Clinical trial NCT06927609: Kendall Exercises on Posture-Related Cervical Spondylosis
Official title: Effects of Kendall Exercises on Posture-Related Cervical Spondylosis
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Cervical Spondylosis
Keywords: kendell exercise
Cervical spondylosis,
Postural abnormalities
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-04-15
Enrollment: 36
Sex: ALL
Minimum age (years): 45
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study evaluates the effectiveness of Kendall exercises in correcting postural deviations, such as forward head posture, associated with cervical spondylosis. By targeting muscle imbalances and improving alignment through stretching and strengthening protocols, the research aims to reduce symptoms, enhance cervical spine function, and promote postural health. Participants will undergo a four-week exercise intervention with pre- and post-assessments to determine the outcomes.

Detailed description: This study investigates the impact of Kendall exercises on posture-related cervical spondylosis, a degenerative condition often linked to postural deviations like forward head posture (FHP). Prolonged poor posture, frequently exacerbated by activities such as excessive smartphone or computer use, leads to muscle imbalances, increased mechanical stress on the cervical spine, and degenerative changes in intervertebral discs and joints.

Kendall exercises are targeted therapeutic interventions designed to address muscle imbalances by strengthening weak muscles (e.g., deep cervical flexors) and stretching tight muscles (e.g., upper trapezius, pectoralis muscles). These exercises aim to restore proper alignment, reduce mechanical strain, and improve overall posture and cervical function.

Participants with posture-related cervical spondylosis will engage in a four-week exercise protocol involving specific Kendall exercises for cervical extensors, flexors, shoulder retraction, and chest muscles. Outcomes will be assessed using craniovertebral angle measurements, photographic analysis, and subjective pain/function scales. The study seeks to establish Kendall exercises as a non-invasive, effective intervention for managing cervical spondylosis by correcting postural deviations and mitigating associated symptoms

Eligibility criteria: Inclusion Criteria:

* • Already diagnosed patients of cervical radiculopathy confirmed by clinical examination and imaging

  * A patient with a Forward Head Posture (FHP) (CVA angle less the 48-50 degrees is defined as Forward head posture
  * Positive Spurling test
  * Numbness of the arm, fingers, or shoulder
  * Cervical Postural assessment showing asymmetry (radiographic Analysis, and Posture Observation)
  * Chronic symptoms ≥ 1 year
  * Pain and Stiffness which limited range of motion in the cervical spine (Flexion less than 60°) (Extension less than 73°) (Lateral Flexion less than 13°-23° Rotation less than 80°)
  * Pain: moderate to severe level (≥5 on NPRS)

Exclusion Criteria:

* • History of Recent trauma to the cervical spine

  * Any psychological condition
  * Any specific cause of cervical radiculopathy (e.g., metabolic diseases, rheumatoid arthritis, osteoporosis)
  * Central or peripheral neurological signs
  * History of spinal surgery.

Primary outcomes:
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: 4 weeks
measure: Range Of Motion: Goniometer
timeFrame: 4 weeks
measure: craniovertebral angle (CVA)
timeFrame: 4 weeks
measure: Neck Disability Index (NDI)
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Malakand
country: Pakistan
facility: DHQ Hospital, Batkhela, and Bahadur Khan, Rozi Khan Memorial Hospital
state: KPK
Study officials:
affiliation: Riphah International University
name: Maria khalid, MSOMPT
role: PRINCIPAL_INVESTIGATOR
References: