UPPER CROSS SYNDROME DIAGNOSIS AND MANAGEMENT

Title: Upper Cross Syndrome – Causes, Symptoms, and Physiotherapy Management

Description:
This presentation provides a detailed overview of Upper Cross Syndrome (UCS), a common postural imbalance affecting the neck, shoulders, and upper back. Key topics include:

✅ Definition & Epidemiology – Understanding UCS and its prevalence.
✅ Causes & Risk Factors – Poor posture, prolonged screen time, sedentary lifestyle, and more.
✅ Clinical Presentation – Symptoms such as forward head posture, rounded shoulders, neck pain, and headaches.
✅ Diagnosis & Assessment – Postural evaluation, muscle imbalance analysis, and joint mobility testing.
✅ Physiotherapy Management – Strengthening weak muscles, stretching tight muscles, posture correction, ergonomic advice, and prevention strategies.

Ideal for physiotherapists, students, and healthcare professionals, this slide deck is based on evidence-based research and practical clinical insights.

📌 Presented by: Shoriful Islam, 4th-year Physiotherapy Student, JUST
📌 Presented to: Kanika Roy, Clinical Physiotherapist, CRP

#UpperCrossSyndrome #Physiotherapy #PostureCorrection #NeckPain #Ergonomics #MuscleImbalance #NeckPotruted #NeckPhysiotherapy #PostureDisalignment #UpperNeckSyndrome #ErgonomicsNeck #NeckMuscleDisorder

1. Presented By Name : Shoriful Islam Roll : 192412 4th year undergraduate student of physiotherapy and rehabilitation dept. JUST Presented To Kanika Roy Clinical physiotherapist Musculoskeletal department CRP, Savar 1 Jashore University of Science and Technology

2. 2 Welcome to my presentation Topic on Upper Cross Syndrome

3. Introduction Upper Cross Syndrome (UCS) is a common postural imbalance characterized by tightness in the upper trapezius and levator scapulae muscles and the pectoralis major and minor muscles. Concurrently, there is weakness in the deep cervical flexors and the lower trapezius and serratus anterior. 3 https://www.researchgate.net/publication/257546402_The_assessment_and_treatment_of_muscular_imbalance_-_The_Janda_Approach/

4. Introduction… 4 Upper cross syndrome Dr. Jhanda is one of the first physicians who has combined therapy and medicine in a hands-on approach

5. Clinical presentation 5 F orward head posture Rounded shoulders Increased curve in the upper back (thoracic kyphosis) https://www.scirp.org/reference/ReferencesPapers?ReferenceID=2103909 / Weak muscle Lower and middle trapezius Deep neck flexors Serratus anterior Tight muscles Upper  trapezius pectoralis Levator scapulae

6. Epidemiology 6 Men are more affected than women Age 25-60 Technology uses office workers/student are more affected than other workers https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477943/ https://doi.org/10.52229/pjpt.v4i2.980

7. Causes of UCS 7 Sitting for long periods with a slouched posture Working at a computer/desk without proper ergonomic setup Laundry worker Poor posture while driving or watching TV swimmers and weightlifters Frequent use of mobile devices https://www.melbournecbdchiro.com.au/?gad_source=1&gclid=CjwKCAjwo6GyBhBwEiwAzQTmc0i8khykFvAn-hvmYd45m8J5yS_vsmEODIp9Lmg-EHIGih50J-LGXxoCnroQAvD_BwE

8. Sign symptoms of UCS Headaches Neck pain or strain in the back of the neck Chest pain and tightness Restricted range of motion in the neck or shoulders Pain in the upper back, especially the shoulders Difficulty sitting, reading, watching television, or driving for long periods Numbness, tingling, and pain in the upper arms 8 https://www.melbournecbdchiro.com.au/?gad_source=1&gclid=CjwKCAjwo6GyBhBwEiwAzQTmc0i8khykFvAn-hvmYd45m8J5yS_vsmEODIp9Lmg-EHIGih50J-LGXxoCnroQAvD_BwE

9. Diagnostic Procedures Subjective assessment - History taking Objective assessment Posture and gait analysis - T he head often being in a forward position - The spine curving inward at the neck - Back and shoulders rounded, protracted, or elevated shoulders - T he shoulder blade sitting out instead of lying flat 9

10. Diagnostic Procedures… 10 Evaluation of muscle imbalance - muscle function - muscle strength - muscle tightness Evaluation of joint ROM - Cervical flexion - Shoulder joint https://www.researchgate.net/publication/257546402_The_assessment_and_treatment_of_muscular_imbalance_-_The_Janda_Approach/

11. Treatment https://www.physio-pedia.com/ 11 Weak muscle - Isometric exercise - Strengthening exercise Tight muscle - Soft tissue release - Stretching exercise Posture correction

12. Treatment… 12 Protruded head treatment

13. Treatment… 13 Thoracic kyphosis

14. Prevention 14 Posture management Proper ergonomics Strengthening and stretching routines Regular breaks in long time works

15. Quiz 15 Please identify one who has a higher possibility of having upper cross syndrome