Effects of Kendall Exercise Versus Gong's Mobilization in Text Neck Syndrome. A Pilot Study

Effects of Kendall Exercise Versus Gong's Mobilization on Pain, Range of Motion, Function and Strength in Text Neck Syndrome. A Pilot Study

This project was a pilot randomized trial conducted to compare the effects of Kendall exercise and Gong's mobilization on pain, range of motion, function and strength in text neck syndrome so that we can have best treatment option for patients with neck pain

Non Probability Convenient sampling was done. Patients following eligibility criteria from Fatima hospital Sargodha were considered. Sample size was calculated 12. Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given Kendall exercise and Group B was given Gong's mobilization along with conventional physiotherapy treatment (hot pack). Duration of research was almost 6 months. Participants were treated 3 times a week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week period respectively. Assessment was done via Numeric pain rating scale (NPRS),Neck Disability index (NDI), Universal goniometer and Modified sphygmomanometer test. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Experimental group 1 got this intervention containing Kendall exercise for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test.

Experimental group 1 got this intervention containing Gong's mobilization for 15-20 mins, followed by conventional physiotherapy treatment (hot pack).Participants were treated 3 times per week for 4 weeks. Pre and Post treatment readings were taken in 1st session and 4th week respectively. Assessment was done via Numeric pain rating scale, neck disability index, universal goniometer and modified sphygmomanometer test.

consist of stretch of pectoralis major and neck extensor strengthening of deep neck flexors and scapular retractor

Numeric pain rating scale range from 0-10, 0 means no pain- 10 means severe pain First checked at baseline and than 4th week

All ranges of neck: 80° to 90° of flexion, 70° of extension, 20° to 45° of lateral flexion, and up to 90° of rotation to both sides. All ranges other than the written will be considered abnormal. First checked at baseline and than 4th week

Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. o means no pain 5 means maximum pain Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50.0 means no disability, 50 means full limitation.A higher score indicates more patient-rated disability. First checked at baseline and than 4th week

It is used to measure strength of muscles. change in 2mm cause minimal detectable change. First checked at baseline and than 4th week

Inclusion Criteria: Young adults more than one year using a smartphone Using smart phone for more than 2 hours a day Craniovertebral angle(CVA)less than 53° Score of more than 3 on NPRS and more than 10 on NDI Exclusion Criteria: Spinal infection or inflammatory disorder Neck surgery or trauma Torticollis, scoliosis Malignancy, pregnancy Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis and osteoporosis Current use of any medication or physical therapy treatment.

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Neupane S, Ali UI, Mathew A. Text neck syndrome-systematic review. Imperial Journal of Interdisciplinary Research. 2017;3(7):141-8.

Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26.