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

Forward Head Posture Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05878600
• Other study ID #: REC/RCR & AHS/23/0120
• Status: Completed
• Phase: N/A
• Start date: November 16, 2022
• Est. completion date: August 16, 2023

Study information

• Verified date: December 2023
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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

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 information / eligibility

• Status: Completed
• Enrollment: 38
• Est. completion date: August 16, 2023
• Est. primary completion date: July 16, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 40 Years

Eligibility

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

Related Conditions & MeSH terms

• Forward Head Posture

Intervention

Other:
• kendall's exercise
comparative effect of targeted cervical spine strengthening versus kendalls exercise will be analyzed
• cervical spine strengthening
sole effect of cervical spine strengthening will be analyzed

Locations

Country	Name	City	State
Pakistan	The Bank of Punjab, Lahore	Lahore	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (9)

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. Erratum In: BMC Musculoskelet Disord. 2021 Apr 26;22(1):385. — View Citation

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. — View Citation

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	neck disability index	The neck disability index NDI has become a standard instrument for measuring self-rated disability due to neck pain. Each of the 10 items scores from 0 to 5. The maximum score is 50 Changes from Basline to 8th week	8th week
Other	Photogrammetry	It is used for postural evaluation. Most common way to find forward head posture is y measuring craniovertebral angle. Photos were taken from patients' right side and analysis is done by using ImageJ software Changes from Basline to 8th week	8th week
Primary	Change in NPRS	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	8th week
Secondary	Range of motion	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	8th week