Effectiveness of Janda’s Approach in Upper Cross syndrome in Medical Students

Abstract

People with upper cross syndrome often face tightness of upper trapezius, pectoralis major, levator
scapulae and weakness of rhomboid, serratus anterior, middle and lower trapezius and deep neck
flexor muscles. The main goal of research was to see the effect of janda’s approach in upper cross
syndrome in medical students. The study involved 52 medical students diagnosed with upper cross
syndrome. Students usually sit for prolong time in slouch posture for studying which leads to bad
posture habits. This leads to abnormal posture in students like forward head posture, increase cervical
lordosis, thoracic kyphosis, elevation and protraction of shoulder and winging of scapulae. Outcome
measures like neck disability index questionnaire, cranio-vertebral angle, numerical rating scale was
used. The result showed that warm up exercises prior to treatment and cool down exercises after
treatment for 10 minutes each, with stretching and strengthening exercises (janda’s approach) and
ergonomic advice was effective in upper cross syndrome in medical students.