Effects of Sahrmann's Approach in Patients With Cervical Extension Syndrome
Effects of Sahrmann's Approach on Pain, Range of Motion, Craniovertebral Angle and Function in Patients With Cervical Extension Syndrome
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Samrood Akram, PhD*
- Número de teléfono: 03324806143
- Correo electrónico: samrood.akram@riphah.edu.pk
Ubicaciones de estudio
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Punjab Province
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Lahore, Punjab Province, Pakistán, 54000
- University of Lahore Teaching Hospital, Lahore HOD Physio Department
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Contacto:
- Asim Arif, PhD*
- Número de teléfono: 03216597727
- Correo electrónico: asimarif@uipt.uol.edu.pk
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- Adults between 20-40 years, NPRS score 4-6 , positive tests cervical flexion, extension, protraction and retraction and Cervical Nodding Against Wall
Exclusion Criteria:
Scoliosis, Pregnant females, Any active infection or disese
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: Sahrmann's exercises
Shirley Sahrmann's approach is based on the concept that repetitive movement and sustained postures can create movement impairments, leading to pain and dysfunction. Rather than simply strengthening weak muscles or stretching tight ones, Sahrmann focuses on identifying and correcting faulty movement patterns. Patients will receive Sahrmann's Corrective Exercises for Cervicale Extension Syndrome. |
capital flexion, capital flexion with and without head tilt, Shoulder flexion, Abduction And Lateral Rotation, Cervical Extensors Muscle strengthening along with baseline treatment moist heat pack and TENS.
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Comparador activo: Standard Physical therapy
this group will receive conventional physiotherapy.
receive muscle stretching of trapezius, pectoralis and levator scapulae.
and Active ROM as retractions of scapula and neck
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this group will receive conventional physiotherapy.
receive muscle stretching of trapezius, pectoralis and levator scapulae.
and Active ROM as retractions of scapula and neck.
along with baseline treatment moist heat pack and TENS.
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Numerical Pain Rating Scale (NPRS)
Periodo de tiempo: upto 4 weeks
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he NPRS is an 11-point self-reported scale used to assess the intensity of neck pain. Participants rate their average pain over the previous 24 hours on a scale from 0 to 10. Scoring: 0 = No pain 1-3 = Mild pain 4-6 = Moderate pain 7-10 = Severe pain Direction of Improvement: Lower scores indicate less pain and improvement. |
upto 4 weeks
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Craniovertebral Angle (CVA) - Forward Head Posture
Periodo de tiempo: upto 4 weeks
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Description: The CVA is used to quantify forward head posture. It is measured as the angle formed between: A horizontal line passing through the spinous process of C7. A line connecting C7 to the tragus of the ear. Scoring: Smaller angle = Greater forward head posture. Larger angle = Better head-neck alignment. Typical values: <48° = Forward head posture ≥50° = More normal alignment Direction of Improvement: Increase in CVA indicates improvement. |
upto 4 weeks
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Neck Disability Index (NDI) - Functional Disability
Periodo de tiempo: upto 4 weeks
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Description: The NDI is a self-administered questionnaire consisting of 10 items assessing the impact of neck pain on daily activities.Scoring: Each item scored from 0-5. Total score: 0-50 points Interpretation: 0-4 = No disability 5-14 = Mild disability 15-24 = Moderate disability 25-34 = Severe disability ≥35 = Complete disability Direction of Improvement: Lower scores indicate reduced disability and better function. |
upto 4 weeks
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Cervical Range of Motion (CROM)
Periodo de tiempo: upto 4 weeks
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Description: Cervical ROM will be measured in: Flexion Extension Right lateral flexion Left lateral flexion Right rotation Left rotation The participant performs active cervical movements while the examiner records the maximum range in degrees. Units: Degrees (°) Typical Normal Values: Flexion: 45-50° Extension: 60-70° Lateral flexion: 45° Rotation: 70-90° Direction of Improvement: Greater ROM values indicate improvement. |
upto 4 weeks
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Thoracic Kyphosis Angle
Periodo de tiempo: upto 4 weeks
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Description: Thoracic kyphosis will be measured in standing using a dual inclinometer technique. One inclinometer is placed over the spinous process of T1-T2 and the second over T12-L1. The difference between the two readings represents the thoracic kyphosis angle. Units: Degrees (°) Interpretation: Increased angle = Greater thoracic kyphosis Reduced angle = Improved thoracic posture Typical values: Approximately 20-40° in healthy adults Direction of Improvement: Reduction toward normal values indicates improvement. |
upto 4 weeks
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Komal Qayyum, MSPT*, Riphah International University
Publicaciones y enlaces útiles
Publicaciones Generales
- Jabbar KM, Gandomi F. The comparison of two corrective exercise approaches for hyperkyphosis and forward head posture: A quasi-experimental study. J Back Musculoskelet Rehabil. 2021;34(4):677-687. doi: 10.3233/BMR-200160.
- Yu L-J, Kim T-H. The effect of cervical stabilization exercises with thoracic spine extension exercises on forward head posture. International Journal of Human Movement and Sports Sciences. 2021;9(5):852-7.
- Asadzadeh A, Salahzadeh Z, Samad-Soltani T, Rezaei-Hachesu P. An affordable and immersive virtual reality-based exercise therapy in forward head posture. PLoS One. 2024 Mar 6;19(3):e0297863. doi: 10.1371/journal.pone.0297863. eCollection 2024.
- Sahrmann S. Movement system impairment syndromes of the extremities, cervical and thoracic spines: Elsevier Health Sciences; 2010.
- Shinde SS, Shah DN. Correlation of craniovertebral angle with neck pain in undergraduate students-cross-sectional study. International Journal of Health Sciences and Research. 2022;12:96-101.
- Ogura Y, Dimar JR, Djurasovic M, Carreon LY. Etiology and treatment of cervical kyphosis: state of the art review-a narrative review. J Spine Surg. 2021 Sep;7(3):422-433. doi: 10.21037/jss-21-54.
- Shinde SS, Shah DN. Correlation of craniovertebral angle with neck pain in undergraduate students-crosssectional study. International Journal of Health Sciences and Research. 2022;12:96-101.
- Lim J-y, Nam S-h, Kim K-d. A Movement-System-Impairment Approach to the Evaluation and Treatment of a Patient Who had Cervical Flexion Syndrome with a Straight Neck: A Case Report. Journal of Musculoskeletal Science and Technology. 2024;8(1):49-56.
- K S, Kanthanathan S, P ALA. Effectiveness of diagnosis and treatment based on movement system impairment in individuals with cervical pain: A randomized controlled trial. J Bodyw Mov Ther. 2024 Apr;38:323-328. doi: 10.1016/j.jbmt.2024.01.024. Epub 2024 Feb 2.
- Caldwell C, Sahrmann S, Van Dillen L. Use of a movement system impairment diagnosis for physical therapy in the management of a patient with shoulder pain. J Orthop Sports Phys Ther. 2007 Sep;37(9):551-63. doi: 10.2519/jospt.2007.2283.
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Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- REC/RCR & AHS/25/0114 Komal
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
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