1- Department of Physical Therapy, Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore, Pakistan.
2- Department of Physical Therapy, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore, Pakistan.
3- Department of Speech-language Pathology, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, Lahore, Pakistan.
4- School of Health Sciences, University of Management and Technology, Lahore, Pakistan.
5- Department of Otorhinolaryngology, Capital Hospital PGMI, Islamabad, Pakistan.
Abstract: (1495 Views)
Objectives: To determine the impact of Kendall versus Gong’s intervention according to pain sensation, range of movement, function, strength, and posture in cases with text neck syndrome.
Methods: This randomized clinical trial recruited a sample of 24 patients with text neck syndrome from Fatima Hospital, Sargodha, Pakistan from January to April 2021. The samples were randomly divided into 2 groups using the envelope method. Group A received Kendall’s intervention while group B received Gong’s mobilization. The intervention was performed in 18 sessions for each patient during 6 weeks i.e. 3 per week. Neck disability index, numeric pain rating scale, cervical range of motion (ROM), cranio-vertebral angle (CVA), rounded shoulder angle (RSA), and modified sphygmomanometer test were used to collect data. All outcomes were measured at baseline and six weeks after intervention and analyzed using SPSS software, version 23. T-test was used to analyze within and between-group differences, and P<0.05 was considered significant.
Results: A significant difference with P<0.05 was observed for within and between group statistics. Gong’s mobilization showed more effectiveness (P<0.001) for all output measures depending on differences between mean scores.
Discussion: The study concluded that both Kendall’s exercise and Gong’s mobilization were useful in the reduction of pain and functional disability; improvement in cervical range and strength of cervical muscles. However, Gong’s mobilization was superior to Kendall’s exercise in improving text neck syndrome for outcome measures, including neck pain, disability, craniovertebral angle, rounded shoulder angle, cervical range of motion (ROM), and cervical muscle strength.
Coresponding author: Ghulam Saqulain, E-mail: ghulam_saqulain@yahoo.com
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• Both Kendall’s exercise and Gong’s mobilization reveal a significant improvement in terms of numeric pain rating scale (NPRS), neck disability index (NDI), cranio-vertebral angle (CVA), rounded shoulder angle (RSA), cervical range of motion (ROM), and cervical muscle strength.
• Gong’s mobilization reveals significant improvement compared to Kendall’s mobilization for NPRS, NDI, CVA, and RSA.
• Gong’s mobilization reveals significantly more improvement compared to Kendall’s mobilization for cervical ROM for extension, right and left side bending, and right and left rotation with no significant difference for flexion.
• Gong’s mobilization reveals significantly more improvement compared to Kendall’s mobilization for Isometric cervical muscle strength for all movements.
Plain Language Summary
The text neck syndrome has a high prevalence affecting millions of people worldwide. With the knowledge gap related to treatment strategies, the current randomized clinical trial with 24 patients with text neck syndrome explored the impact of Kendall and Gong’s intervention for function, pain, range of motion (ROM), strength, and posture and noted a significant difference with P<0.05 in terms of within and between group statistics. Gong’s mobilization showed more effectiveness (P<0.001) for all output measures depending on the difference in mean scores; hence Gong’s mobilization is more effective.
Article type:
Original Research Articles |
Subject:
Physical Medicine and Rehabilitation Received: 2022/05/27 | Accepted: 2023/06/20 | Published: 2023/09/6