RecruitingNot Applicable

Comparative Effects of Kendall and Feldenkrais Exercise in Upper Crossed Syndrome

Pakistan72 participantsStarted 2026-01-15

Plain-language 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.

Who can participate

Age range

20 Years – 50 Years

Sex

ALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Male subjects between 20-50 years * Female subjects between 20-50 years * Cranio-vertebral angle less than 50 degrees * Subjects who had been experiencing neck pain for more than 3 months * Slouched sitting for more than four hours per day * Usage of handheld devices while reading, working, and travelling * Pain intensity score between 4 to 10 on NPRS * NDI\>10 scores between 10 and 34 * Tight pectoralis major muscle Exclusion Criteria: * Surgeries of the cervical spine within past 1 year * Surgeries or fracture to the shoulder joint * Cervical instability * Cervical Radiculopathy * Neurological disorders such as cervical spondylosis, spondylolisthesis, disc prolapse and rheumatic disease

Questions worth asking your doctor

Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.

1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?

Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.

Questions for the trial coordinator

The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.

1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?

A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.

What they're measuring

Neck pain and diability index

Timeframe: 6th week

Head Repositioning Error Test

Timeframe: 6th week

Trial details

NCT IDNCT07578831

SponsorRiphah International University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-05-15

Contact for this trial

Rabiya Noor, phd

03344355660 Rabiya.Noor@riphah.edu.pk

View on ClinicalTrials.gov More Upper Crossed Syndrome trials