Farward Head Posture
Conditions
Keywords
Neck pain, disabilty, Craniovertebral Angle, Kendall Posture Correction, Scapular Stabilization Exercises
Brief summary
A total of 18 treatment sessions will be conducted over six weeks (three sessions per week). Both groups will receive a hot pack for 7-8 minutes before treatment. Group A will receive Kendall Posture Correction Exercises, including supine chin tucks, cervical extensor stretching, TheraBand shoulder retraction, and pectoral stretching for 20-30 minutes per session. Strengthening exercises will comprise 5 sets of 10 repetitions, while stretching will involve 5 repetitions with 60-second holds. Progression will begin in week 3 by increasing resistance and introducing advanced exercises according to tolerance. Group B will receive Scapular Stabilization Exercises, including supine breathing, crook-lying arm raises, quadruped arm lifts, lateral dumbbell raises, and mirror-based postural correction for 20 minutes per session. Exercises will be performed in 3 sets of 10 repetitions with 10-second holds and 30-second rest intervals. Progression will include T-to-Y, T-Y-W, scapular protraction, and scapular-clock exercises to improve scapular strength, coordination, and postural alignment.
Interventions
OTHERKendall Posture Correction
The total duration of program will be for 20 to 30 minutes. The program includes: * Strengthening of deep cervical flexors through supine chin tuck exercises (5 sets of 10 repetitions) * Cervical extensor stretching in sitting (5 repetitions, 60-second hold) * Shoulder retraction strengthening using TheraBand (5 sets of 10 repetitions) * Pectoralis muscle stretching using a door frame (5 repetitions, 60second hold) Progression will be introduced from week 3 by increasing exercise intensity and resistance, along with advanced variations such as head lift, manual overpressure, and prone scapular strengthening according to tolerance.
Scapular Stabilization Exercises for a total duration of 20 minutes per session. Initial Phases The program consists of five phases including: * Supine deep breathing * Crook-lying arm raises * Quadruped arm lifts * Sitting lateral dumbbell raises * Postural correction training using a mirror, with each exercise held for 10 seconds and performed in 3 sets of 10 repetitions with 30-second rest intervals. Progression and supplementary exercises include T-to-Y and T-Y-W exercises (10 repetitions each with 5 sec hold) for scapular strengthening and coordination, scapular protraction exercises to activate serratus anterior, and scapular-clock exercises to improve mobility and postural alignment.
Sponsors
University of Management and Technology Lahore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
This study aims to compare the effects of Kendall Posture Correction Exercises and Scapular Stabilization Exercises on pain, neck disability, and craniovertebral angle in patients with forward head posture. Participants will be divided into two groups receiving their respective exercise protocols three times weekly for six weeks, comprising 18 sessions. Both groups will receive hot pack therapy before exercise. Outcomes will be assessed before and after the intervention to determine the effectiveness of each treatment approach.
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
* Both males and females * Aged 18-35 years. * Diagnosed with Forward Head Posture with CVA between 40 to 50 degrees. * Participants presenting with neck pain and stiffness. * NPRS greater than 5. * NDI greater than 10%.
Exclusion criteria
* • History of cervical trauma or fracture. * Previous surgical intervention in the cervical region. * Any degenerative or rheumatological condition of the cervical region. * Receiving physical therapy treatment for last three months. * Any systemic or inflammatory condition affecting cervical musculoskeletal function.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale ( NPRS ) | Baseline and 6 weeks after post treatment | 11-point numeric with 0 representing No pain, 1-3 representing Mild Pain (nagging, annoying, interfering little with ADLs), 4-6 representing Moderate Pains (interferes significantly with ADLs), 7-10 representing Sever Pain (disabling, unable to perform ADL) |
| Photogrammetry | Baseline and 6 weeks after post treatment | It is a valid and reliable method for assessing the craniovertebral angle (CVA), demonstrating good validity (r = 0.89) and high reliability (95% CI: 0.78-0.99). In this study CVA will be measured using Kinovea Software which has shown excellent validity (r = 1.0) and reliability (ICC \> 0.99) for angle measurement. Therefore, Kinovea-based photogrammetry is a reliable method for assessing CVA and forward head posture |
| Neck Disability Index (NDI) | Baseline and 6 weeks after post treatment | Functional disability will be assessed using the Neck Disability Index (NDI), a reliable and validated 10-item self-reported questionnaire evaluating neck-related limitations in daily activities. Each item is scored from 0 to 5, with a total score ranging from 0 to 50. Higher scores indicate greater disability, while lower scores reflect better functional ability. |
Countries
Pakistan
Outcome results
None listed