Farward Head PostureNCT07905092
Effect of Excercises on Pain , Disability and Craniovertebral Angle in Patients With Forward Head Posture.
A study testing Kendall Posture Correction and Scapular Stabilization Exercises in people with Farward Head Posture, run by University of Management and Technology Lahore at 1 site in Pakistan.
Trial summary
A total of 18 treatment sessions will be conducted over six weeks (three sessions per week). Both groups will receive a hot pack for 7-8 minutes before treatment. Group A will receive Kendall Posture Correction Exercises, including supine chin tucks, cervical extensor stretching, TheraBand shoulder retraction, and… Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Farward Head Posture
- What is being tested?
- Kendall Posture Correction and Scapular Stabilization Exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 1 sitePakistan
- Study dates
- 23 Oct 2026to 31 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 18 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Both males and females
- Aged 18-35 years.
- Diagnosed with Forward Head Posture with CVA between 40 to 50 degrees.
- Participants presenting with neck pain and stiffness.
- NPRS greater than 5.
- NDI greater than 10%.
Who cannot join
- • History of cervical trauma or fracture.
- Previous surgical intervention in the cervical region.
- Any degenerative or rheumatological condition of the cervical region.
- Receiving physical therapy treatment for last three months.
- Any systemic or inflammatory condition affecting cervical musculoskeletal function.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site
University of Management & Technology
Lahore, Punjab Province, 54000
About this study
Official title: Comparative Effects of Kendall Postural Correction and Scapular Stabilization Exercises on Pain, Neck Disability and Craniovertebral Angle in Patients With Forward Head Posture.
A total of 18 treatment sessions will be conducted over six weeks (three sessions per week). Both groups will receive a hot pack for 7-8 minutes before treatment.
Group A will receive Kendall Posture Correction Exercises, including supine chin tucks, cervical extensor stretching, TheraBand shoulder retraction, and pectoral stretching for 20-30 minutes per session. Strengthening exercises will comprise 5 sets of 10 repetitions, while stretching will involve 5 repetitions with 60-second holds. Progression will begin in week 3 by increasing resistance and introducing advanced exercises according to tolerance.
Group B will receive Scapular Stabilization Exercises, including supine breathing, crook-lying arm raises, quadruped arm lifts, lateral dumbbell raises, and mirror-based postural correction for 20 minutes per session. Exercises will be performed in 3 sets of 10 repetitions with 10-second holds and 30-second rest intervals. Progression will include T-to-Y, T-Y-W, scapular protraction, and scapular-clock exercises to improve scapular strength, coordination, and postural alignment.
- Conditions
- Farward Head Posture
- Being tested
- Kendall Posture Correction, Scapular Stabilization Exercises
- Keywords
- Neck pain, disabilty, Craniovertebral Angle, Kendall Posture Correction, Scapular Stabilization Exercises
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Kendall Posture CorrectionOther
The total duration of program will be for 20 to 30 minutes. The program includes:
- Strengthening of deep cervical flexors through supine chin tuck exercises (5 sets of 10 repetitions)
- Cervical extensor stretching in sitting (5 repetitions, 60-second hold)
- Shoulder retraction strengthening using TheraBand (5 sets of 10 repetitions)
- Pectoralis muscle stretching using a door frame (5 repetitions, 60second hold)
Progression will be introduced from week 3 by increasing exercise intensity and resistance, along with advanced variations such as head lift, manual overpressure, and prone scapular strengthening according to tolerance.
Scapular Stabilization ExercisesOther
Scapular Stabilization Exercises for a total duration of 20 minutes per session. Initial Phases The program consists of five phases including:
- Supine deep breathing
- Crook-lying arm raises
- Quadruped arm lifts
- Sitting lateral dumbbell raises
- Postural correction training using a mirror, with each exercise held for 10 seconds and performed in 3 sets of 10 repetitions with 30-second rest intervals.
Progression and supplementary exercises include T-to-Y and T-Y-W exercises (10 repetitions each with 5 sec hold) for scapular strengthening and coordination, scapular protraction exercises to activate serratus anterior, and scapular-clock exercises to improve mobility and postural alignment.
