Effects of Kendall Exercise Versus Gong's Mobilization in Text Neck Syndrome. A Pilot Study

Not Applicable

Completed

Brief Summary: This project was a pilot randomized trial conducted to compare the effects of Kendall exercise and Gong's mobilization on pain, range of motion, function and strength in text neck syndrome so that we can have best treatment option for patients with neck pain

Detailed Description: Non Probability Convenient sampling was done. Patients following eligibility criteria from Fatima hospital Sargodha were considered. Sample size was calculated 12.

Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given Kendall exercise and Group B was given Gong's mobilization along with conventional physiotherapy treatment (hot pack). Duration of research was almost 6 months. Participants were treated 3 times a week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week period respectively.

Assessment was done via Numeric pain rating scale (NPRS),Neck Disability index (NDI), Universal goniometer and Modified sphygmomanometer test. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Spinal infection or inflammatory disorder
Neck surgery or trauma
Torticollis, scoliosis
Malignancy, pregnancy
Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis and osteoporosis
Current use of any medication or physical therapy treatment.

Arm && Interventions

Group	Intervention	Description
Gong's mobilization	Gong's mobilization	Experimental group 1 got this intervention containing Gong's mobilization for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test.
Kendall exercise	Kendall exercise	Experimental group 1 got this intervention containing Kendall exercise for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test.

Primary Outcome Measures

Name	Time	Method
Range of Motion	4th week	All ranges of neck: 80° to 90° of flexion, 70° of extension, 20° to 45° of lateral flexion, and up to 90° of rotation to both sides. All ranges other than the written will be considered abnormal. First checked at baseline and than 4th week
Neck Disability Index	4th week	Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. o means no pain 5 means maximum pain Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50.0 means no disability, 50 means full limitation.A higher score indicates more patient-rated disability. First checked at baseline and than 4th week
Modified Sphygmomanometer test	4th week	It is used to measure strength of muscles. change in 2mm cause minimal detectable change. First checked at baseline and than 4th week
Numeric pain rating scale	4th week	Numeric pain rating scale range from 0-10, 0 means no pain- 10 means severe pain First checked at baseline and than 4th week

Secondary Outcome Measures

Name	Time	Method

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