Effects of Kendall Exercise Versus Gong's Mobilization in Text Neck Syndrome. A Pilot Study
Study Details
Study Description
Brief Summary
This project was a pilot randomized trial conducted to compare the effects of Kendall exercise and Gong's mobilization on pain, range of motion, function and strength in text neck syndrome so that we can have best treatment option for patients with neck pain
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Non Probability Convenient sampling was done. Patients following eligibility criteria from Fatima hospital Sargodha were considered. Sample size was calculated 12.
Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given Kendall exercise and Group B was given Gong's mobilization along with conventional physiotherapy treatment (hot pack). Duration of research was almost 6 months. Participants were treated 3 times a week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week period respectively.
Assessment was done via Numeric pain rating scale (NPRS),Neck Disability index (NDI), Universal goniometer and Modified sphygmomanometer test. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Kendall exercise Experimental group 1 got this intervention containing Kendall exercise for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test. |
Other: Kendall exercise
consist of stretch of pectoralis major and neck extensor strengthening of deep neck flexors and scapular retractor
|
Experimental: Gong's mobilization Experimental group 1 got this intervention containing Gong's mobilization for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test. |
Other: Gong's mobilization
it is combination of glide along the facet joint and concurrent movement of cervical spine
|
Outcome Measures
Primary Outcome Measures
- Numeric pain rating scale [4th week]
Numeric pain rating scale range from 0-10, 0 means no pain- 10 means severe pain First checked at baseline and than 4th week
- Range of Motion [4th week]
All ranges of neck: 80° to 90° of flexion, 70° of extension, 20° to 45° of lateral flexion, and up to 90° of rotation to both sides. All ranges other than the written will be considered abnormal. First checked at baseline and than 4th week
- Neck Disability Index [4th week]
Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. o means no pain 5 means maximum pain Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50.0 means no disability, 50 means full limitation.A higher score indicates more patient-rated disability. First checked at baseline and than 4th week
- Modified Sphygmomanometer test [4th week]
It is used to measure strength of muscles. change in 2mm cause minimal detectable change. First checked at baseline and than 4th week
Eligibility Criteria
Criteria
Inclusion Criteria:
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Young adults
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more than one year using a smartphone
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Using smart phone for more than 2 hours a day
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Craniovertebral angle(CVA)less than 53°
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Score of more than 3 on NPRS and more than 10 on NDI
Exclusion Criteria:
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Spinal infection or inflammatory disorder
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Neck surgery or trauma
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Torticollis, scoliosis
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Malignancy, pregnancy
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Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis and osteoporosis
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Current use of any medication or physical therapy treatment.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Riphah IU | Lahore | Punjab | Pakistan | 54000 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Rabiya Noor, PhD, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
- Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26.
- Kim KH, Kim SG, Hwangbo G. The effects of horse-riding simulator exercise and Kendall exercise on the forward head posture. J Phys Ther Sci. 2015 Apr;27(4):1125-7. doi: 10.1589/jpts.27.1125. Epub 2015 Apr 30.
- Neupane S, Ali UI, Mathew A. Text neck syndrome-systematic review. Imperial Journal of Interdisciplinary Research. 2017;3(7):141-8.
- REC/Lhr/20/0105