Pilates Mat Versus Cervical Stabilization Exercises on Balance in Young Adults With Forward Head Posture

Musculoskeletal Diseases Clinical Trial

— FHP  

Official title:

Pilates Mat Versus Cervical Stabilization Exercises on Craniovertebral Angle, Pain, Function of Daily Life, Cervical Range of Motion, Dynamic Balance in Young Adults With Forward Head Posture: Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05068817
• Other study ID #: P.T.REC/012/003348
• Status: Completed
• Phase: N/A
• Start date: November 1, 2021
• Est. completion date: January 1, 2022

Study information

• Verified date: July 2022
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

see if there will be no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on dynamic balance in young adults with forward head posture.

Description:

In modernized time, extended use of mobile phone and computers has increased anterior weight bearing of cervical spine leading to a variety of musculoskeletal disorders related to the neck by changing the biomechanical stress of cervical spine. Additionally, forward head posture (FHP) alters the center of gravity (COG) of the body that lead to mechanical modifications related to postural control in the torso and every joint. The body attempts to adapt to these changes by altering its balance control mechanisms; these adaptations decrease balance ability while performing different activities and increase the risk of falling and musculoskeletal injury.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: January 1, 2022
• Est. primary completion date: January 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 25 Years

Eligibility

Inclusion Criteria:

• Subjects of both genders aged 18-25 years old with forward head posture will be included in this study.
• Subjects have forward head posture if the craniovertebral angle = 50.
• Subjects complain non- specific neck pain for at least 3 months or at least two episodes of non-specific neck pain during the last three months.
• Normal body mass index (18- 24.9).

Exclusion Criteria:

• Subjects with any spinal problems.
• Temporo-mandibular disease.
• Subjects with experience in Pilates and who will not sedentary were excluded from the study.
• Previous surgery in the neck and shoulder regions
• Current participation in a structured exercises program
• Neurological symptoms of the upper extremities during screening tests (e.g., Spurling test and upper limb tension tests)
• Red flags suggesting of cancer, infection, vascular insufficiency.
• Cervical radiculopathy or myelopathy

Related Conditions & MeSH terms

• Musculoskeletal Diseases

Intervention

Other:
• Pilates mat exercises
Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction). Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises.
• cervical stabilization exercises
training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks.
• conventional physiotherapy
10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Locations

Country	Name	City	State
Egypt	Faculty of Physical Therapy-Cairo University	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Dynamic balance	will be measured by Biodex balance system	up to twelve weeks
Primary	Craniovertebral angle	will be measured by photogrammetric method	up to twelve weeks
Secondary	pain intensity	by visual analogue scale (VAS) 10 cm line with 2 ends, 0 and 10 ends 0 end means no pain 10 end means the worst pain	up to twelve weeks
Secondary	cervical range of motion	by cervical range of motion device (CROM)	up to twelve weeks
Secondary	Function of daily life	by Arabic version of neck disability index	up to twelve weeks