| Study group | Role | What they receive |
|---|---|---|
| Kendall Posture Correction Exercises | Experimental | It includes Kendall Posture Correction Exercises. The total duration of program will be for 20 to 30 minutes. The program includes:
* Strengthening of deep cervical flexors through supine chin tuck exercises (5 sets of 10 repetitions)
* Cervical extensor stretching in sitting (5 repetitions, 60-second hold)
* Shoulder retraction strengthening using TheraBand (5 sets of 10 repetitions)
* Pectoralis muscle stretching using a door frame (5 repetitions, 60second hold)
Progression will be introduced from week 3 by increasing exercise intensity and resistance, along with advanced variations such as head lift, manual overpressure, and prone scapular strengthening according to tolerance. Receives: Other: Kendall Posture Correction |
| Scapular Stabilization Exercises | Active comparator | Scapular Stabilization Exercises for a total duration of 20 minutes per session. Initial Phases The program consists of five phases including:
* Supine deep breathing
* Crook-lying arm raises
* Quadruped arm lifts
* Sitting lateral dumbbell raises
* Postural correction training using a mirror, with each exercise held for 10 seconds and performed in 3 sets of 10 repetitions with 30-second rest intervals.
Progression and supplementary exercises include T-to-Y and T-Y-W exercises (10 repetitions each with 5 sec hold) for scapular strengthening and coordination, scapular protraction exercises to activate serratus anterior, and scapular-clock exercises to improve mobility and postural alignment. Receives: Other: Scapular Stabilization Exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale ( NPRS )
11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform ADL)
Measured: Baseline and 6 weeks after post treatment
Photogrammetry
It is a valid and reliable method for assessing the craniovertebral angle (CVA), demonstrating good validity (r = 0.89) and high reliability (95% CI: 0.78-0.99). In this study CVA will be measured using Kinovea Software which has shown excellent validity (r = 1.0) and reliability (ICC > 0.99) for angle measurement. Therefore, Kinovea-based photogrammetry is a reliable method for assessing CVA and forward head posture
Measured: Baseline and 6 weeks after post treatment
Neck Disability Index (NDI)
Functional disability will be assessed using the Neck Disability Index (NDI), a reliable and validated 10-item self-reported questionnaire evaluating neck-related limitations in daily activities. Each item is scored from 0 to 5, with a total score ranging from 0 to 50. Higher scores indicate greater disability, while lower scores reflect better functional ability.
Measured: Baseline and 6 weeks after post treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2026
- Study start23 Oct 2026 (estimated)
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Farward Head PostureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Model description
- This study aims to compare the effects of Kendall Posture Correction Exercises and Scapular Stabilization Exercises on pain, neck disability, and craniovertebral angle in patients with forward head posture. Participants will be divided into two groups receiving their respective exercise protocols three times weekly for six weeks, comprising 18 sessions. Both groups will receive hot pack therapy before exercise. Outcomes will be assessed before and after the intervention to determine the effectiveness of each treatment approach.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 36 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Management and Technology Lahore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Maria Mustafa, University of Management and Technology Lahore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07905092
- Sponsor's protocol ID
- RE-154-2026
- Status last verified
- Oct 2026
- First submitted
- 22 Oct 2026
- Last updated
- 29 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Kendall Postural Correction and Scapular Stabilization Exercises on Pain, Neck Disability and Craniovertebral Angle in Patients With Forward Head Posture.
- ClinicalTrials.gov ID
- NCT07905092
- Acronym / sponsor ID
- RE-154-2026
- Conditions
- Farward Head Posture
- Keywords
- Neck pain, disabilty, Craniovertebral Angle, Kendall Posture Correction, Scapular Stabilization Exercises
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 36 participants (estimated)
- Lead sponsor
- University of Management and Technology LahoreUniversity, hospital or other
- Study start
- 23 Oct 2026 (estimated)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 29 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A total of 18 treatment sessions will be conducted over six weeks (three sessions per week). Both groups will receive a hot pack for 7-8 minutes before treatment.
Group A will receive Kendall Posture Correction Exercises, including supine chin tucks, cervical extensor stretching, TheraBand shoulder retraction, and pectoral stretching for 20-30 minutes per session. Strengthening exercises will comprise 5 sets of 10 repetitions, while stretching will involve 5 repetitions with 60-second holds. Progression will begin in week 3 by increasing resistance and introducing advanced exercises according to tolerance.
