Effects of Kendall Exercises vs Gong’s Mobilization on Upper Cross Syndrome Kendall Exercises vs. Gong’s Mobilization in UCS
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Abstract
Background: Upper Cross Syndrome (UCS) is a prevalent musculoskeletal disorder characterized by muscular imbalances and postural dysfunction. Effective management strategies are needed to address pain, improve range of motion (ROM), and enhance functional outcomes.
Objective: To compare the effectiveness of Kendall exercises versus Gong’s mobilization in reducing pain, improving ROM, and enhancing functional outcomes in patients with UCS.
Methods: A randomized controlled trial was conducted on 44 patients with UCS, divided into two groups: Kendall exercises (n=22) and Gong’s mobilization (n=22). Interventions were administered 3 times per week for 4 weeks. Outcomes were assessed using the Visual Analog Scale (VAS), Neck Disability Index (NDI), Shoulder Pain and Disability Index (SPADI), and goniometer for cervical and shoulder ROM. Data were analyzed using paired and independent t-tests with SPSS 26.0.
Results: The Kendall group showed significant improvement in VAS (7.64 ± 1.09 to 2.60 ± 0.86), NDI (7.63 ± 1.09 to 2.59 ± 0.85), and SPADI (37.25 ± 12.95 to 29.28 ± 12.60) compared to Gong’s group (p<0.05). ROM improvements were also significantly greater in the Kendall group (p<0.05).
Conclusion: Kendall exercises were more effective than Gong’s mobilization in reducing pain, improving ROM, and enhancing functional outcomes in UCS patients.
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References
Chang MC, Choo YJ, Hong K, Boudier-Revéret M, Yang S, editors. Treatment of Upper Crossed Syndrome: A Narrative Systematic Review. Healthcare; 2023: MDPI.
Rayjade A, Yadav T, Chintamani R, Joshi N. Comparative effectiveness of Kinesio taping and Ift in upper cross syndrome-A randomized clinical trial. Indian Journal of Forensic Medicine & Toxicology. 2020;14(3):127-32.
Mujawar JC, Sagar JH. Prevalence of Upper Cross Syndrome in Laundry Workers. Indian journal of occupational and environmental medicine. 2019;23(1):54-6.
Naseer R, Tauqeer SJPJoPT. Prevalence of upper cross syndrome in different occupations. 2021:03-7.
Mujawar JC, Sagar JH. Prevalence of upper cross syndrome in laundry workers. Indian journal of occupational and environmental medicine. 2019;23(1):54.
Mubeen I, Malik S, Akhtar W, Iqbal M, Asif M, Arshad A, et al. Prevalence of upper cross syndrome among the medical students of University of Lahore. International journal of Physiotherapy. 2016;3(3):381-4.
Rajalaxmi V, Paul J, Nithya M, Lekha SC, Likitha BJRJoP, Technology. Effectiveness of three dimensional approach of schroth method and yoga on pulmonary function test and posture in upper crossed syndrome with neck Pain-A double blinded study. 2018;11(5):1835-9.
Fu T, Wang Y, Jing Q, Xiao L, Yu P, Ren G, et al. EFFECTS OF STATIC RESISTANCE TRAINING OF NECK MUSCLES ON NECK-TYPE CERVICAL SPONDYLOSIS WITH UPPER CROSS SYNDROME. Journal of Mechanics in Medicine and Biology. 2022;22(09):2240057.
Arshadi R, Ghasemi GA, Samadi HJPTiS. Effects of an 8-week selective corrective exercises program on electromyography activity of scapular and neck muscles in persons with upper crossed syndrome: Randomized controlled trial. 2019;37:113-9.
Mubashir MJPJOR. A cross-sectional survey on prevalence of upper cross syndrome and its correlation to WRMSDS in working physiotherapists. 2021;10(1):42-50.
Yaghoubitajani Z, Gheitasi M, Bayattork M, Andersen LL. Online supervised versus workplace corrective exercises for upper crossed syndrome: a protocol for a randomized controlled trial. Trials. 2021;22(1):1-12.
Risalda P, Phansopkar P, Naqvi WM. Effectiveness of active release technique verses conventional physiotherapy in management of upper cross syndrome. Indian Journal of Forensic Medicine & Toxicology. 2021;15(1):246-50.
Dhage P, Anap D. Prevalence of an “Upper Crossed Syndrome in Physiotherapy College Students”–A Cross-Sectional Study. VIMS Health Science Journal. 2019;6(1):10-3.
Gillani S, Rehman S, Masood T. Effects of eccentric muscle energy technique versus static stretching exercises in the management of cervical dysfunction in upper cross syndrome: a randomized control trial. Journal of the Pakistan Medical Association. 2020;70(3):1.
Vaishnavi G, Kumar SD, Kumar GM, Kirupa K, Tharani G, Giftson TE, et al. A study to analyse the effect of Mckenzie’s method of exercise to treat upper cross syndrome associated with cervicogenic headache. Biomedicine. 2021;41(4):855-8.
