Effects of exercise programs on upper crossed syndrome: A systematic review

Abstract

Keeping the head in a forward position can, in the long run, cause a postural disorder termed upper crossed syndrome - UCS. Upper crossed syndrome is defined as overactivity, or tightening, of the upper trapezius, major pectoralis and levator scapulae, combined with a weakened rhomboid, serratus anterior, middle and lower trapezius, as well as deep cervical flexors. This posture can result in neck pain, as well as upper back pain. The syndrome has been exacerbated with technological advancement, and the ever-increasing use of computers and smartphones. It affects school-age children, university students, as well as employees who work in an incorrect position or repeat the same actions throughout their working day. Physical exercise, namely, strength and stretching exercises, is one of the possible methods of correcting this postural disorder. Therefore, the objective of this study is to conduct a systematic review of studies to date in order to determine the effects of implementing different exercise programs on the treatment of upper crossed syndrome. The analyzed scientific papers were collected by searching online databases of electronic academic journals: Google Scholar, PubMed, Wolters Kluwer. The review focused on papers published between 2000 and 2019. Key words used for searching the databases included: upper crossed syndrome, effects, exercise program. Studies were included based on meeting the following criteria: examining the effects of different exercise programs on upper crossed syndrome, as well as on reducing neck and upper back pain, and improving functional ability. Based on the criteria set, a total of 15 studies were included in the final analysis. The final analysis established that upper crossed syndrome was affected most favorably by programs containing strength and stretching exercises, when these were administered over a 4-week period, with a minimum weekly frequency of 3 practice sessions