Clinical trial Recruiting at 2 sites Interventional Ages 20 to 40

Kendall exercises with and without positional release therapy for upper crossed syndrome

Official title: Effects of Kendall Exercises With and Without Positional Release Therapy on Pain, Range of Motion, Craniovertebral Angle and Disability in Patients With Upper Crossed Syndrome

Run by Riphah International University · NCT07854119 · Data updated 2026-11-12

This study tests Kendall exercises with and without positional release therapy to see if they reduce neck and shoulder pain and improve posture in adults with upper crossed syndrome.

Quick facts

Study typeInterventional
Ages20 Years to 40 Years
SexAll
Enrollment48 (estimated)
SponsorRiphah International University
Academic / other
Locations2 sites (Lahore, Punjab Province and 1 other locations)
StatusRecruiting
StartedJune 1, 2026
Main results expectedNovember 1, 2026
Study endsDecember 1, 2026
Registry record updatedOctober 2, 2026
Trial IDNCT07854119 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 20–40 with a clinical diagnosis of Upper Crossed Syndrome, forward head posture (CVA ≤ 48°), NPRS ≥ 4, and neck pain for 4–6 months but less than 6 months.

Probably not a fit

Individuals with recent cervical trauma, systemic musculoskeletal disorders, spinal deformities, ongoing physiotherapy, or severe scoliosis may not benefit or be excluded.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study investigates two physical therapy approaches for upper crossed syndrome: Kendall exercises alone and Kendall exercises combined with positional release therapy. Participants receive structured exercises and manual therapy aimed at correcting muscle imbalances and improving craniovertebral angle and posture. Outcomes focus on pain, range of motion, and posture measures, with adults aged 20 to 40 who have chronic neck and shoulder pain. The trial is conducted at Riphah Rehabilitation Clinic and Riphah International University in Lahore under a single lead sponsor, with no listed collaborators. The study may inform whether adding positional release therapy provides added benefit over Kendall exercises alone.

Why it matters

Potential benefit: If successful, participants may experience reduced pain and improved posture and function related to upper crossed syndrome.

How similar studies have gone: Prior work in manual therapy and postural exercise has shown symptom and posture improvements in related cervical-shoulder conditions, though this exact combination is relatively novel for UCS.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 20 and 40 years.
* Both Male and Female.
* Clinical diagnosis of Upper Crossed Syndrome (Pectoralis major contracture test, Pectoralis minor contracture test, Upper trapezius muscle length test, Lower and Middle trapezius weakness tests will be done).
* Forward Head Posture (Craniovertebral angle (CVA) ≤ 48°).
* Numeric Pain Rating Scale (NPRS) score of ≥ 4).
* Neck pain for more than 4 weeks but less than 6 months NDI.

Exclusion Criteria:

* History of cervical spine trauma, fractures, or surgery
* Systemic musculoskeletal disorders
* Spinal Deformities
* Ongoing physiotherapy or chiropractic treatment
* Severe scoliosis or spinal deformities

Where it's running

  • Riphah Rehabilitation Clinic
    Lahore, Punjab Province, Pakistan
    Recruiting
  • Riphah International University
    Lahore, Pakistan
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.