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

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

Detailed Description
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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.

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

Conditions
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Forward Head Posture

Intervention / Treatment
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* Other: kendall's exercise
* Other: cervical spine strengthening


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: cervical spine strengthening group<br>The 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 | Other: cervical spine strengthening<br>* sole effect of cervical spine strengthening will be analyzed<br>|
| Active Comparator: Kendall exercise group<br>patient 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 | Other: kendall's exercise<br>* comparative effect of targeted cervical spine strengthening versus kendalls exercise will be analyzed<br>* Other names: cervical spine strengthening;|

What is the study measuring?
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Primary Outcome Measures

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

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

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Forward head, Kendall exercises.