Comparison Between Pilates Exercises And Schroth Method In Patients With Upper Cross Syndrome / BY Jermeen Emad Abd El-Massih Yousef; Supervisors Prof. Dr. Neveen Abdel Latif Abdel Raoof, Prof. Dr. Rania Nagy Karkousha, Dr. Mariam Omran Grase

Thesis (Ph.D)-Cairo University, 2023.

Bibliography: pages 89-103.

Background: Upper crossed syndrome is the most common postural
dysfunction in the musculature of the shoulder girdle /cervicothoracic region,
which creates joint dysfunction, particularly at the atlanto-occipital
glenohumeral joint and T4-T5 segment. Objective: To compare the effect
Pilates exercise versus Schroth method on spinal curvature angle,
craniovertebral angle, balance overall stability index, rounded shoulder
measurements, pain intensity level and neck function in upper cross syndrome
patients Design: A randomized control trial design. Subjects: Sixty female
patients from the outpatient clinic of Faculty of Physical Therapy, Deraya
University, with upper cross syndrome. Methods: They were randomly divided
into three equal groups; All groups received two sessions per week for
consecutive weeks. Group A/(Control Group) received conventional physical
therapy program in form of stretching, strengthening and postural correction
exercises, Group B/ (Experimental Group) received Pilates exercise program
in addition to conventional physical therapy program, while Group
(Experimental Group) received three dimensional Schroth method in addition
to conventional physical therapy program. Primary outcome measures
spinal curvature angle was measured by spinal mouse, craniovertebral angle
orthokinetic application, balance overall stability index by Biodex balance
system, rounded shoulders measurement by tape measurement while the
intensity level by visual analogue scale and neck function index by
disability index questionnaire served as secondary outcome measures.
Measurements were recorded before and after treatment. Results: Comparison
between pre- and post-treatment test results showed that all dependent
variables, significantly improved for all groups (ρ > 0.001). However, between
group comparison, both groups B and C have more significant effect
measured variables than group A. Group B was more significant ln improving
spinal curvature, CVA, and significant decreasing effect on pain and NDI
group C, while there was no significant difference between groups B and
stability index and round shoulder (ρ > 0.001). Conclusions: Adding Pilates
exercise and Schroth method to conventional physical therapy treatment
better results than conventional physical therapy treatment only in treating
upper cross syndrome patients and Pilates exercise proved more better
than Schroth method in treating upper cross syndrome patients.

تم تقسيم ستين إلى ثلاث مجموعات متساوية. المجموعة أ / المجموعة الضابطة ، المجموعة ب / المجموعة التجريبية والمجموعة ج / المجموعة لتجريبية. تلقت جميع المجموعات جلستين في الأسبوع لمدة أربعة أسابيع متتالية. تلقت المجموعة أ برنامج العلاج الطبيعي التقليدي في شكل تمارين الإطالة والتقوية وتصحيح الوضع بينما تلقت المجموعة ب / المجموعة التجريبية برنامج تمارين بيلاتيس ولكن المجموعة ج / المجموعة التجريبية تلقت طريقة شروث ثلاثية الأبعاد. تم استخدام مقاييس النتائج الأولية والثانوية. كانت مقاييس النتائج الأولية هي التوازن ، وانحناء العمود الفقري ، والزاوية القحفية، والكتفين المستديرة بينما كان مؤشر إعاقة الرقبة والمقياس التناظري المرئي بمثابة مقاييس نتائج ثانوية. تم تسجيل القياسات قبل وبعد العلاج.

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Text in English and abstract in Arabic & English.