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| Name | Class |
|---|---|
| Cairo University | OTHER |
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This study aims at investigating the effects of application of twelve sessions of Global Postural Re-education Technique (GPR) and Kendall Exercises (KE) on Craniovertebral angle (CVA), Gaze Angle (GA), Shoulders Angle (SA), Pain, functional abilities, Range of Motion, stability of sense of position, cervical muscle strength and endurance, Spinal mobility, and Chest Expansion.
A sample of 43 participants with a CVA less than 50 degrees will be randomly assigned to one of the two groups either receiving global postural reeducation added to traditional Kendall exercises or a group that receives Kendall Exercises only. Treatment sessions will be continued for a total of 12 sessions with a rate of 3 sessions per week. The effect of these two treatments will be assessed by various variables including: forward head angle, Gaze Angle and Shoulder angle via photogrammetry and Kinovea App, Pain intensity (VAS), functional abilities via neck disability index (NDI), cervical Range of motion and sense of position stability by Cervical Range of Motion instrument (CROM), Spinal mobility and chest expansion by tape measurement.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GPR | Experimental | participants in this group receive global postural reeducation technique+ Kendall exercises |
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| Kendall | Active Comparator | Kendall exercises |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Global Postural Re-education | Other | treatment techniques include corrective exercises both local and global to correct forward head posture. first session will be to educate participants on the treatment sequence. This will be a session of Kendall's exercises as described below. This will followed be by performing GPR techniques of Anterior Chain stretch in the supine frog-like position for 20 minutes followed by posterior chain stretch against the wall for another 20 minutes. This is repeated in the first 6 sessions. Starting from the seventh session the time of holding each position is decreased to 15 minutes and a third position (standing against the wall) is introduced and performed for 15 minutes. Starting from the eighth session fourth position of sitting on the floor position is introduced and performed for another 15 minutes. total of a session will then take about 90 minutes. Pre-treatment diaphragmatic release and deep breathing exercises are applied at the beginning of each session |
| Measure | Description | Time Frame |
|---|---|---|
| craniovertebral angle | the angle formed between a horizontal line and a line extending from ear meatus and C7 | before and after 12 sessions |
| Measure | Description | Time Frame |
|---|---|---|
| Gaze Angle | the angle formed between the line extending from the tragus of the ear to the canthus of the eye. | before and after 12 sessions |
| Shoulder Angle | the angle formed between the line extending from C7 to acromion with horizontal line |
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Inclusion Criteria:
Exclusion Criteria:
The patient underwent other physical therapy programs in the last three months.
- Excessive use of smart technology
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| Name | Affiliation | Role |
|---|---|---|
| Walaa Abu-Taleb, MSc | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Horus University | Damietta | 34518 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40325777 | Derived | Abu-Taleb W, Yamany AA, Aneis YM, Abu El Kasem ST. Effect of adding global postural reeducation to kendall exercises for treating asymptomatic forward head posture: A single-blinded randomized controlled trial. J Bodyw Mov Ther. 2025 Jun;42:938-947. doi: 10.1016/j.jbmt.2025.01.039. Epub 2025 Feb 6. |
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These data are case sensitive and considered confidential regarding my supervisors' opinion and participants' request , So, upon their request I prefer to not share individual participant data (IPD) with other researchers
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The enrolled participants will be masked (single blind study) and randomly assigned into two groups without being informed whether they are in the control or the study(experimental) group.
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| Kendall exercises | Other | exercises that correct upper crossed syndrome: The treatment sequence will be: a) Strengthen deep Cervical Flexors via Chin tucks. Repetition will be repeated 10 times for 5 sets. (b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times. (c) Strengthening shoulder retraction. Repetition will be repeated 10 times for 5 sets. (d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times. Exercises will be progressed as the sessions develop. |
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| before and after 12 sessions |
| Proprioceptive stability test | By utilizing CROM testing the patients' sense of location precision | before and after 12 sessions |
| Spinal mobility | Fingers to floor test using a tape measurement | before and after 12 sessions |
| Chest expansion | Axillary and Xyphoid chest expansion by the tape measurement | before and after 12 sessions |
| Cervical muscle strength and endurance | Biofeedback stabiliser is used to measure the maximum time the muscles could hold in addition to time the contraction of 50% maximum muscle contractionis maintained. | before and after 12 sessions |
| Neck disability index | a scale that tests the effect of treatment on functional abilities of patients. | before and after 12 sessions |
| Pain intensity | Visual analogue scale is given to participants to select their pain scale level. | before and after 12 sessions |