Effectiveness of Jandas approach versus Functional corrective exercise on neck posture and functional disability in the individuals with the forward head posture - A Comparative study

AIM : To find out the effectiveness of Jandas approach versus functional corrective exercises on neck posture and functional disability on individuals with the forward head posture.

INTRODUCTION : The most common way to define forward head posture (FHP) is as excessively anterior head orientation with respect to a vertical reference line (1) It shifts the centre of gravity forward from the vertebrae. As a result, the cervical musculature experiences excessive stress, leading to muscular imbalanced There are the various study that proves the high prevalence of forward head posture. Researchers have estimated that upto 63.93% of individuals including male and female having forward head posture (2) The anterior position of the cervical spine is also known as "text neck" or forward head posture (FHP)."Reading neck," "wearies neck," and "scholar’s neck”. This postural issue is brought on by a number of things, such as sleeping with the head raised too high, using computers, laptops, and cell phones In UCS, pectoralis major tightness crosses over with dorsal side levator scapula and upper trapezius tightness and small. The middle and lower trapezius muscles are weak in conjunction with the deep cervical flexors ventrally crossed. In particular, at the atlanto-occipital joint, C4-C5 segment, cervicothoracic joint, glenohumeral joint, and T4-T5 segment, this pattern of imbalance results in joint dysfunction. Specific postural changes are seen in UCS, including forward head posture

NEED OF THE STUDY : An increase in cervical lordosis, rounded shoulders, kyphosis, and pain are caused by restricted conditions and repetitive tasks that shorten and stiffen certain muscles (such as the upper trapezius, levator scapulae, and deep neck flexors) and inhibit and weaken others (such as the lower and middle trapezius). This imbalanced posture results in these abnormalities. Students studying computers and software frequently have a forward head posture This study would probably apply the comparison effect in physiotherapy treatments because no other study compared these two protocols The purpose of Jandas approach was to see the effectiveness of stretching and strengthening exercises in upper cross syndrome and functional corrective exercises used as a therapeutic intervention to target misaligned posture. Conducting a comparative study between these two protocols would focus on specific mechanism and which aspect is more effective in improving neck posture and reduce functional disability.

PROCEDURE : After taking approval from ctri and ethical committee informed consent will be taken from the patients and pre assessment will be done according to the inclusion criteria. Participants will be divided into two equal groups in Group A will receive Janadas approach for 4 weeks and Group B will receive Functional corrective exercise for 4 weeks and post assessment will be taken after for weeks. Conclusion of the study will be made after statistical analysis.