Effect of Cervicothoracic Mobilization on Upper Crossed Syndrome

PURPOSE: To investigate the effect of cervicothoracic mobilization on Craniovertebral angle (CVA), sagittal shoulder angle (SSA), kyphotic angle and pain intensity level in upper crossed syndrome.

Inclusion Criteria:Age between 20-50 years .Participants will included if their CVA less than 48° ( SSA less than 52°) , as above these values are considered normal and thoracic kyphosis (with flexicurve angle more than 45 degrees) .Subjects who have weakness in deep neck flexors, serratus anterior, middle and lower trapezius and rhomboid muscles and tightness in upper trapezius, levator scapulae, scalene, posterior neck and suboccipital muscles, pectoralis major and minor and sternocleidomastoid muscles.Subject complaining of this symptom for more than 3mothes.Marking pain intensity score visual analog scale (VAS) ≥3 in neck and shoulderExclusion Criteria:History of surgery or joint diseases of the spine or shoulder.Osteoporosis, or fracture ,cervical instability or any sign those with other contraindications against joint mobilization.Individuals with any cervical condition e.g. radiculopathy, cervical rib, whiplash injury and individuals with any neurological/ condition .History of congenital spinal deformity (congenital scoliosis) .Any malignancy related to soft tissue and joints .Subjects taking analgesics and/or muscle relaxants.pregnancy.Being in weight out of the normal range (18 ≥ BMI ≥ 25).Cognitive impairment and inability to understand the scale.