Kendall vs Janda’s Approach with Diaphragmatic Breathing for Upper Crossed Syndrome
Official title: Comparative Effects of Kendall Versus Janda's Approach Along With Diaphragmatic Breathing Exercises on Pain, Chest Expansion, Cranio Vertebral Angle, and Disability in Upper Crossed Syndrome
Run by Riphah International University · NCT07724574 · Data updated 2026-11-12
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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 30 Years to 50 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Sialkot, Punjab Province) |
| Status | Recruiting |
| Started | June 20, 2026 |
| Main results expected | August 20, 2026 |
| Study ends | September 20, 2026 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT07724574 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults 30–50 with clinically evident UCS (rounded shoulders and craniovertebral angle < 50°).
✕Probably not a fit
Individuals with cervical trauma, prior neck or lower back surgery, or other exclusions may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this randomized study, adults aged 30–50 with Upper Crossed Syndrome are assigned to Kendall exercises plus diaphragmatic breathing or Janda’s approach plus diaphragmatic breathing for 6 weeks (three 45-minute sessions per week). Outcome measures include pain ratings, neck disability, neck-craniovertebral alignment, and chest expansion, analyzed using SPSS. The study is conducted at Anwars Polyclinic in Sialkot, with 25 participants per group. Data handling will use parametric or nonparametric tests based on distribution.
Why it matters
Potential benefit: If successful, the approach could reduce neck and upper back pain and improve posture and function in UCS.
How similar studies have gone: Similar musculoskeletal rehabilitation approaches have shown benefit in postural syndromes, though direct comparisons of Kendall and Janda methods are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Age between 30 to 50 years old Both male and female are included, Craniovertebral angle less than 50°, Rounded shoulders (on photogrammetry) Exclusion Criteria: * Cervical trauma or surgery Congenital scoliosis Spasmodic torticollis Any tumor or trauma History of surgical procedures on neck or lower back Disc issues in neck or lower back
Where it's running
-
Anwars Polyclinic
Sialkot, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Amna Zia, PhD* — King Edward Medical University
- Study coordinator: Amna Zia, PhD*
- Email: amna.zia@kemu.edu.pk
- Phone: 03244686993
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Kendall exercises with and without positional release therapy for upper crossed syndrome
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.
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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.
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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.
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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.
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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.