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Forward Head PostureNCT05878600

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

A study testing kendall's exercise and cervical spine strengthening in people with Forward Head Posture, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To compare the effects of targeted cervical spine strengthening exercises and Kendall exercise in patients with forward head posture Read more about this study

Who is it for?
Ages 20 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Forward Head Posture
What is being tested?
kendall's exercise and cervical spine strengthening
Could I receive a placebo?
No, everyone receives an active treatment
How many people
38 participants
Where
1 sitePakistan
Study dates
16 Nov 2022to 16 Aug 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • 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.

Who cannot join

  • Spinal trauma
  • Musculoskeletal abnormality in the cervical spine
  • Rheumatologic disorders
  • Any bony or soft tissue systemic disease
  • Congenital defects
  • Disc pathology

Trial locations and contacts

1 site in 1 country.

Pakistan1 site

  • The Bank of Punjab, Lahore

    Lahore, Punjab Province, 54000

Other trials in Pakistan

About this study

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

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

Read the detailed 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.

Being tested
kendall's exercise, cervical spine strengthening
Keywords
Forward head, Kendall exercises.

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • kendall's exerciseOther

    Also called cervical spine strengthening

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

  • cervical spine strengtheningOther

    sole effect of cervical spine strengthening will be analyzed

Study groups in NCT05878600
Study groupRoleWhat they receive
cervical spine strengthening groupExperimentalThe 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
Receives: Other: cervical spine strengthening
Kendall exercise groupActive comparatorpatient 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
Receives: Other: kendall's exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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

    Measured: 8th week

Secondary outcomes (1)

  1. 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

    Measured: 8th week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 May 2023
  2. Study start16 Nov 2022
  3. Primary completion16 Jul 2023
  4. Study completion16 Aug 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
38 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05878600
Sponsor's protocol ID
REC/RCR & AHS/23/0120
Status last verified
Dec 2023
First submitted
4 May 2023
Last updated
27 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 33612123

  • 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.

    PubMed 34068139

  • 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.

    PubMed 21849731

  • 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.

    PubMed 31013190

  • 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.

    PubMed 32724778

  • 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.

    PubMed 24298922

  • 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.

    PubMed 31773477

  • 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.

    PubMed 29184298

  • 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.

    PubMed 30777064

Questions about this trial

What is this clinical trial studying?

A study testing kendall's exercise and cervical spine strengthening in people with Forward Head Posture, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in NPRS (time frame: 8th week). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05878600, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Dec 2023.

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