MedPath

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

Not Applicable
Completed
Conditions
Forward Head Posture
Interventions
Other: kendall's exercise
Other: cervical spine strengthening
Registration Number
NCT05878600
Lead Sponsor
Riphah International University
Brief Summary

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

Detailed Description

Studies have evaluated the effect of Kendall's exercises and found it effective for recovery. Studies have also concluded that targeted strengthening of flexors reverse the symptoms. The purpose of this study will elaborate either there is a difference in time taken to achieve normal head alignment between a targeted muscle that is prone to weakness or a technique that involves strengthening of weakened muscle plus stretching of shortened muscles. As there is a vast variety of correcting exercise program in the literature, the decision to choose the best option may be challenging. This study may help physiotherapists to apply treatment that is directly directing the main culprit.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
38
Inclusion Criteria
  • 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.
Exclusion Criteria
  • Spinal trauma
  • Musculoskeletal abnormality in the cervical spine
  • Rheumatologic disorders
  • Any bony or soft tissue systemic disease
  • Congenital defects
  • Disc pathology

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Kendall exercise groupkendall's exercisepatient 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
cervical spine strengthening groupcervical spine strengtheningThe 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
Primary Outcome Measures
NameTimeMethod
Change in NPRS8th week

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

Secondary Outcome Measures
NameTimeMethod
Range of motion8th week

A goniometer is a device that measures an angle or permits the rotation of an object to a definite position. The long arm goniometers are more accurate for joints with long levers like the knee and hip joints. A universal goniometer has three parts. A body: It is designed like a protractor and may form a full or a half-circle. It has a scale for the measurement of the angle. The scale can extend either from 0 to 180 degrees or 180 to 0 degrees. A fulcrum: The screw-like device can be tightened to fix the moving arm in a particular position or loosened to permit free movement. The moving arm is the arm of the goniometer, which aligns with the mobile part of the joint measured.

Changes from Basline to 8th week

Trial Locations

Locations (1)

The Bank of Punjab, Lahore

🇵🇰

Lahore, Punjab, Pakistan

© Copyright 2025. All Rights Reserved by MedPath