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Effects of Sahrmann's Approach in Patients With Cervical Extension Syndrome

ConditionNeck Pain
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-40
SponsorRiphah International University

About this trial

Cervical Extension Syndrome (CES) is a form of postural dysfunction under the Movement System Impairment (MSI) classification. It has more prevalence among adults due to prolonged poor posture and sedentary lifestyles. This condition involves a forward head position,, increased thoracic curve, and altered movement patterns. This resulting in neck pain and impaired function. The Sahrmann's approach is a biomechanical principle that puts emphasizes on muscle activation, correction of postural impairments, and restoration of movement control through targeted exercises. The objective of the study will be to compare the effects of Sahrmann's Approach on Pain, ROM, craniovertebral angle and function in patients with Cervical Extension Syndrome.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults between 20-40 years, NPRS score 4-6 , positive tests cervical flexion, extension, protraction and retraction and Cervical Nodding Against Wall

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sahrmann's Exercises

    Other intervention

    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.

  • conventional physiotherapy

    Other intervention

    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.

Treatment groups

54 Participants
are divided into 2 treatment groups
Group A: Sahrmann's exercisesExperimental treatment 1 intervention
Group B: Standard Physical therapyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Numerical Pain Rating Scale (NPRS)

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.

Time frame
upto 4 weeks
2

Craniovertebral Angle (CVA) - Forward Head Posture

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.

Time frame
upto 4 weeks
3

Neck Disability Index (NDI) - Functional Disability

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.

Time frame
upto 4 weeks
4

Cervical Range of Motion (CROM)

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.

Time frame
upto 4 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Riphah International University

Lead sponsor

Source ClinicalTrials.gov

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