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

Neck Pain Clinical Trial

Official title:

Effects of Kendall Exercise Versus Gong's Mobilization on Pain, Range of Motion, Function and Strength in Text Neck Syndrome. A Pilot Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04813315
• Other study ID #: REC/Lhr/20/0105
• Status: Completed
• Phase: N/A
• Start date: October 15, 2019
• Est. completion date: April 15, 2021

Study information

• Verified date: July 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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

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 information / eligibility

• Status: Completed
• Enrollment: 12
• Est. completion date: April 15, 2021
• Est. primary completion date: April 15, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 35 Years

Eligibility

Inclusion Criteria:

• Young adults
• more than one year using a smartphone
• Using smart phone for more than 2 hours a day
• Craniovertebral angle(CVA)less than 53°
• Score of more than 3 on NPRS and more than 10 on NDI

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.

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• Kendall exercise
consist of stretch of pectoralis major and neck extensor strengthening of deep neck flexors and scapular retractor
• Gong's mobilization
it is combination of glide along the facet joint and concurrent movement of cervical spine

Locations

Country	Name	City	State
Pakistan	Riphah IU	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (3)

Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26. — View Citation

Kim KH, Kim SG, Hwangbo G. The effects of horse-riding simulator exercise and Kendall exercise on the forward head posture. J Phys Ther Sci. 2015 Apr;27(4):1125-7. doi: 10.1589/jpts.27.1125. Epub 2015 Apr 30. — View Citation

Neupane S, Ali UI, Mathew A. Text neck syndrome-systematic review. Imperial Journal of Interdisciplinary Research. 2017;3(7):141-8.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Numeric pain rating scale	Numeric pain rating scale range from 0-10, 0 means no pain- 10 means severe pain First checked at baseline and than 4th week	4th week
Primary	Range of Motion	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	4th week
Primary	Neck Disability Index	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	4th week
Primary	Modified Sphygmomanometer test	It is used to measure strength of muscles. change in 2mm cause minimal detectable change.; First checked at baseline and than 4th week	4th week