ORIGINAL PAPER
Effect of Pilates exercise on balance and spinal curvature in subjects with upper cross syndrome: a randomized controlled clinical trial
More details
Hide details
1
Basic Science Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
2
Basic Science Department, Faculty of Physical Therapy, Deraya University, Egypt
Submission date: 2023-05-21
Acceptance date: 2023-08-11
Publication date: 2023-08-24
Corresponding author
Mariam Omran Grase
Basic Science Department, Faculty of Physical Therapy, Cairo University at 7 Ahmed El
Zayyat st, Dokki, Egypt,
Physiother Quart. 2024;32(3):90-97
KEYWORDS
TOPICS
ABSTRACT
Introduction:
To investigate the outcomes of Pilates exercise compared to traditional treatment for the management of upper cross syndrome (UCS).
Methods:
Forty female participants with UCS were randomly divided into two equal groups: group A (control group) and group B (experimental group). Both groups received two sessions per week for four consecutive weeks. Group A received a traditional physical therapy program consisting of stretching, strengthening, and postural correction exercises, while group B received a Pilates exercise program. Primary outcome measures were balance, spinal curvature, craniovertebral (CV) angle, and rounded shoulders, while the Neck Disability Index and Visual Analogue Scale served as secondary outcome measures. Measurements were recorded before and after treatment.
Results:
A comparison of pre- and post-treatment test results showed that all dependent variables significantly improved for both groups (p > 0.001). However, Pilates exercise resulted in greater improvement in terms of balance, spinal curvature, CV angle, and pain (p > 0.001).
Conclusions:
The Pilates exercise program proved more effective than the traditional physical therapy program in improving spinal curvature, balance, and function, and in reducing pain in UCS.
REFERENCES (43)
1.
Mujawar JC, Sagar JH. Prevalence of upper cross syndrome in laundry workers. Indian J Occup Environ Med. 2019;23(1):54–6; doi: 10.4103/ijoem.IJOEM_169_18.
2.
Naseer R, Tauqeer S. Prevalence of upper cross syndrome in different occupations. Pak J Phys Ther. 2021;4(2):3–7.
3.
Mubashir M. A cross-sectional survey on prevalence of upper cross syndrome and its correlation to WRMSDS in working physiotherapists. Pak J Rehabil. 2021;10(1):42–50.
4.
Ostergren P-O, Hanson BS, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P, Winkel J, Isacsson S-O; Malmö Shoulder Neck Study Group. Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmö shoulder and neck study cohort. J Epidemiol Community Health. 2005;59(9):721–8; doi: 10.1136/jech.2005.034801.
5.
Mubeen I, Malik S, Akhtar W. Iqbal M, Asif M, Arshad A, Zia S, Khalid S. Prevalence of upper cross syndrome among the medical students of University of Lahore. Int J Physiother. 2016;3(3):381–4; doi: 10.15621/ijphy/2016/v3i3/100851.
6.
Key J, Clift A, Condie F, Harley C. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift – Part 1. J Bodyw Mov Ther. 2008;12(1):7–21; doi: 10.1016/j.jbmt.2007.04.005.
7.
Christensen K. Manual muscle testing and postural imbalance. Dynamic Chiropract. 2000;18(24):2.
8.
Janda V. Muscle Function Testing. Elsevier; 2013, pp. 230–58.
9.
Muscolino J. Upper cross syndrome. J Aust Trad Med Soc. 2015;21:80.
10.
Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: a randomized controlled trial. Hong Kong Physiother J. 2016;35:5–11; doi: 10.1016/j.hkpj.2015.12.002.
11.
Feldenkrais M. Awareness through Movement. Health Exercises for Personal Growth. New York: Harper and Row; 1977.
12.
Moore MK. Upper crossed syndrome and its relationship to cervicogenic headache. J Manipulative Physiol Ther. 2004;27(6):414–20; doi: 10.1016/j.jmpt.2004.05.007.
13.
Thacker D, Jameson J, Baker J, Divine J, Unfried A. Management of upper cross syndrome through the use of active release technique and prescribed exercises. Logan College of Chiropractic; 2011.
14.
Ali S, Ahmad S, Jalal Y, Shah B. Effectiveness of stretching exercises versus muscle energy techniques in the management of upper cross syndrome. J Riphah Coll Rehabil Sci. 2017;5(1):12–6.
15.
Rostamizalani F, Ahanjan SH, Rowshani S, BagherianDehkordi S, Fallah A. Comparison of the effects of three corrective exercise methods on the quality of life and forward head of men with upper cross syndrome. J Paramed Sci Rehabil. 2019;8(1):26–36.
16.
Arif AR, Ashfaq A, Syed AG, Muhammad QI, Iqra A. Effects of conventional physical therapy with and without muscle energy techniques for treatment of upper cross syndrome. Rawal Med J. 2020;(45)1:127–31.
17.
Gillani SN, Qurat-ul-ain, Rehman SU, Masood T. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. J Pak Med Assoc. 2020;70(3):394–8.
18.
da Luz MA Jr, Costa LO, Fuhro FF, Manzoni AC, Oliveira NT, Cabral CM. Effectiveness of mat Pilates or equipment-based Pilates exercises in patients with chronic nonspecific low back pain: a randomized controlled trial. Phys Ther. 2014;94(5):623–31; doi: 10.2522/ptj.20130277.
19.
Kim G, HwangBo PN. Effects of Schroth and Pilates exercises on the Cobb angle and weight distribution of patients with scoliosis. J Phys Ther Sci. 2016;28(3):1012–5; doi: 10.1589/jpts.28.1012.
