Cervical Spine Strengthening Exercises Versus Kendall Exercises in Patients With Forward Head Posture.

NCT05878600 | Completed

• 1 other identifier: REC/RCR & AHS/23/0120
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effects of targeted cervical spine strengthening exercises and Kendall exercise in patients with forward head posture

Conditions

Forward Head Posture

Keywords

Forward head, Kendall exercises.

Outcome Measures

Primary Outcomes (1)

• Change in NPRS

  Pain intensity will be assessed by numeric pain rating scale NPRS. The 11-point NPRS (intervals from 0-10) is used to quantify pain intensity; 0 represents no pain, and 10 represent the worst possible agony. The NPRS is a valid and reliable instrument for older persons. Participants will be asked to select the number that most accurately describes their level of pain. At the baseline assessment, following each exercise session during the 8-week intervention, and finally at the end of the intervention Programmed, the NPRS scores will be recorded Changes from Basline to 8th week

  8th week

Secondary Outcomes (1)

• Range of motion

  8th week

Other Outcomes (2)

• neck disability index

  8th week

• Photogrammetry

  8th week

Study Arms (2)

cervical spine strengthening group

EXPERIMENTAL

The participant will nod and chin tuck the head against the block with bands supporting the movement. An air-filled pressure cushion is placed under the occiput behind the cervical spine and conforms to the subject's shape. With a head nod, the pressure on the cuff increases and is shown by the dial. 10 repetitions of 5 seconds hold will be performed for 8 weeks and strength is measured by sphygmomanometer

Other: cervical spine strengthening

Kendall exercise group

ACTIVE COMPARATOR

patient is seated and the exercises are performed which include stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up and performing arm abduction and external rotation; and (2) strengthening shoulder retraction, Strengthening the deep cervical flexors and Stretching the cervical extensors

Other: kendall's exercise

Interventions

kendall's exercise OTHER

comparative effect of targeted cervical spine strengthening versus kendalls exercise will be analyzed

Also known as: cervical spine strengthening

Kendall exercise group

cervical spine strengthening OTHER

sole effect of cervical spine strengthening will be analyzed

cervical spine strengthening group

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Both genders
• Age 20-40 years with no signs of degeneration.
• Individuals having cranio-vertebral angle less than 50
• Those who have not gone under rehabilitation for last 6 months
• Those who are computer users for more than 3 hours a day or more.

You may not qualify if:

• Spinal trauma
• Musculoskeletal abnormality in the cervical spine
• Rheumatologic disorders
• Any bony or soft tissue systemic disease
• Congenital defects
• Disc pathology

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

The Bank of Punjab, Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (9)

• Mylonas K, Angelopoulos P, Billis E, Tsepis E, Fousekis K. Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study. BMC Musculoskelet Disord. 2021 Feb 21;22(1):212. doi: 10.1186/s12891-021-04080-4.

  PMID: 33612123 BACKGROUND

• Handa Y, Okada K, Takasaki H. Lumbar Roll Usage While Sitting Reduces the Forward Head Posture in Healthy Individuals: A Systematic Review with Meta-Analysis. Int J Environ Res Public Health. 2021 May 13;18(10):5171. doi: 10.3390/ijerph18105171.

  PMID: 34068139 BACKGROUND

• Baskurt Z, Baskurt F, Gelecek N, Ozkan MH. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil. 2011;24(3):173-9. doi: 10.3233/BMR-2011-0291.

  PMID: 21849731 BACKGROUND

• Shiravi S, Letafatkar A, Bertozzi L, Pillastrini P, Khaleghi Tazji M. Efficacy of Abdominal Control Feedback and Scapula Stabilization Exercises in Participants With Forward Head, Round Shoulder Postures and Neck Movement Impairment. Sports Health. 2019 May/Jun;11(3):272-279. doi: 10.1177/1941738119835223. Epub 2019 Apr 23.

  PMID: 31013190 BACKGROUND

• Ravichandran H, Janakiraman B, Gelaw AY, Fisseha B, Sundaram S, Sharma HR. Effect of scapular stabilization exercise program in patients with subacromial impingement syndrome: a systematic review. J Exerc Rehabil. 2020 Jun 30;16(3):216-226. doi: 10.12965/jer.2040256.128. eCollection 2020 Jun.

  PMID: 32724778 BACKGROUND

• Mahashabde R, Fernandez R, Sabnis S. Validity and reliability of the aneroid sphygmomanometer using a paediatric size cuff for craniocervical flexion test. Int J Evid Based Healthc. 2013 Dec;11(4):285-90. doi: 10.1111/1744-1609.12048.

  PMID: 24298922 BACKGROUND

• Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Curr Rev Musculoskelet Med. 2019 Dec;12(4):562-577. doi: 10.1007/s12178-019-09594-y.

  PMID: 31773477 BACKGROUND

• Lee DY, Nam CW, Sung YB, Kim K, Lee HY. Changes in rounded shoulder posture and forward head posture according to exercise methods. J Phys Ther Sci. 2017 Oct;29(10):1824-1827. doi: 10.1589/jpts.29.1824. Epub 2017 Oct 21.

  PMID: 29184298 BACKGROUND

• Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019 Feb 18;20(1):86. doi: 10.1186/s12891-019-2438-y.

  PMID: 30777064 BACKGROUND

Study Officials

• Rabiya Noor, PHD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 4, 2023
• First Posted: May 26, 2023
• Study Start: November 16, 2022
• Primary Completion: July 16, 2023
• Study Completion: August 16, 2023
• Last Updated: December 27, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)