Chang Min Cheol, Choo Yoo Jin, Hong Keeyong, Boudier-Revéret Mathieu, Yang Seoyon
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Taegu, Gyeongsan 38436, Republic of Korea.
Cheonho S Orthopedic Clinic, Seoul 06014, Republic of Korea.
Healthcare (Basel). 2023 Aug 17;11(16):2328. doi: 10.3390/healthcare11162328.
Upper 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.
A 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.
Among 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.
Treatment 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.
上交叉综合征（UCS）是一种常见的肌肉骨骼疾病，其特征为颈部、肩部和上背部肌肉的紧张与无力。本研究的目的是总结并概述上交叉综合征患者的治疗方法。
对MEDLINE（PubMed）、Cochrane图书馆、Embase、Scopus和Web of Science数据库进行检索，查找截至2023年1月19日发表的关于上交叉综合征的英文文章。为识别潜在相关文章，将以下关键搜索短语进行组合：“上交叉综合征”、“上交叉综合症”、“诊断”和“治疗”。共识别出233篇文章。在阅读标题和摘要并根据全文评估其合格性后，最终11篇文章纳入本综述。分别使用RoB-2和ROBINS-I对随机对照试验（RCT）和非随机临床试验（非RCT）评估偏倚风险（RoB）。
在11项研究上交叉综合征治疗方案效果的研究中, 5项研究比较了运动方案与对照组的治疗效果，而6项研究比较了不同的康复治疗策略，如肌肉能量技术、软组织松动术和伸展运动。此外，关于研究设计，10项研究为随机对照试验，只有1项研究为前瞻性观察性研究。
包括各种类型运动和技术以纠正异常姿势和恢复神经肌肉失衡的治疗方案，对于减轻上交叉综合征患者的疼痛、改善颈部功能障碍和姿势偏差是有效的。