20.
Siler B. The Pilates Body. The Ultimate At-Home Guide to Strengthening, Lengthening and Toning Your Body- Without Machines. Penguin Books; 2000.
21.
Worth Y. Need to know? Pilates. London: Harper Collins; 2004.
22.
Rajalaxmi JP, Nithya M, Lekha SC, Likitha B. Effectiveness of three dimensional approach of schroth method and yoga on pulmonary function test and posture in upper crossed syndrome with neck pain – a double blinded study. Res J Pharm Tech. 2018;11(5):1835–9; doi: 10.5958/0974-360X.2018.00341.4.
23.
Fon GT, Pitt MJ, Thies AC Jr. Thoracic kyphosis: range in normal subjects. Am J Roentgenol. 1980;134(5):979–83; doi: 10.2214/ajr.134.5.979.
24.
Alexandru D, So W. Evaluation and management of vertebral compression fractures. Perm J. 2012;16(4):46–51; doi: 10.7812/TPP/12-037.
25.
Perriman DM, Scarvell JM, Hughes AR, Lueck CJ, Dear KB, Smith PN. Thoracic hyperkyphosis: a survey of Australian physiotherapists. Physiother Res Int. 2012;17(3):167–78; doi: 10.1002/pri.529.
26.
Seth SD. Textbook of Pharmacology. 2nd ed. Churchill Livingstone; 1999: p. 174.
27.
Gatterman MI. Chiropractic Management of Spine Related Disorders. Maryland; 1990.
28.
Smit CB. The relative effectiveness of using Pilates exercises to obtain scapula stabilisation as an adjunct to cervical manipulation in the treatment of chronic mechanical neck pain. Dissertation. Durban: Durban University of Technology; 2009.
29.
Livanelioglu A, Kaya F, Nabiyev V, Demirkiran G, Firat T. The validity and reliability of “Spinal Mouse” assessment of spinal curvatures in the frontal plane in pediatric adolescent idiopathic thoraco-lumbar curves. Eur Spine J. 2016;25(2):476–82; doi: 10.1007/s00586-015-3945-7.
30.
Georgy EE. Lumbar repositioning accuracy as a measure of proprioception in patients with back dysfunction and healthy controls. Asian Spine J. 2011;5(4):201–7; doi: 10.4184/asj.2011.5.4.201.
31.
Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008;13(2):148–54; doi: 10.1016/j.math.2006.11.002.
32.
Gallego-Izquierdo T, Arroba-Díaz E, García-Ascoz G, Val-Cano MDA, Pecos-Martin D, Cano-de-la-Cuerda R. psychometric proprieties of a mobile application to measure the craniovertebral angle a validation and reliability study. Int J Environ Res Public Health. 2020;17(18):6521; doi: 10.3390/ijerph17186521.
33.
Cheung Lau HM, Wing Chiu TT, Lam TH. Clinical measurement of craniovertebral angle by electronic head posture instrument: a test of reliability and validity. Man Ther. 2009;14(4):363–8; doi: 10.1016/j.math.2008.05.004.
34.
Chansirinukor W, Wilson D, Grimmer K, Dansie B. Effects of backpacks on students: measurement of cervical and shoulder posture. Aust J Physiother. 2001;47(2):110–6; doi: 10.1016/s0004-9514(14)60302-0.
35.
Kiana F, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019;20(1):86; doi: 10.1186/s12891-019-2438-y.
36.
Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res. 2011;63(Suppl 11):240–52; doi: 10.1002/acr.20543 .
37.
Shaheen AA, Omar MT, Vernon H. Cross-cultural adaptation, reliability, and validity of the Arabic version of neck disability index in patients with neck pain. Spine. 2013;38(10):609–15; doi: 10.1097/BRS.0b013e31828b2d09.
38.
Sterling M, Rebbeck T. The Neck Disability Index (NDI). Aust J Physiother. 2005;51(4):271; The Neck Disability Index (NDI).
39.
Trouli MN, Vernon HT, Kakavelakis KN, Antonopoulou MD, Paganas AN, Lionis CD. Translation of the Neck Disability Index and validation of the Greek version in a sample of neck pain patients. BMC Musculoskelet Disord. 2008;9:106; doi: 10.1186/1471-2474-9-106.
40.
Bayattork M, Seidi F, Minoonejad H, Andersen LL, Page P. 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. 2020;21(1):255; doi: 10.1186/s13063-020-4159-9.
41.
Panchal V, Panchal C, Panihar U, Joshi S, Pawalia A. A randomized controlled trial on the effectiveness of Pilates training on physical components in cricketers. Adv Rehabil. 2022;36(2):15–22; doi: 10.5114/areh.2022.116031.
42.
de Araújo MEA, da Silva EB, Mello DB, Cader SA, Salgado ASI, Dantas EH. The effectiveness of the Pilates method: reducing the degree of non-structural scoliosis, and improving flexibility and pain in female college students. J Bodyw Mov Ther. 2012;16(2):191–8; doi: 10.1016/j.jbmt.2011.04.002.
43.
de Araujo Cazotti L, Jones A, Roger-Silva D, Ribeiro LHC, Natour J. Effectiveness of the Pilates method in the treatment of chronic mechanical neck pain: a randomized controlled trial. Arch Phys Med Rehabil. 2018;99(9):1740–6; doi: 10.1016/j.apmr.2018.04.018.