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Conceptual Framework of Upper Cross Syndrome: A Delphi Study.

Sharmila Chaudhuri1, Meena Gupta1, Vandana Phadke2

  • 1Physiotherapy, Amity Institute of Health Allied Science, Noida, IND.

Cureus
|September 27, 2024
PubMed
Summary

This study developed a conceptual framework for Upper Cross Syndrome (UCS), identifying key domains like postural alignment and muscular imbalance. This framework aids in early detection, treatment, and prevention of UCS for improved physical performance and quality of life.

Keywords:
conceptual frameworkdelphi studymuscular imbalancepostural dysfunctionupper cross syndrome

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Area of Science:

  • Physiotherapy
  • Musculoskeletal Health
  • Postural Analysis

Background:

  • Upper Cross Syndrome (UCS) is a prevalent postural dysfunction linked to prolonged sedentary postures.
  • Maintaining proper posture is crucial for musculoskeletal balance and injury prevention.
  • A conceptual framework is needed for effective identification and management of UCS.

Purpose of the Study:

  • To develop a comprehensive conceptual framework for Upper Cross Syndrome (UCS).
  • To guide clinicians in identifying, planning treatments, and preventing complications associated with UCS.

Main Methods:

  • The Delphi method was employed with 30 multidisciplinary experts.
  • An extensive literature review identified 41 initial items.
  • Three rounds of expert consensus were conducted to refine the framework.

Main Results:

  • A consensus-based conceptual framework for UCS was successfully developed.
  • The framework comprises 37 finalized items across four domains: postural alignment (4 items), muscular imbalance (8 items), functional limitation (20 items), and psychosocial factors (5 items).

Conclusions:

  • The developed conceptual framework provides a multidimensional understanding of UCS.
  • It facilitates early detection, targeted treatment, and patient education for improved physical performance and quality of life.
  • The framework supports prevention, progress monitoring, and correction of Upper Cross Syndrome.