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The study was conducted to determine the comparative effects of Sahrmann and Kendall exercises on pain, range of motion and disability in patients with text neck syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sahrmann exercise | Experimental |
| |
| Kendall Exercise | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sahrmann exercise | Other | Sahrmann exercises which include Deep Neck Flexor Activation (Chin Tucks), Cervical Flexion with Scapular Stabilization, Shoulder Blade Retractions, Controlled Cervical Rotations, Scapular Depression with Resistance Bands, Neck Flexion Isometric, Cervical Side Bending with Resistance, Thoracic Extension Exercises. Each containing 5 repetitions, each held for 5-10 seconds, Total 3 sessions per week for 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Pain Rating Scale | The Numerical Pain Rating Scale (NPRS) is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 (no pain at all) to 10 (worst imaginable pain). | From enrollment to the end of treatment at 4 weeks |
| Neck Disability Index | Neck pain disability index is used for the disability of the neck or the impact of neck pain on a person. This 10-item questionnaire is used to assess the patient overall quality of life as well as the personal ability to perform activities of daily living. It has various categories ranging from personal care, lifting, reading etc. it has a scoring range from zero disability. The greater the scored the higher the disability of neck. | From enrollment to the end of treatment at 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| ROM Cervical Spine (Flexion) | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (Extension) |
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Inclusion Criteria:
Exclusion Criteria:
• Participants with any spinal infection example: osteomyelitis
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| Name | Affiliation | Role |
|---|---|---|
| Saba Rafique, MS-OMPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PulseCore Physio and Rehab Centre | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31654125 | Background | Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr;93(3):281-290. doi: 10.1007/s00420-019-01480-x. Epub 2019 Oct 25. | |
| 33896809 |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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|
| Kendall exercise | Other | Kendall exercise includes Deep Neck Flexor Activation (supine chin tucks) for 2 to 8s, stretch cervical extensors, Scapular Retraction with resistance, Pectoralis major and minor stretch. Each posture was maintained for 30s and 6 sets of 12 repetitions were performed with 3 sessions per week on alternate days for 4 weeks. |
|
| Standard Physical Therapy Treatment | Other | Both groups were given Standard Physical Therapy treatment including hot pack (applying a moist heat pack to the neck for 7-10 minutes, relaxing muscles, and alleviating pain. Use a towel as a barrier to avoid burns.) and Soft Tissue Mobilization Protocol (involves applying targeted pressure to neck muscles, releasing tension and improving circulation. Additionally, postural education focused on maintaining an upright posture while using mobile devices. This involved holding the device close to eye level and using it while either standing or sitting. Repeat 2-3 times daily for 4 weeks. |
|
Changes in cervical spine extension ROM at baseline and 4th week of intervention was measured using goniometer.
| From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (Lateral Flexion) Left Side | Changes in cervical spine Lateral flexion on left side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (lateral Flexion) Right Side | Changes in cervical spine lateral flexion on right side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (Rotation) Left Side | Changes in cervical spine rotation on left side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (Rotation) Right Side | Changes in cervical spine rotation on right side ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks |
| 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. |
| 35587064 | Background | Abdel-Aziem AA, Mohamed RR, Draz AH, Azab AR, Hegazy FA, Diab RH. The effect of McKenzie protocol vs. deep neck flexor and scapulothoracic exercises in subjects with chronic neck pain - a randomized controlled study. Eur Rev Med Pharmacol Sci. 2022 May;26(9):3138-3150. doi: 10.26355/eurrev_202205_28731. |
| 40325777 | Background | 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. |