Effect of Myofascial Release (Guasha) Over the Pectoral Muscles on Neck Pain, Saggital Shoulder Angle and Neck Disability in Subjects with Upper Cross Syndrome
Abstract: Background: Upper Crossed Syndrome (UCS) is a postural dysfunction characterized by forward head posture, rounded shoulders, and muscular imbalance, and may be associated with neck pain and functional disability. Conventional physiotherapy is commonly used to address these impairments; however, evidence regarding the additional effect of Gua Sha over the pectoral muscles in individuals with UCS is limited. Aim: To determine the effect of myofascial release (Gua Sha) over the pectoral muscles on neck pain, sagittal shoulder angle, and Neck Disability Index in subjects with Upper Crossed Syndrome. Methods: Thirty female subjects aged 20-35 years who met the inclusion and exclusion criteria were randomly allocated to an experimental group (Group A, n=15) or a control group (Group B, n=15). Group A received Gua Sha over the pectoral muscles in addition to conventional physiotherapy, whereas Group B received conventional physiotherapy alone for 4 weeks. Pain was assessed using the Numeric Pain Rating Scale (NPRS), neck disability using the Neck Disability Index (NDI), and sagittal shoulder posture using digital photogrammetry. Results: Data were analyzed using IBM SPSS Statistics version 20. Both groups demonstrated statistically significant pre- to post-intervention improvements in NPRS, NDI, and SSA (p
Keywords: Upper Crossed Syndrome, Gua Sha, Myofascial Release, Conventional Physiotherapy, Neck Pain, Sagittal Shoulder Angle, Neck Disability Index
How to Cite?: CH. V. Rohitha, Dr. S. Raghavakrishna, Dr. C. Shanthi, Dr. K. Senthilkumar, Dr. K. Madhavi, "Effect of Myofascial Release (Guasha) Over the Pectoral Muscles on Neck Pain, Saggital Shoulder Angle and Neck Disability in Subjects with Upper Cross Syndrome", Volume 15 Issue 11, November 2026, International Journal of Science and Research (IJSR), Pages: 437-444, https://www.ijsr.net/getabstract.php?paperid=SR261111170533, DOI: https://dx.doi.org/10.21275/SR261111170533