Evidence map›Paper›PMID 38302926›Full record

SynthesisBMC musculoskeletal disorders2024

The effect of various therapeutic exercises on forward head posture, rounded shoulder, and hyperkyphosis among people with upper crossed syndrome: a systematic review and meta-analysis.

Simin Sepehri, Rahman Sheikhhoseini, Hashem Piri, Parisa Sayyadi

4 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
22.3field-weighted citation impact, top 1% 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.

NCT06508294 narecruitingnot on this map

Investigation of 8-Week Artificial Intelligence Based Structured Exercise Program in Healthy Adults

TypeinterventionalSponsorHacettepe UniversityRan2024 to 2025Enrolled36ConditionsHealth BehaviorArms8 week artificial intelligence based posture 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
NCT07720401 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Supervised Intradialytic Exercise Program on Postural Abnormalities in Maintenance Hemodialysis Patients: A Randomized Controlled Trial

TypeinterventionalSponsorPardis Specialized Wellness InstituteRan2026 to 2026Enrolled98ConditionsEnd-Stage Renal Disease, Hemodialysis ComplicationArmsSupervised Intradialytic Multimodal Exercise Program
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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  5. Association Between Cervical Range of Motion and Swallowing Speed in Older Women After Total Hip Arthroplasty: A Cross-Sectional Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
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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

4 authors at 2 institutions in 1 country.

Simin SepehriFaculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran.ORCID http://orcid.org/0000-0002-4333-3484
Rahman SheikhhoseiniDepartment of Corrective Exercise & Sport injury, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Western Azadi Sport Complex Boulevard, Hakim Highway, Tehran, Iran. Rahman.pt82@gmail.com.ORCID http://orcid.org/0000-0002-9885-3591
Hashem PiriDepartment of Corrective Exercise & Sport injury, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Western Azadi Sport Complex Boulevard, Hakim Highway, Tehran, Iran.ORCID http://orcid.org/0000-0002-3137-6161
Parisa SayyadiDepartment of Health and Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran.ORCID http://orcid.org/0000-0002-3693-437X
Allameh Tabataba'i University · IRUniversity of Tehran · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis review study aimed to evaluate the impact of therapeutic exercises on Upper-Crossed Syndrome (UCS). The study utilized a systematic review and meta-analysis approach to investigate the effects of various therapeutic exercises on forward head posture, rounded shoulders, and hyperkyphosis associated with upper crossed syndrome.

methodsThe study identified relevant keywords for each independent and dependent variable and conducted a search in scientific databases, including PubMed, Web of Science, Scopus, and Google Scholar, without any time limitations until 12 August 2023. Overall, 4625 articles were found in the selected databases, which were reduced to 1085 after being entered into the EndNote software and removing duplicate data. The full texts of 30 remaining studies were reviewed; ten articles meeting the criteria were included. Additionally, 12 studies from the Google Scholar database were included, resulting in 22 studies. Using Comprehensive meta-analysis software (CMA ver 3), data heterogeneity was measured with I

resultsThe results of the meta-analysis showed that therapeutic exercises were effective in improving forward head, rounded shoulders, and thoracic kyphosis angles (CI 95% = -1.85-1.161, P = 0.001, P = 0.001, CI95%=-1.822-1.15, and P = 0.001, CI 95%= -1.83-1.09, respectively).

conclusionBased on the results, it appears that performing therapeutic exercises in the form of strength exercises, stretching, shoulder-based exercises, and incredibly comprehensive exercises that target all muscles may be effective in reducing forward head, rounded shoulders, thoracic kyphosis, and overall UCS. LEVEL OF EVIDENCE: 1:

Indexed as

KyphosisShoulderExerciseExercise TherapyHumansPostureForward headForward shoulderKyphosisRound shoulderUpper crossed syndrome

Identifiers

PMID38302926
PMCPMC10832142
OpenAlexW4391443388

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.