Kendall Exercises on Posture-Related Cervical Spondylosis

Riphah International University

Status: Enrolling

Conditions: Cervical Spondylosis

Treatments: Other: Conventional therapy group; Other: kendall exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06927609

REC/muhammad talha 02008

Details and patient eligibility

About

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.

Full 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

Enrollment: 36 estimated patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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36 participants in 2 patient groups

(Kendall Exercises)

Experimental group

Description:

Stretching of Cervical Extensors Strengthening Deep Cervical Flexors Strengthening Shoulder Retraction Stretching Pectoralis Muscle

Treatment:

Other: kendall exercises

conventional therapy

Active Comparator group

Description:

Cervical Traction Neck Isometric Exercises (Cervical flexors), Static Stretching (Cervical extensors) General Cervical Extension and Flexion Exercises Shoulder Shrugs

Treatment:

Other: Conventional therapy group