Comparison of Brugger's Exercise With and Without Kendall Exercises in Sterno-Symphyseal Syndrome

Comparative Effects of Brugger's Exercise With and Without Kendall Exercises on Pain, Craniovertebral Angle and Range of Motion in Patients With Sterno-Symphyseal Syndrome

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers .In actual it is the approximation between pubic symphysis and sternum. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25.

Sterno-symphyseal syndrome is a natural result of prolonged sitting work, especially with computers. It is basically the approximation between the sternum and pubic symphysis. This syndrome has been given several names including posterior cervical-dorsal syndrome and more commonly Computer back or Student syndrome. This posture is associated with increased muscular tension and faulty respiration habit. The aim of study will be to compare the effects of Brugger's exercise with and without Kendall exercises on Pain, Craniovertebral angle and Range of motion in patients with Sterno-Symphyseal Syndrome.

A Randomized Clinical Trial will be conducted at Umar Hospital Lahore through convenience sampling technique on patients which will be allocated using simple random sampling through computer generated method into Group A and Group B. Group A will be treated with Kendall exercises and Brugger's Exercise and Group B will receive Brugger's Exercise only. Standard treatment will be provided to both groups. Outcome measures will be conducted through pain, Craniovertebral angle and neck range of motion at baseline, after 3 weeks and by the end of 6 weeks of treatment. Data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups.

Inclusion Criteria: • Age Group between 18-35 years old

• Gender: Male and Female both included (23).
• Subjects with slumped posture with Craniovertebral angle less than 50 degree (12).
• Subjects having distance from xiphoid process to pubic symphysis less than 28 cm (11 inches).
• Subjects sitting more than 4 hours a day (12).
• Subjects with upper back pain with < 7 score on Numeric Pain rating scale

Exclusion Criteria: • Subjects with Untreated fractures on cervical and upper thorax spine.

• Neoplasm on spine.
• Cervical disc prolapses.
• Subject with psychological disorder.
• Vertebro basilar insufficiency and Migraine are excluded (12).