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 type | Interventional |
|---|---|
| Ages | 20 Years to 40 Years |
| Sex | All |
| Enrollment | 48 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 2 sites (Lahore, Punjab Province and 1 other locations) |
| Status | Recruiting |
| Started | June 1, 2026 |
| Main results expected | November 1, 2026 |
| Study ends | December 1, 2026 |
| Registry record updated | October 2, 2026 |
| Trial ID | NCT07854119 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
- Principal investigator: Syed Shakil ur Rehman, PhD — Riphah International University
- Study coordinator: Syed Shakil ur Rehman, PhD Physical Therapy
- Email: shakil.urrehman@riphah.edu.pk
- Phone: +92 320 786661
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Breathing and manual therapy to improve function in college students with upper cross syndrome
In college students with upper cross syndrome, adding a specific breathing technique (ujjayi pranayama) to manual therapy is being tested to see if it helps spinal alignment relate to better functional performance.
-
Kendall vs Janda’s Approach with Diaphragmatic Breathing for Upper Crossed Syndrome
This trial tests whether Kendall exercises with diaphragmatic breathing help reduce pain and disability in people with Upper Crossed Syndrome compared with Janda’s approach plus diaphragmatic breathing.
-
Egoscue vs Feldenkrais for Upper Cross Syndrome
This trial compares two exercise approaches, Egoscue and Feldenkrais, to see if one can reduce neck and shoulder pain and improve posture in adults with upper cross syndrome.
-
Maitland mobilization plus Kendall exercises vs Kendall exercises alone for upper cross syndrome
This trial tests whether adding Maitland mobilization to Kendall exercises helps reduce neck/upper back pain and improve posture in adults with Upper Cross Syndrome.
-
Rib mobilization with postural correction exercises for Upper Crossed Syndrome
This will test whether adding rib mobilization to postural correction exercises helps people aged 20–45 with Upper Crossed Syndrome reduce neck pain and improve posture and thoracic mobility.
-
Comparing GPR versus NASM corrective exercises for upper-cross posture and neck pain
This tests whether Global Postural Re-education or NASM-based corrective exercises better reduce pain and disability and improve neck endurance and posture in adults aged 20–45 with upper cross syndrome.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.