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

NCT ID: NCT05878600

Last Updated: 2023-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-16

Study Completion Date

2023-08-16

Brief Summary

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

Detailed Description

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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.

Conditions

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Forward Head Posture

Keywords

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Forward head, Kendall exercises.

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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cervical spine strengthening group

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

Group Type EXPERIMENTAL

cervical spine strengthening

Intervention Type OTHER

sole effect of cervical spine strengthening will be analyzed

Kendall exercise group

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

Group Type ACTIVE_COMPARATOR

kendall's exercise

Intervention Type OTHER

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

Interventions

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kendall's exercise

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

Intervention Type OTHER

cervical spine strengthening

sole effect of cervical spine strengthening will be analyzed

Intervention Type OTHER

Other Intervention Names

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cervical spine strengthening

Eligibility Criteria

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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
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rabiya Noor, PHD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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The Bank of Punjab, Lahore

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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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.

Reference Type BACKGROUND
PMID: 33612123 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 34068139 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 21849731 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31013190 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32724778 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24298922 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 31773477 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 29184298 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 30777064 (View on PubMed)

Other Identifiers

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REC/RCR & AHS/23/0120

Identifier Type: -

Identifier Source: org_study_id