Relationship Between Cervical Proprioception and Endurance With Hand-eye Coordination and Postural Control

Forward Head Posture Clinical Trial

Official title:

Investigation of the Relationship Between Cervical Proprioception and Cervical Muscle Endurance With Hand-eye Coordination and Postural Control in Individuals With Forward Head Posture

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06321783
• Other study ID #: E-77082166-604.01.02-407303
• Status: Recruiting
• Phase: N/A
• Start date: March 6, 2023
• Est. completion date: September 6, 2024

Study information

• Verified date: March 2024
• Source: Gazi University
• Contact: Tugçe Çoban, MSc
• Phone: +905454098540
• Email: fzttugce[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of our study is to investigate the relationship between cervical proprioception and cervical muscle endurance with hand-eye coordination and postural control in individuals with forward head posture (FHP) and to compare them with a control group with normal head posture. After the demographic information and physical characteristics of the individuals are recorded, their craniovertebral angles (CVA) will be measured and they will be assigned to Group 1 (forward head posture) or Group 2 (normal head posture). Then, the individuals' cervical proprioception, hand-eye coordination, postural control and cervical muscle endurance values will be measured respectively. Cervical muscle endurance will be evaluated last, taking into account possible muscle fatigue, in order not to affect other measurement results. The recorded values will be compared between groups and the relationship of cervical proprioception and muscle endurance with hand-eye coordination and postural control will be examined. All evaluations will be made by the same researcher.

Description:

Forward head posture is a malalignment defined as anterior translation of the head. This malalignment causes changes in cervical proprioception, decrease in the strength and endurance of the cervical muscles. A decrease in muscle endurance may cause a decrease in cervical proprioception. The cervical region is very important in terms of proprioceptive sensory input and has reflex connections to the (Central Nervous System) CNS. Therefore, abnormal proprioceptive sensory inputs received from cervical mechanoreceptors affect the CNS, which regulates postural control. It has been stated that FHP is associated with a decrease in static and dynamic balance. Head posture has an important role in the sensory information organization of the upper extremity. Hand-eye coordination allows the eyes to coordinate with hand movements.

Identifying the factors that may affect an individual with FHP is very important in planning the rehabilitation program.

The purpose of this study, investigate the relationship between cervical proprioception and cervical muscle endurance with hand-eye coordination and postural control in individuals with FHP and to compare them with a control group with normal head posture.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: September 6, 2024
• Est. primary completion date: July 12, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 24 Years

Eligibility

Inclusion Criteria:

• Being between 18-24 years

• Volunteering to participate in the study

Exclusion Criteria:

• History of trauma or surgery involving the cervical or upper extremity

• Congenital anomaly of the cervical, thoracic or lumbar vertebra

• Abnormalities such as scoliosis

• Systemic arthritis or central nervous system disorders

Related Conditions & MeSH terms

• Forward Head Posture

Intervention

Other:
• Assessment
Evaluation of cervical proprioception, hand-eye coordination, postural control and endurance of cervical muscles

Locations

Country	Name	City	State
Turkey	Gazi University	Ankara	Çankaya

Sponsors (1)

Lead Sponsor	Collaborator
Gazi University

Country where clinical trial is conducted

Turkey, 

References & Publications (4)

Lee JH. Effects of forward head posture on static and dynamic balance control. J Phys Ther Sci. 2016 Jan;28(1):274-7. doi: 10.1589/jpts.28.274. Epub 2016 Jan 30. — View Citation

Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci. 2014 Nov;26(11):1741-3. doi: 10.1589/jpts.26.1741. Epub 2014 Nov 13. — View Citation

Oliveira AC, Silva AG. Neck muscle endurance and head posture: A comparison between adolescents with and without neck pain. Man Ther. 2016 Apr;22:62-7. doi: 10.1016/j.math.2015.10.002. Epub 2015 Oct 22. — View Citation

Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008 Feb;13(1):2-11. doi: 10.1016/j.math.2007.06.003. Epub 2007 Aug 16. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Cervical Proprioception	Proprioception is the joint position sense. Cervical right and left rotation proprioception of individuals will evaluate with a digital inclinometer.	Baseline
Primary	Hand-Eye Coordination	Individuals' hand-eye coordination will be evaluated by using the Alternate Wall Toss Test and recording the total number of times the ball is thrown and held against the wall without dropping it for 30 seconds.	Baseline
Primary	Postural Stability Test	This test measures the participants' ability to keep the center of gravity within the limits of the support surface. Depending on the amount of deviation of the center of gravity from the center of the support surface, total stability index (TSI) scores will be recorded. The tests will be performed with eyes open and closed under the conditions of bipedal and unipedal (right side).	Baseline
Primary	Stability Limit Test	In this test, which measures the dynamic balance control of the participants; movement and control skills are evaluated within the limits of the support surface of the center of gravity. Participants' percentage scores of the stability limit in all directions, total percentage score (overall) and time to complete the test (seconds) will be obtained.	Baseline
Primary	Modified Sensory Organization Test	It evaluates the visual, somatosensory and vestibular sensory systems necessary for postural control.; The test will be performed on firm and soft ground, with eyes open and closed conditions. At the end of the assessment, the sway index scores (SI-Sway Index) of all tested conditions will be obtained.	Baseline
Primary	Endurance of Cervical Muscles	The endurance of the individuals' flexor and extensor muscles will be evaluated by recording the time in seconds that they can maintain the head position initially positioned by the therapist without changing it.	Baseline