Effects of Sahrmann's Approach in Patients With Cervical Extension Syndrome

Официальное название

Effects of Sahrmann's Approach on Pain, Range of Motion, Craniovertebral Angle and Function in Patients With Cervical Extension Syndrome

Обзор

Cervical Extension Syndrome (CES) is a form of postural dysfunction under the Movement System Impairment (MSI) classification. It has more prevalence among adults due to prolonged poor posture and sedentary lifestyles. This condition involves a forward head position,, increased thoracic curve, and altered movement patterns. This resulting in neck pain and impaired function. The Sahrmann's approach is a biomechanical principle that puts emphasizes on muscle activation, correction of postural impairments, and restoration of movement control through targeted exercises. The objective of the study will be to compare the effects of Sahrmann's Approach on Pain, ROM, craniovertebral angle and function in patients with Cervical Extension Syndrome.

Подробное описание

This randomized controlled trial will investigate the effects of Sahrmann's corrective exercises on pain, range of motion, craniovertebral angle, thoracic curve and function in individuals with CFS. Total sample size 54 is calculated by GPower and participants aged 20-40 years will be recruited from Femwell Physio Clinic, Sir Ganga Ram Hospital and University of Lahore Teaching Hospital Lahore using non- probability consecutive sampling. Subjects will be randomly assigned to either Group A (conventional physiotherapy) or Group B (Sahrmann's approach) through sealed opaque envelopes. Group A will follow a standard treatment, while Group B will perform Sahrmann's corrective exercises for cervical extension syndrome. Numeric Pain Rating Scale (NPRS) for pain, Universal Goniometer (UG) for craniovertebral angle, Inclinometer for thoracic kyphosis and cervical range of motion and Neck Disability Index (NDI) for function will be assessed at baseline and after 6 weeks. Data will be analyzed using SPSS v25 to determine the comparative effects of both interventions.

Вмешательства

• Другое Sahrmann's Exercises
  capital flexion, capital flexion with and without head tilt, Shoulder flexion, Abduction And Lateral Rotation, Cervical Extensors Muscle strengthening along with baseline treatment moist heat pack and TENS.
• Другое conventional physiotherapy
  this group will receive conventional physiotherapy. receive muscle stretching of trapezius, pectoralis and levator scapulae. and Active ROM as retractions of scapula and neck. along with baseline treatment moist heat pack and TENS.

Первичные конечные точки

• Numerical Pain Rating Scale (NPRS) [Срок оценки: upto 4 weeks]
• Craniovertebral Angle (CVA) - Forward Head Posture [Срок оценки: upto 4 weeks]
• Neck Disability Index (NDI) - Functional Disability [Срок оценки: upto 4 weeks]
• Cervical Range of Motion (CROM) [Срок оценки: upto 4 weeks]
• Thoracic Kyphosis Angle [Срок оценки: upto 4 weeks]

Критерии участия

Критерии включения

• Adults between 20-40 years, NPRS score 4-6 , positive tests cervical flexion, extension, protraction and retraction and Cervical Nodding Against Wall

Критерии исключения

Scoliosis, Pregnant females, Any active infection or disese

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

• University of Lahore Teaching Hospital, Lahore HOD Physio Department — Lahore

Публикации

• Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines: Elsevier Health Sciences; 2010.
• Shinde SS, Shah DN. Correlation of craniovertebral angle with neck pain in undergraduate students-cross-sectional study. International Journal of Health Sciences and Research. 2022;12:96-101.
• Ogura Y, Dimar JR, Djurasovic M, Carreon LY. Etiology and treatment of cervical kyphosis: state of the art review-a narrative review. J Spine Surg. 2021 Sep;7(3):422-433. doi: 10.21037/jss-21-54. PMID 34734146
• Jabbar KM, Gandomi F. The comparison of two corrective exercise approaches for hyperkyphosis and forward head posture: A quasi-experimental study. J Back Musculoskelet Rehabil. 2021;34(4):677-687. doi: 10.3233/BMR-200160. PMID 33896809
• Shinde SS, Shah DN. Correlation of craniovertebral angle with neck pain in undergraduate students-crosssectional study. International Journal of Health Sciences and Research. 2022;12:96-101.
• Asadzadeh A, Salahzadeh Z, Samad-Soltani T, Rezaei-Hachesu P. An affordable and immersive virtual reality-based exercise therapy in forward head posture. PLoS One. 2024 Mar 6;19(3):e0297863. doi: 10.1371/journal.pone.0297863. eCollection 2024. PMID 38446782
• Lim J-y, Nam S-h, Kim K-d. A Movement-System-Impairment Approach to the Evaluation and Treatment of a Patient Who had Cervical Flexion Syndrome with a Straight Neck: A Case Report. Journal of Musculoskeletal Science and Technology. 2024;8(1):49-56.
• K S, Kanthanathan S, P ALA. Effectiveness of diagnosis and treatment based on movement system impairment in individuals with cervical pain: A randomized controlled trial. J Bodyw Mov Ther. 2024 Apr;38:323-328. doi: 10.1016/j.jbmt.2024.01.024. Epub 2024 Feb 2. PMID 38763576

Идентификаторы

NCT: NCT07641959 · REC/RCR & AHS/25/0114 Komal

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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