Mubashir M. A cross-sectional survey on prevalence of upper cross syndrome and its correlation to WRMSDS in working physiotherapists. Pakistan Journal Of Rehabilitation. 2021;10(1):42-50.
Thacker D, Jameson J, Baker J, Divine J, Unfried A. Management of upper cross syndrome through the use of active release technique and prescribed exercises. Logan College of Chiropractic. 2011.
Sri PLB, Pundarikaksha P, Apparao P, Swamy CG. Effectiveness of Pilates and Gong’s Mobilization on Pain, Range of Motion and Function in Text Neck Syndrome Among Young Adults. 2023.
Mareeswari M. Effect of Gong’s Mobilization Versus Maitland Mobilization on Pain, Shoulder Abduction and External Rotation Mobility and Functional Ability in Subjects with Adhesive Capsulitis of Shoulder Joint-A Quasi-Experimental Study. 2022.
El-Kablawy MA, Zuhairy NA, Elazab DR, Hassan MA. The combined effect of kendell and mckenzie postural correction exercises on neck pain and function in chronic non-specific neck pain. Egyptian Journal of Applied Science. 2023;38(1):22-33.
Rahul S, Anitha A, Kamalakannan M, Ramana K. Effectiveness of Kendall Exercise for Forward Head Posture among IT Workers. Indian Journal of Physiotherapy & Occupational Therapy. 2024;18.
Jaideep A, Eapen C, Prabhakar AJ, Patel V. Upper-crossed syndrome and disability in shoulder adhesive capsulitis. Journal of Bodywork and Movement Therapies. 2023;36:282-90.
Idan Almasoodi MC, Mahdavinejad R, Ghasmi GJSRiP. The Effect of 8 Weeks National Academy of Sports Medicine Exercises Training on Posture, Shoulder Pain, and Functional Disability in Male with Upper Cross Syndrome. 2020;11(11).
Irshad A, Khan MF, Khan M, Rabia K, Aslam J, Zafar I, et al. Comparison between Static Stretching Exercises and Eccentric Muscle Energy Techniques in Upper Cross Syndrome: Randomized control trial: Static Stretching Exercises and Eccentric Muscle Energy. Pakistan BioMedical Journal. 2022:190-4.
Hassan D, Irfan T, Butt S, Hashim M, Waseem A. Exercise in forward head posture and rounded shoulder: stretching or strengthening? Annals of Allied Health Sciences. 2022;8(1):3-8.
Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. BMC musculoskeletal disorders. 2017;18(1):1-10.
Hill CL, Lester S, Taylor AW, Shanahan ME, Gill TK. Factor structure and validity of the shoulder pain and disability index in a population-based study of people with shoulder symptoms. BMC musculoskeletal disorders. 2011;12(1):1-6.
Uthaikhup S, Paungmali A, Pirunsan U. Validation of Thai versions of the Neck Disability Index and Neck Pain and Disability Scale in patients with neck pain. Spine. 2011;36(21):E1415-E21.
Gallagher EJ, Bijur PE, Latimer C, Silver W. Reliability and validity of a visual analog scale for acute abdominal pain in the ED. The American journal of emergency medicine. 2002;20(4):287-90.
Wilson-Smith AR, Muralidaran S, Maharaj M, Pelletier MH, Beshara P, Rao P, et al. Validation of a novel range of motion assessment tool for the cervical spine: the HALO© digital goniometer. Journal of Spine Surgery. 2022;8(1):93.
Luedtke K, Schoettker-Königer T, Hall T, Reimer C, Grassold M, Hasselhoff-Styhler P, et al. Concurrent validity and reliability of measuring range of motion during the cervical flexion rotation test with a novel digital goniometer. 2020;21(1):1-10.
Afzal H, Noor R, Mumtaz N, Bashir MS, Saqulain G. Effects of Kendall Exercise vs. Gong’s Mobilization on Pain, Range of Motion, Function, and Strength in Cases With Text Neck Syndrome. Iranian-Rehabilitation-Journal. 2023;21(3):411-20.
Afzal H, Walayat J, Tanvir S, Muzummil A. The Use of Gong Mobilization for a Subject with Neck Pain During E-Learning in COVID-19: Case Report. Journal Riphah College of Rehabilitation Sciences. 2023;11(03).
Shrestha M, Joshi DD. Effect of gong’s mobilization on pain, range of motion and disability in frozen shoulder: A pilot study. International Journal of Healthcare Sciences. 2020;8(1):203-6.
GoPinath Y, SeenivaSan SK, Veeraraghavan SNC, Viswanathan R, Govindaraj MK. Effect of Gong's Mobilisation versus Muscle Energy Technique on Pain and Functional Ability of Shoulder in Phase II Adhesive Capsulitis. Journal of Clinical & Diagnostic Research. 2018;12(9).
Kong Y-S, Kim Y-M, Shim J-m. The effect of modified cervical exercise on smartphone users with forward head posture. Journal of physical therapy science. 2017;29(2):328-31.