Efficacy of A multi-modal Approach in Management of Patients with Upper Crossed Syndrome: A randomized Controlled Trial

INTERVENTION: Group A multimodal approach group Group B muscle energy technique group CONDITION: ; Musculoskeletal Diseases Musculoskeletal Diseases PRIMARY OUTCOME: craniovertebral angle CVA Sagittal shoulder angle SSA SECONDARY OUTCOME: Functional status Pain intensity INCLUSION CRITERIA: 1. Age ranging from 30 to 60 years old. 2. Male and female. 3. subjects who have weakness in deep neck flexors, serratus anterior, middle and lower trapezius and rhomboid muscles and tightness in upper trapezius, levator scapulae, scallenii, posterior neck and subocciptal muscles, pectoralis major and minor and sternocleidomastoid muscles according to the specialized tests that will be conducted. 4. Subjects complaining of this syndrome for more than 3 months. 5. All participants who will be conscious and cooperative. 6. Subjects who are not receiving medications.