The effectiveness of corrective exercises to improve posture in patients with upper cross syndrome and scapula dyskinesis: A Critically Appraised Topic

Clinical Scenario: Upper Cross Syndrome (UCS) is an abnormal posture defined by a muscular imbalance pattern in the neck, torso, and scapula muscles that commonly results in scapular dyskinesis. The National Academy of Sports Medicine (NASM) and Comprehensive Corrective Exercise Program (CCEP) address the cause of imbalances and incorrect movement patterns that lead to problems with posture, balance, and systemic coordination then modifies the imbalances that improve overall exercise quality. This Critically Appraised Topic (CAT) served to review the current evidence regarding whether corrective exercises can be used to address UCS and scapular dyskinesis thereby providing clinicians with more options to address the condition.

Focused Clinical Question: Does corrective exercise improve scapula dyskinesis and upper cross syndrome by modifying the musculoskeletal disorders of scapula and alignment of their upper body? Summary of Key Findings: Three studies investigated the effectiveness of corrective exercises to improve posture in patients with upper cross syndrome and scapular dyskinesis.

Clinical Bottom Line: Based on the results of the studies included in this critically appraised topic, there is moderate evidence to support the use of corrective exercises for improving UCS and scapular movement patterns in adults.

Strength of Recommendation: Upon review of the three studies, there is Level B evidence that exists that CCEP or NASM exercises program could potentially improve postural alignment, muscle activation, and movement pattern of scapula.