Group B will receive Scapular Stabilization Exercises, including supine breathing, crook-lying arm raises, quadruped arm lifts, lateral dumbbell raises, and mirror-based postural correction for 20 minutes per session. Exercises will be performed in 3 sets of 10 repetitions with 10-second holds and 30-second rest intervals. Progression will include T-to-Y, T-Y-W, scapular protraction, and scapular-clock exercises to improve scapular strength, coordination, and postural alignment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- This study aims to compare the effects of Kendall Posture Correction Exercises and Scapular Stabilization Exercises on pain, neck disability, and craniovertebral angle in patients with forward head posture. Participants will be divided into two groups receiving their respective exercise protocols three times weekly for six weeks, comprising 18 sessions. Both groups will receive hot pack therapy before exercise. Outcomes will be assessed before and after the intervention to determine the effectiveness of each treatment approach.
| Arm | Type | Receives |
|---|---|---|
| Kendall Posture Correction Exercises | Experimental | Other: Kendall Posture CorrectionIt includes Kendall Posture Correction Exercises. The total duration of program will be for 20 to 30 minutes. The program includes: * Strengthening of deep cervical flexors through supine chin tuck exercises (5 sets of 10 repetitions) * Cervical extensor stretching in sitting (5 repetitions, 60-second hold) * Shoulder retraction strengthening using TheraBand (5 sets of 10 repetitions) * Pectoralis muscle stretching using a door frame (5 repetitions, 60second hold) Progression will be introduced from week 3 by increasing exercise intensity and resistance, along with advanced variations such as head lift, manual overpressure, and prone scapular strengthening according to tolerance. |
| Scapular Stabilization Exercises | Active comparator | Other: Scapular Stabilization ExercisesScapular Stabilization Exercises for a total duration of 20 minutes per session. Initial Phases The program consists of five phases including: * Supine deep breathing * Crook-lying arm raises * Quadruped arm lifts * Sitting lateral dumbbell raises * Postural correction training using a mirror, with each exercise held for 10 seconds and performed in 3 sets of 10 repetitions with 30-second rest intervals. Progression and supplementary exercises include T-to-Y and T-Y-W exercises (10 repetitions each with 5 sec hold) for scapular strengthening and coordination, scapular protraction exercises to activate serratus anterior, and scapular-clock exercises to improve mobility and postural alignment. |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Both males and females
Key exclusion criteria (5 listed)
- • History of cervical trauma or fracture.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Kendall Posture CorrectionThe total duration of program will be for 20 to 30 minutes. The program includes: * Strengthening of deep cervical flexors through supine chin tuck exercises (5 sets of 10 repetitions) * Cervical extensor stretching in sitting (5 repetitions, 60-second hold) * Shoulder retraction strengthening using TheraBand (5 sets of 10 repetitions) * Pectoralis muscle stretching using a door frame (5 repetitions, 60second hold) Progression will be introduced from week 3 by increasing exercise intensity and resistance, along with advanced variations such as head lift, manual overpressure, and prone scapular strengthening according to tolerance. | Other | Kendall Posture Correction Exercises |
| Scapular Stabilization ExercisesScapular Stabilization Exercises for a total duration of 20 minutes per session. Initial Phases The program consists of five phases including: * Supine deep breathing * Crook-lying arm raises * Quadruped arm lifts * Sitting lateral dumbbell raises * Postural correction training using a mirror, with each exercise held for 10 seconds and performed in 3 sets of 10 repetitions with 30-second rest intervals. Progression and supplementary exercises include T-to-Y and T-Y-W exercises (10 repetitions each with 5 sec hold) for scapular strengthening and coordination, scapular protraction exercises to activate serratus anterior, and scapular-clock exercises to improve mobility and postural alignment. | Other | Scapular Stabilization Exercises |
Primary outcome
Numeric Pain Rating Scale ( NPRS )
Time frame: Baseline and 6 weeks after post treatment
11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform ADL)
Photogrammetry
Time frame: Baseline and 6 weeks after post treatment
It is a valid and reliable method for assessing the craniovertebral angle (CVA), demonstrating good validity (r = 0.89) and high reliability (95% CI: 0.78-0.99). In this study CVA will be measured using Kinovea Software which has shown excellent validity (r = 1.0) and reliability (ICC > 0.99) for angle measurement. Therefore, Kinovea-based photogrammetry is a reliable method for assessing CVA and forward head posture
Neck Disability Index (NDI)
Time frame: Baseline and 6 weeks after post treatment
Functional disability will be assessed using the Neck Disability Index (NDI), a reliable and validated 10-item self-reported questionnaire evaluating neck-related limitations in daily activities. Each item is scored from 0 to 5, with a total score ranging from 0 to 50. Higher scores indicate greater disability, while lower scores reflect better functional ability.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2026.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Kendall Posture Correction and Scapular Stabilization Exercises in people with Farward Head Posture, run by University of Management and Technology Lahore 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 6 inclusion and 5 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: opening soon, as of the sponsor's last update on 29 Oct 2026. 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?
This study is still under way. Results are not available in the source record yet.
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?
Numeric Pain Rating Scale ( NPRS ) (time frame: Baseline and 6 weeks after post treatment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 29 Oct 2026.