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

Study Overview
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Brief Summary
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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

Detailed Description
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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.

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

Conditions
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Neck Pain

Intervention / Treatment
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* Other: Kendall exercise
* Other: Gong's mobilization


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Kendall exercise<br>Experimental group 1 got this intervention containing Kendall exercise for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test. | Other: Kendall exercise<br>* consist of stretch of pectoralis major and neck extensor strengthening of deep neck flexors and scapular retractor<br>|
| Experimental: Gong's mobilization<br>Experimental group 1 got this intervention containing Gong's mobilization for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test. | Other: Gong's mobilization<br>* it is combination of glide along the facet joint and concurrent movement of cervical spine<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| 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 | 
| 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 | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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neck pain