swimmers with upper crossed syndrome? A randomized clinical trial. BioMed Center Sports Science, Medicine and Rehabilitation 17(1): 193. Russin NH, Robertson C and Montalvo A (2026) Upper crossed syndrome in the workplace: A narrative review with clinical recommendations for non-pharmacologic management. International Journal of Environmental Research and Public Health 23(1): 120.
- BackgroundKirthika S, Sudhakar S, Padmanabhan K et al. (2018) Impact of upper crossed syndrome on pulmonary function among the recreational male players: A preliminary report. Saudi Journal of Sports Medicine 18(2): 71-74. Kothari VN (2022) Effect of deep cervical flexor training v/s scapular stabilisation exercises on forward head posture among it professionals: A randomized clinical trial. Abhinav Bindra Sports Medicine and Research Institute 12(1): 1-68. Liaqat K, Basit L, Ibrar I et al. (2025) Correlation of upper cross syndrome with prolonged sitting among it workers in lahore. The Professional Medical Journal 32(11): 1568-1574. Mehri A, Letafatkar A (2018) Efficacy of corrective exercise intervention on forward head angle, pain and timing of superficial neck muscles activation during posterior-anterior perturbation in women with chronic neck pain. Medical Journal of Tabriz University of Medical Sciences 40(1): 66-76. Mehri A, Letafatkar A and Khosrokiani Z (2020) Effects of corrective exercises on posture, pain, and muscle activation of patients with chronic neck pain exposed to anterior-posterior perturbation. Journal of Manipulative and Physiological Therapeutics 43(4): 311-324. Murali S (2021) Prevalence of upper crossed syndrome among software professionals. International Journals of Medical and Exercise Science 7(3): 1061-1071. Muscolino J (2015) Upper crossed syndrome. Journal of the Australian Traditional-Medicine Society 21(2): 80-85. Mylonas K, Tsekoura M, Billis E et al. (2022) Reliability and validity of non-radiographic methods of forward head posture measurement: A systematic review. Cureus 14(8): e27696.
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- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Stabilization Exercises and Corrective Exercises in people with Administrative Staff and Upper Cross Syndrome, run by University of Faisalabad at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain Intensity (time frame: Baseline (week 0, before first intervention session), mid-intervention; week 3, after 9th session, and post-intervention (week 6, within 48 hours after the final intervention session)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07766070, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2026.