Kendall Exercises on Posture-Related Cervical Spondylosis

NCT ID: NCT06927609

Last Updated: 2025-08-19

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-02-03
• Study Completion Date: 2025-06-10

Brief Summary

This study evaluates the effectiveness of Kendall exercises in correcting postural deviations, such as forward head posture, associated with cervical spondylosis. By targeting muscle imbalances and improving alignment through stretching and strengthening protocols, the research aims to reduce symptoms, enhance cervical spine function, and promote postural health. Participants will undergo a four-week exercise intervention with pre- and post-assessments to determine the outcomes.

Detailed Description

This study investigates the impact of Kendall exercises on posture-related cervical spondylosis, a degenerative condition often linked to postural deviations like forward head posture (FHP). Prolonged poor posture, frequently exacerbated by activities such as excessive smartphone or computer use, leads to muscle imbalances, increased mechanical stress on the cervical spine, and degenerative changes in intervertebral discs and joints.

Kendall exercises are targeted therapeutic interventions designed to address muscle imbalances by strengthening weak muscles (e.g., deep cervical flexors) and stretching tight muscles (e.g., upper trapezius, pectoralis muscles). These exercises aim to restore proper alignment, reduce mechanical strain, and improve overall posture and cervical function.

Participants with posture-related cervical spondylosis will engage in a four-week exercise protocol involving specific Kendall exercises for cervical extensors, flexors, shoulder retraction, and chest muscles. Outcomes will be assessed using craniovertebral angle measurements, photographic analysis, and subjective pain/function scales. The study seeks to establish Kendall exercises as a non-invasive, effective intervention for managing cervical spondylosis by correcting postural deviations and mitigating associated symptoms

Conditions

Cervical Spondylosis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

(Kendall Exercises)

Stretching of Cervical Extensors Strengthening Deep Cervical Flexors Strengthening Shoulder Retraction Stretching Pectoralis Muscle

Group Type: EXPERIMENTAL

kendall exercises

Intervention Type: OTHER

Stretching of Cervical Extensors Strengthening Deep Cervical Flexors Strengthening Shoulder Retraction Stretching Pectoralis Muscle

conventional therapy

Cervical Traction Neck Isometric Exercises (Cervical flexors), Static Stretching (Cervical extensors) General Cervical Extension and Flexion Exercises Shoulder Shrugs

Group Type: ACTIVE_COMPARATOR

Conventional therapy group

Intervention Type: OTHER

Cervical Traction Neck Isometric Exercises (Cervical flexors), Static Stretching (Cervical extensors) General Cervical Extension and Flexion Exercises Shoulder Shrugs

Interventions

kendall exercises

Stretching of Cervical Extensors Strengthening Deep Cervical Flexors Strengthening Shoulder Retraction Stretching Pectoralis Muscle

Intervention Type: OTHER

Conventional therapy group

Cervical Traction Neck Isometric Exercises (Cervical flexors), Static Stretching (Cervical extensors) General Cervical Extension and Flexion Exercises Shoulder Shrugs

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• • Already diagnosed patients of cervical radiculopathy confirmed by clinical examination and imaging

• A patient with a Forward Head Posture (FHP) (CVA angle less the 48-50 degrees is defined as Forward head posture
• Positive Spurling test
• Numbness of the arm, fingers, or shoulder
• Cervical Postural assessment showing asymmetry (radiographic Analysis, and Posture Observation)
• Chronic symptoms ≥ 1 year
• Pain and Stiffness which limited range of motion in the cervical spine (Flexion less than 60°) (Extension less than 73°) (Lateral Flexion less than 13°-23° Rotation less than 80°)
• Pain: moderate to severe level (≥5 on NPRS)

Exclusion Criteria

• • History of Recent trauma to the cervical spine

• Any psychological condition
• Any specific cause of cervical radiculopathy (e.g., metabolic diseases, rheumatoid arthritis, osteoporosis)
• Central or peripheral neurological signs
• History of spinal surgery.

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Maria khalid, MSOMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

DHQ Hospital, Batkhela, and Bahadur Khan, Rozi Khan Memorial Hospital

Malakand, KPK, Pakistan

Countries

Pakistan

Other Identifiers

REC/muhammad talha 02008

Identifier Type: -

Identifier Source: org_study_id