New combo therapy aims to fix rounded shoulders and neck pain
NCT ID NCT07573553
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding rib mobilization to standard posture exercises helps people with upper crossed syndrome — a common condition causing forward head posture, rounded shoulders, and neck pain. Sixty-four adults aged 20 to 45 will be split into two groups: one gets rib mobilization plus exercises, the other gets exercises alone. The goal is to see if the combo reduces pain and improves posture and rib mobility over 4 to 6 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Rib mobilization and postural correction exercises
- What this could lead to
- If it works, this could point toward a more effective physical therapy approach for upper crossed syndrome, reducing pain and improving posture.
- What could go wrong
- This is a small, early-stage trial with only 64 participants. The results may not apply to everyone, and the added benefit of rib mobilization over exercises alone may be small or absent.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 64 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 45 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age between 20 to 45 years * Forward head posture (craniovertebral angle \< 50°) * Cervical pain or discomfort for ≥4 weeks * Moderate pain intensity (VAS 3-6) * Willingness to participate and provide informed consent * Clinically diagnosed Upper Crossed Syndrome (UCS) * Meets Asian Fitness Society diagnostic criteria for UCS Exclusion Criteria: * History of trauma or surgery to cervical/thoracic spine * Cervical disc herniation, radiculopathy, or neurological deficits * Structural deformities (scoliosis, Scheuermann's disease) * Systemic musculoskeletal disorders (e.g., rheumatoid arthritis) * Vestibular, balance, or visual disorders * Recent similar therapy within 3 months * Pregnancy or contraindication to manual therapy * Ongoing use of pain medications or muscle relaxants
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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District Headquater Haripur
RECRUITINGChak Six Hundred Twenty-four, Khyber Pakhtunkhwat, 22620, Pakistan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Which exercise fixes desk posture and pain? a Head-to-Head test
- Can targeted exercises correct a common postural problem?
- Which exercise fixes rounded shoulders and forward head better?
- Can simple exercises fix your rounded shoulders and neck pain?
- New exercise combo may fix rounded shoulders and neck pain