Evidence map›Paper›PMID 37628525›Full record

ReviewHealthcare (Basel, Switzerland)2023

Treatment of Upper Crossed Syndrome: A Narrative Systematic Review.

Min Cheol Chang, Yoo Jin Choo, Keeyong Hong, Mathieu Boudier-Revéret, Seoyon Yang

7 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06108882 naunknown statusnot on this map

Effects of Manual Ischemic Compression With and Without Strain Counter Strain Technique on Sternocleidomastoid Tightness With Forward Head Posture

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled42ConditionsNeck PainArmsExperimental: Manual Ischemic Compression with Strain Counter Strain technique, Active Comparator: Manual Ischemic Compression
NCT07025993 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Muscle Energy Technique Versus Cervical and Scapulothoracic Stabilization Exercises on Pain, Disability and Craniovertebral Angle in Patients With Upper Crossed Syndrome

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled34ConditionsUpper Cross SyndromeArmsMuscle Energy Technique, Eccentric muscle energy technique
NCT07058272 nacompletednot on this mapstarted 2025, after this paper: background citation

Effect of PNF Techniques Versus Comprehensive Corrective Exercise Protocol on Pain, Function and Quality of Life in Patients With Upper Cross Syndrome

TypeinterventionalSponsorElite College of Management Sciences, Gujranwala, PakistanRan2025 to 2025Enrolled38ConditionsUpper Cross SyndromeArmsComprehensive corrective exercise protocol, Proprioceptive Neuromuscular Facilitation (PNF) Techniques
NCT07528248 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effects of Global Postural Re-education and NASM-based Corrective Exercises in Patients With Upper Cross Syndrome (UCS)

TypeinterventionalSponsorRehana HayatRan2026 to 2026Enrolled46ConditionsUpper Cross SyndromeArmsGlobal Postural Re-education, NASM-based Corrective exercises
NCT07573553 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effectiveness of Rib Mobilization Combined With Postural Correction Exercises in Individuals With Upper Crossed Syndrome

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2026Enrolled64ConditionsUpper Cross SyndromeArmsRib Mobilization and Postural Correction Exercises, Postural Correction Exercises Only
NCT07588061 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effect of Maitland Mobilization Combined With Kendall Exercises on Pain and Postural Alignment in Adults With Upper Cross Syndrome

TypeinterventionalSponsorIbadat International University, IslamabadRan2026 to 2026Enrolled58ConditionsUpper Cross SyndromeArmsKendall Exercises combined Maitland Mobilization, Kendall Exercise alone
NCT07724574 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effects of Kendall Versus Janda's Approach Along With Diaphragmatic Breathing Exercises on Pain, Chest Expansion, Cranio Vertebral Angle, and Disability in Upper Crossed Syndrome

TypeinterventionalSponsorRiphah International UniversityRan2026 to 2026Enrolled50ConditionsUpper Cross SyndromeArmsKendall exercises, Janda's Approach
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Min Cheol ChangDepartment of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu, Gyeongsan 38436, Republic of Korea.
Yoo Jin ChooDepartment of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu, Gyeongsan 38436, Republic of Korea.ORCID 0000-0002-3820-2279
Keeyong HongCheonho S Orthopedic Clinic, Seoul 06014, Republic of Korea.
Mathieu Boudier-RevéretDepartment of Physical Medicine and Rehabilitation, Centre Hospitalier de l'Université de Montréal, Montreal, QC H2X 0A9, Canada.ORCID 0000-0003-0259-8520
Seoyon YangDepartment of Rehabilitation Medicine, School of Medicine, Ewha Woman's University Seoul Hospital, Seoul 07804, Republic of Korea.
Yeungnam University · KRCentre Hospitalier de l’Université de Montréal · CADr Youth Clinic · KREwha Womans University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesUpper crossed syndrome (UCS) is a common musculoskeletal condition that is characterized by tightness and weakness of the muscles of the neck, shoulders, and upper back. The aim of this current study is to summarize and provide an overview of the treatment in patients with UCS. MATERIALS AND

methodsA MEDLINE (PubMed), Cochrane library, Embase, Scopus, and Web of Science database search was conducted for English-language articles about upper crossed syndrome that were published until 19 January 2023. To identify potentially relevant articles, the following key search phrases were combined: "upper crossed syndrome", "upper cross syndrome", "diagnosis", and "treatment". A total of 233 articles were identified. After reading the titles and abstracts and assessing their eligibility based on the full-text articles, 11 articles were finally included in this review. The risk of bias (RoB) was assessed using RoB-2 and ROBINS-I for the randomized controlled trials (RCTs) and the non-randomized clinical trial (non-RCT), respectively.

resultsAmong eleven studies that investigated the effect of treatment programs for UCS, five studies compared the therapeutic effect of exercise programs with controls, whereas six compared different rehabilitative treatment strategies, such as the muscle energy technique, soft-tissue mobilization, and stretching exercises. In addition, regarding the study design, ten studies were RCTs and only one study was a prospective observational study.

conclusionsTreatment programs including various types of exercises and techniques to correct an abnormal posture and restore neuromuscular imbalances are effective for decreasing pain and improving neck disabilities and postural deviations in patients with UCS.

Indexed as

musculoskeletal diseasesmusculoskeletal manipulationsmusculoskeletal painpainpain managementpostural balance

Identifiers

PMID37628525
PMCPMC10454745
OpenAlexW4385994571

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

and 1 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.