Effects of Cailliet and Kendall Exercises in Nonspecific Neck Pain

NCT06875856 | Recruiting

• 1 other identifier: REC/RCR & AHS/24/0151
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Objective of study will be to compare effects of Cailliet and Kendall exercises on pain, functional movement and disability in non-specific neck pain.This randomized clinical trial will be conducted at Good Hands Physiotherapy Clinic, Shahdara Lahore. Sample size of study will be 36. Participants will be randomly divided into two groups Group A and Group B. We will include patients with age group between 25 to 40 years, both genders having localized pain or stiffness in cervical spine for more than 3 months after exclusion of upper limb radiculopathy. Group A will receive Kendall exercises regime and Group B will receive Cailliet exercises regime. Both groups will receive baseline treatment including hot pack and Transcutaneous Electric Nerve Stimulation (TENS). Short term effects would be assessed after treatment for 3 sessions per week on alternate days for 4 weeks. Patients will be assessed by Numeric pain rating scale (NPRS) for pain, Selective Functional Movement Assessment (SFMA) for functional movement and Neck Disability Index (NDI) Urdu version for Disability. Analysis will be done by statistical package for social sciences SPSS 25.

Conditions

Nonspecific Neck Pain

Keywords

Cailliet exercises, Kendall exercises, Neck pain

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale

  Pain intensity will be assessed by NPRS. The NPRS has shown to have moderate to high test-retest reliability, ranging from 0.67 to 0.96. The NPRS is shown to have convergent validity between 0.79 and 0.95. 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. Zero indicates absence of pain while 5 indicate moderate pain and 10 indicate unbearable pain. The patient is asked to mark a number on the scale. At the baseline assessment, after 3 weeks and finally at the end of the intervention program, the NPRS scores will be recorded.

  4 weeks

• Selective Functional Movement Assessment (SFMA)

  The Selective Functional Movement Assessment (SFMA) is a popular assessment tool used to observe and detect components of dysfunctional movement patterns. The goal of the assessment is to identify impairments throughout the kinetic chain that may be contributing to movement dysfunction and/or pain. Kappa coefficients for intra-rater reliability ranged from 0.21-1.00, while % absolute agreement ranged from 0.64-1.00.

  4 weeks

• Neck Disability Index (NDI) for disability

  The neck disability index (NDI) is one of the most commonly used questionnaires to measure neck pain and disability. One study reported that the NDI is a multidimensional construct that measures a broader concept than disability. Each item is scored out of 5 for a maximum total score of 50. Care should be taken in reporting the score as either out of 50 or as a percentage out of 100. A score of 22% or more is considered a significant activities of daily living disability.

  4 weeks

Study Arms (2)

Group A: Kendall exercises program

EXPERIMENTAL

Group A will receive Kendall exercises program with baseline treatment.

Other: Kendall exercises

Group B: Cailliet exercises program

ACTIVE COMPARATOR

Group B will receive Cailliet exercises program with baseline treatment.

Other: Cailliet exercises

Interventions

Kendall exercises OTHER

1. Positioning supine with the chin tucked in and lifting the head for 2 to 8 sec to strengthen deep cervical flexors. 2. Maintaining a sitting posture, with hands on the occipital region, and flexed spine while moving head downwards to stretch cervical extensors, maintaining an upright posture. 3. Keep the resistance band circling with strong support and stretching it with the upper limbs of both sides so that there is full retraction of the scapula to strengthen retractors of the shoulder. 4. Stretching the pectoralis major and minor while keeping the patient's hands-on the occipital region and standing behind the patient and pulling both elbows backward to target the bilateral pectoralis muscles

Group A: Kendall exercises program

Cailliet exercises OTHER

The intervention of group B will include baseline treatment, followed by maneuvers, including: Neck Cailliet exercise using isometric contractions against the prisoner to the maximum that ends with relaxation and continued with stretching. Each posture was maintained for 30 s and 3 sets of 10 repetitions were performed with 3 sessions per week on alternate days for 4 weeks.

Group B: Cailliet exercises program

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age group between 18 to 40 years
• Both gender male and female
• Individuals having localized pain or stiffness in spine or both combined between C3 and C7 without upper limb radiculopathy
• Negative Spurling's test, traction test, upper limb tension test, and shoulder abduction test.
• Pain reported on NPRS Moderate score in neck region for more than 3 months
• Neck Disability Index (NDI) score of 0-10 points out of 50 score

You may not qualify if:

• Tuberculosis, carcinoma, heart disease, and osteoporosis
• Neural disorders due to prolapsed intervertebral disc
• Any trauma, localized infection or history of surgery in cervical spine region in last 6 months
• Upper motor neuron disease, cervical stenosis, and metabolic diseases in bone and joint
• Hyper flexibility, Open sores
• Ongoing radiotherapy, chemotherapy, steroid therapy, or anticoagulants
• Psychiatric diseases such as phobia/obsession and depression
• Allergy to hot pack

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Good hands physiotherapy clinic

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Bogduk N. The anatomy and pathophysiology of neck pain. Phys Med Rehabil Clin N Am. 2003 Aug;14(3):455-72, v. doi: 10.1016/s1047-9651(03)00041-x.

  PMID: 12948338 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Ghulam Fatima, PHD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PHD*

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Imran Amjad, PHD*

CONTACT

0515481826; imran.amjad@riphah.edu.pk

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: March 10, 2025
• First Posted: March 13, 2025
• Study Start: January 22, 2025
• Primary Completion: September 3, 2025
• Study Completion: September 15, 2025
• Last Updated: March 13, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)