Comparative Effects of Kendall and Feldenkrais Exercise in Upper Crossed Syndrome

Официальное название

Comparative Effects of Kendall and Feldenkrais Exercise on Pain, Cervical Position Sense, Craniovertebral Angle and Function in Upper Crossed Syndrome

Обзор

Upper Cross Syndrome (UCS) is a prevalent musculoskeletal disorder characterized by muscular imbalances and postural dysfunction. Kendall Method and Feldenkrais Method are physiotherapy exercise programs aimed at reducing pain and improving cervical position sense, CV angle and function. This study compares their effects on pain, CV angle, cervical position sense, and disability in individuals with upper cross syndrome. This will be a randomized Controlled trial conducted on 72 participants. Data will be collected from Sikander Medical Complex, Gujranwala by using non-probability convenience sampling technique. Adults aged 20 to 50 years with upper cross syndrome, confirmed by Craniovertebral Angle less than 50 degrees and experiencing symptoms for more than four weeks, will be included in this study. Individuals with cervical spondylosis, spondylolisthesis, disc prolapse, trauma-related cervical injuries, or a history of shoulder surgery will be excluded. Group A will receive Kendall Method along with conservative physiotherapy, while Group B will receive Feldenkrais Method combined with conservative physiotherapy. Each session will last 30 minutes-40 minutes for the primary intervention and 15-20 minutes for conventional therapy-administered three times per week for five weeks. Pre- and post-treatment evaluations will include the Numeric Pain Rating Scale (NPRS), CV angle (measured via Image J), Cervical position Sense (assessed via HRE) and functional disability (measured via NDI). Data will be analyzed using SPSS version 27.0.

Вмешательства

• Другое Kendall Exercise Method (KM)
  Strengthening of deep cervical flexors Procedure: Positioning supine with the chin tucked in and lifting the head for 2 to 8 s. Stretching of cervical extensors Procedure: Maintaining a sitting posture, with hands on the occipital region, and flexed spine while moving head downwards to stretch cervical extensors. Strengthening of retractors Procedure: Maintaining an upright posture, keep the resistance band circling with strong support and stretching it with the upper limbs of both sides so that
• Другое Feldenkrais Exercise Method (FM)
  Shoulder 1 minute (2) Relaxation (2) Lift and lower one shoulder slowly Key Focus Focus on small range of motion and awareness Neck Rolls head from one side to the other gently 1 minute Reduce tension, no strain, smooth motion Ear-to-Shoulder (Static) Lower ear to shoulder, return to center 1 minute Observe full-body involvement Ear-to-Shoulder with Shoulder Lift Alternate ear-to-shoulder and shoulder-to-ear 1 minute Gentle coordination of \]head and shoulder Upper Body Rotation (Step 1) Sit for

Первичные конечные точки

• Neck pain and diability index [Срок оценки: 6th week]
• Head Repositioning Error Test [Срок оценки: 6th week]

Критерии участия

Критерии включения

• Male subjects between 20-50 years
• Female subjects between 20-50 years
• Cranio-vertebral angle less than 50 degrees
• Subjects who had been experiencing neck pain for more than 3 months
• Slouched sitting for more than four hours per day
• Usage of handheld devices while reading, working, and travelling
• Pain intensity score between 4 to 10 on NPRS
• NDI>10 scores between 10 and 34
• Tight pectoralis major muscle

Критерии исключения

• Surgeries of the cervical spine within past 1 year
• Surgeries or fracture to the shoulder joint
• Cervical instability
• Cervical Radiculopathy
• Neurological disorders such as cervical spondylosis, spondylolisthesis, disc prolapse and rheumatic disease

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Rabiya Noor — Lahore

Идентификаторы

NCT: NCT07578831 · REC/RCR & AHS/25/0108

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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