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Comparative Effects of Kendall and Feldenkrais Exercise in Upper Crossed Syndrome

NCT07578831 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 72

Last updated 2026-05-11

No results posted yet for this study

Summary

Upper Cross Syndrome (UCS) is a prevalent musculoskeletal disorder characterized by muscular imbalances and postural dysfunction. Kendall Method and Feldenkrais Method are physiotherapy exercise programs aimed at reducing pain and improving cervical position sense, CV angle and function. This study compares their effects on pain, CV angle, cervical position sense, and disability in individuals with upper cross syndrome. This will be a randomized Controlled trial conducted on 72 participants. Data will be collected from Sikander Medical Complex, Gujranwala by using non-probability convenience sampling technique. Adults aged 20 to 50 years with upper cross syndrome, confirmed by Craniovertebral Angle less than 50 degrees and experiencing symptoms for more than four weeks, will be included in this study. Individuals with cervical spondylosis, spondylolisthesis, disc prolapse, trauma-related cervical injuries, or a history of shoulder surgery will be excluded. Group A will receive Kendall Method along with conservative physiotherapy, while Group B will receive Feldenkrais Method combined with conservative physiotherapy. Each session will last 30 minutes-40 minutes for the primary intervention and 15-20 minutes for conventional therapy-administered three times per week for five weeks. Pre- and post-treatment evaluations will include the Numeric Pain Rating Scale (NPRS), CV angle (measured via Image J), Cervical position Sense (assessed via HRE) and functional disability (measured via NDI). Data will be analyzed using SPSS version 27.0.

Conditions

  • Upper Crossed Syndrome

Interventions

OTHER

Kendall Exercise Method (KM)

Strengthening of deep cervical flexors Procedure: Positioning supine with the chin tucked in and lifting the head for 2 to 8 s. Stretching of cervical extensors Procedure: Maintaining a sitting posture, with hands on the occipital region, and flexed spine while moving head downwards to stretch cervical extensors. Strengthening of retractors Procedure: Maintaining an upright posture, keep the resistance band circling with strong support and stretching it with the upper limbs of both sides so that there is full retraction of the scapula

OTHER

Feldenkrais Exercise Method (FM)

Shoulder 1 minute (2) Relaxation (2) Lift and lower one shoulder slowly Key Focus Focus on small range of motion and awareness Neck Rolls head from one side to the other gently 1 minute Reduce tension, no strain, smooth motion Ear-to-Shoulder (Static) Lower ear to shoulder, return to center 1 minute Observe full-body involvement Ear-to-Shoulder with Shoulder Lift Alternate ear-to-shoulder and shoulder-to-ear 1 minute Gentle coordination of \]head and shoulder Upper Body Rotation (Step 1) Sit forward on chair; rotate upper body right slightly 6-10 Reps Relaxed turning, observe visual range Eyes Fixed with Body Rotation Fix eyes forward, turn upper body right 6-10 Reps Notice effect of eye fixation on motion

Sponsors & Collaborators

  • Riphah International University

    lead OTHER

Principal Investigators

  • Aiman Hameed, MSPT(CP) · Riphah International University

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
20 Years
Max Age
50 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-01-15
Primary Completion
2026-05-15
Completion
2026-06-15

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07578831 on ClinicalTrials.gov