MA Zengbin,NI Guodong,ZHENG Zhijian,et al.Acupuncture Combined with Resistance Training for the Treatment of Upper Crossed Syndrome Based on the Muscle-Bone Balance Theory[J].Journal of Traditional Chinese Medicine,2026,67(08):904-907.
MA Zengbin,NI Guodong,ZHENG Zhijian,et al.Acupuncture Combined with Resistance Training for the Treatment of Upper Crossed Syndrome Based on the Muscle-Bone Balance Theory[J].Journal of Traditional Chinese Medicine,2026,67(08):904-907.DOI: 10.13288/j.11-2166/r.2026.08.016.
Acupuncture Combined with Resistance Training for the Treatment of Upper Crossed Syndrome Based on the Muscle-Bone Balance Theory
This paper, grounded in the muscle-bone balance theory in traditional Chinese medicine (TCM), systematically elaborates on the comprehensive treatment protocol for upper crossed syndrome (UCS) using acupuncture with resistance training, from the perspectives of theoretical origins, pathological mechanisms, treatment principles, and operational methods. The treatment takes "emphasis on both sinews and bones, with priority given to the sinews", attaches importance to "sinew-bone balance, with
qi
and blood as the foundation", advocates "TCM and western medicine integration, strengthening musc
les with resistance training", and finally achieves the goal of "soft sinews and aligned bones, with sinew-bone balance". Acupuncture treatment focuses on relieving muscle tension, unblocking channels and collaterals, and harmonizing
qi
and blood, while resistance trai-ning emphasizes strengthening weak muscle groups, rebuilding mechanical balance, and restoring normal movement patterns. Through their synergistic effects, these two methods jointly achieve the therapeutic goal of regulating sinews and rectifying bones, thereby offering an approach for the clinical treatment of UCS.
MORRIS C E , BONNEFIN D , DARVILLE C . The torsional upper crossed syndrome: a multi-planar update to Janda's model, with a case series introduction of the mid-pectoral fascial lesion as an associated etiological factor [J]. J Bodyw Mov Ther , 2015 , 19 ( 4 ): 681 - 689 .
CHANG M C , CHOO Y J , HONG K , et al . Treatment of upper crossed syndrome: a narrative systematic review [J]. Healthcare (Basel) , 2023 , 11 ( 16 ): 2328 .
KOSEKI T , KAKIZAKI F , HAYASHI S , et al . Effect of forward head posture on thoracic shape and respiratory function [J]. J Phys Ther Sci , 2019 , 31 ( 1 ): 63 - 68 .
KUBO K , YASUDA A , YAJIMA H , et al . Effects of acupuncture and acupressure of the acupoint compared to the tendon on the blood circulation of human tendon in vivo [J]. Eur J Appl Physiol , 2024 , 124 ( 1 ): 269 - 279 .
CAO Y , WANG L , LIN L T , et al . Acupuncture attenuates cognitive deficits through α7nAChR mediated anti-inflammatory pathway in chronic cerebral hypoperfusion rats [J]. Life Sci , 2021 , 266 : 118732 . doi: 10.1016/j.lfs.2020.118732 http://dx.doi.org/10.1016/j.lfs.2020.118732 .
ARAZI H , ASADI A , GENTIL P , et al . Effects of diffe-rent resistance training frequencies on body composition and muscular performance adaptations in men [J]. Peer J , 2021 , 9 : e10537 . doi: 10.7717/peerj.10537 http://dx.doi.org/10.7717/peerj.10537 .
GONZALO-SKOK O , TOUS-FAJARDO J , SUAREZ-ARRONES L , et al . Single-leg power output and between-limbs imbalances in team-sport players: unilateral versus bilateral combined resistance training [J]. Int J Sports Physiol Perform , 2017 , 12 ( 1 ): 106 - 114 .
HAN R , HU J . Acupuncture: an overview on its functions, meridian pathways and molecular mechanisms [J]. Am J Chin Med , 2024 , 52 ( 5 ): 1215 - 1244 .
HORTOBÁGYI T , RICHARDSON S P , LOMAREV M , et al . Chronic low-frequency rTMS of primary motor cortex diminishes exercise training-induced gains in maximal voluntary force in humans [J]. J Appl Physiol (1985), 2009 , 106 ( 2 ): 403 - 411 .
SEPEHRI S , SHEIKHHOSEINI R , PIRI H , et al . The effect of various therapeutic exercises on forward head posture, rounded shoulder, and hyperkyphosis among people with upper crossed syndrome: a systematic review and meta-analysis [J]. BMC Musculoskelet Disord , 2024 , 25 ( 1 ): 105 .