Effect of Kendall and Scapulothoracic Exercises in Treatment of Chronic Non-specific Neck Pain
Combined Effect of Kendall and Scapulothoracic Exercises on Brachial Plexus Mechanoreceptors in Chronic Non-specific Neck Pain
Cairo University
60 participants
Jun 1, 2025
INTERVENTIONAL
Conditions
Summary
The purpose of the clinical trial is to investigate the effect of the combined Kendall and scapulothoracic exercises program on mechanosensitivity of brachial plexus, cervical range of motion, neck functional ability, and craniovertebral angle in patients with chronic non-specific neck pain. we have 3 groups to compare between traditional treatment, scapulothoracic and kendall exercises in treatment of chronic non-specific neck pain.
Eligibility
Inclusion Criteria5
- Sixty patients of both genders were recruited in the study.
- The age of the recruited subjects were ranging from 25 to 50 years old
- Patients having neck pain symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature, for at least the last 3 months
- Patients with a craniovertebral angle of less than 54º
- Subjects with a BMI 25-30
Exclusion Criteria8
- History of previous injury of the neck
- History of surgical intervention at the neck
- History of inflammatory joint disease affecting facet joints
- Neurological disorders such as cervical spondylosis, spondylolisthesis or disc prolapse (Kim et al., 2012).
- Rheumatic diseases.
- Cancer patients
- Patients who received pain medication or physical therapy for their neck pain during the last 3 months
- Patients who are unable to perform the exercises.
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Interventions
Ultrasound, hot packs, cervical postural stretching and strengthening exercise will be done for all groups. Stretching Exercises Posture correction exercises training will include stretching of tight muscles such as Pectoralis major, levator scapulae, upper trapezius, suboccipital muscles and, sternocleidomastoid. Strengthening Exercises Exercises will include Chin Tucks exercise and Neck isometric exercises
Scapulothoracic exercises It is a strengthening exercises of the serratus anterior muscle, as well as the middle and inferior fibres of the trapezius muscle
The exercise techniques used by Kendell were as follows: 1\. Stretching of the Cervical Extensors: By sitting with the head down and putting both hands across the occipital area, the cervical extensors can be stretched by adopting a flex neck position 2- Strengthening of the Deep Cervical Flexors Positioning supine with the chin tucked in and lifting the head for 2 to 8 s 3- Strengthening the Shoulder Retraction 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 4-Stretching the Pectorals muscle Assigning both hands on the occipital area and pulling the elbows back up (bilateral) and performance arm abduction and external rotation (unilateral).
Locations(1)
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NCT06980337