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Background: How does it affect the quality of life of the patient? Upper Crossed Syndrome (UCS) is also discussed as proximal or shoulder crossed syndrome. According to Vladimir Janda, UCS is characterized by the tightness of the levator scapulae muscle, upper trapezius muscle, on dorsal sides crosses with tightness of pectoralis major muscle and minor muscle. Weakness of the deep cervical flexors ventrally crosses along with weakness of the middle and the lower trapezius. The weakness and tightness lead to postural imbalance. In addition to this, it creates postural patterning of rounded shoulder forward head posture, loss of cervical lordosis, and increased kyphosis. These can lead to postural adjustment in the upper quarter of the body. Materials and Methods: Out of 17 articles screened 8 studies are included in this review according to the inclusion and exclusion criteria. The inclusion criteria are forward head posture, articles from the year 2011 to 2021, patient age between 20-50 years, article published in English languages, articles available in full text, and RCT’S. The exclusion criteria are, articles published before 2011, age less than 20 years and more than 50 years old, articles published other than English language, and articles not available with full text. Relevant studies were retrieved through Cochrane, PubMed, CINHAL, and Embase databases from the year 2011 to 2021. Results: All the physiotherapeutic treatments including conventional and recent trends showed a beneficial effect on patient with upper crossed syndrome or postural abnormalities. Conclusion: All physiotherapy interventions like strengthening and stretching, resistance exercises, postural correction exercises, and ROM exercises has a positive effect on the prevention and treatment of upper crossed syndrome. Also, recent trends like dry needling, yoga therapy, myofascial trigger release, eccentric muscle energy technique, Kinesio taping, and IFT and EMG activity has also shown positive result in UCS.

Background Anxiety is a primary concern affecting the prognosis of CABG patients. Relieving anxiety is thus a component of management in patients with CABG. Also, patients with bypass surgery express compromise in exercise tolerance. We use two feasible and cost-effective treatment techniques to know the improvement in symptoms of anxiety and exercise tolerance. Objective To evaluate the efficacy of chair aerobics and pranayama on anxiety in patients who underwent CABG. We hypothesized that there would be an improvement in anxiety in CABG patients after receiving the interventions. Methods In a total of 21 screened, 16 met eligibility requirements. These were randomized into two, group A and group B. Group A is treated with progressive chair aerobics, and group B with nadisodhana pranayama. Both groups were given standardised cardiac rehabilitation techniques. The duration was fifteen minutes of activity along with phase 1 cardiac rehabilitation. The treatment session was given once a day in the morning. The intervention starts from the post-operative day 3 to post-operative day 7. The anxiety is measured by the tool “hospital anxiety and depression scale”. The exercise capacity of the patient was measured by a 6-minute walk test. Heart rate is estimated to know the somatic and physiologic components of anxiety. Took all the outcome measures before the surgery and on post-operative day 7 by a blinded outcome assessor. Results: The results showed that the improvement in the p-value of HADS anxiety, depression, and heart rate of both groups is less than 0.05. The 6-minute walk test showed better improvement in the chair aerobics group with a p-value less than 005. Registration: The trial is prospectively registered in CTRI. The trial registration number is CTRI/2021/09/037008.

Background: Anxiety is a primary concern affecting the prognosis of CABG patients. Relieving anxiety is thus a component of management in patients with CABG. We use two feasible and cost-effective treatment techniques to know the improvement in symptoms of anxiety. Objectives: To evaluate the efficacy of chair aerobics and pranayama on anxiety in patients who underwent CABG. We hypothesized that there would be an improvement in anxiety in CABG patients after receiving the interventions. Materials and Methods: In a total of 21 screened, 16 met eligibility requirements. These were randomized into two, group A and group B. Group A is treated with progressive chair aerobics, and group B with Nadi-sodhana pranayama. Both groups were given standardised cardiac rehabilitation techniques. The duration was fifteen minutes of activity along with phase 1 cardiac rehabilitation. The treatment session was given once a day in the morning. The intervention starts from the post-operative day 3 to post-operative day 7. The anxiety is measured by the tool "hospital anxiety and depression scale". Heart rate is estimated to know the somatic and physiologic components of anxiety. Took all the outcome measures before the surgery and on post-operative day 7 by a blinded outcome assessor. Results: The results showed that the improvement in the p-value of HADS anxiety, depression, and heart rate of both groups is less than 0.05.