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Abu-Taleb, Walaa, Yamany, Abeer Abdelrahman, Aneis, Yasser M. and Abu El Kasem, Shimaa T. (2025) Effect of adding global postural re-education to Kendall exercises for treating asymptomatic forward head posture: a single-blinded randomized controlled trial. Journal of Bodywork and Movement Therapies. ISSN 1360-8592
Introduction:
Forward head posture (FHP) is a common postural malalignment in young population that is associated with limitation of mobility and functional disability. Kendall exercises are one of the commonly used postural correction techniques to treat FHP. Global Postural reeducation (GPR) is a postural correction exercise commonly used for musculoskeletal disorders. The current study aimed to investigate the combined effect of GPR and Kendall Exercises in the treatment of FHP.
Methods:
A single-blinded parallel-groups randomized controlled trial was conducted. Forty-three subjects aged 18-30 years were recruited with FHP marked by a craniovertebral angle (CVA) less than 50°. Participants were randomly allocated into two groups: group A (GrA) received GPR plus Kendall Exercises, and group B (GrB) received Kendall Exercises only. Variables were measured before and immediately after 12 sessions of treatment including CVA, gaze angle (GA), shoulder angle (SA), cervical range of motion (CROM), neck disability index (NDI), chest expansion, and spinal mobility.
Results:
Between groups analysis revealed no statistically significant difference between either treatment in CVA, CROM, and NDI. There was a statistically significant improvement of chest expansion and spinal mobility in favor to GrA. Within-group analysis revealed that both interventions were statistically significant in improving CVA, CROM, and NDI (P<0.05). Both treatments showed no statistical difference in GA and SA.
Conclusions:
The added effect GPR technique to Kendall exercises significantly improved CVA, CROM, NDI, chest expansion, and spinal mobility in subjects with FHP.
Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0.
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