Effects of Global Postural Reeducation on Forward Head Posture

Forward Head Posture Clinical Trial

Official title:

Effect of Global Postural Reeducation on Functional Abilities, Stability of Sense of Position, Cognitive Abilities and Treatment Satisfaction in Patients With Forward Head Posture

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04723511
• Other study ID #: P.T.REC/012/002671
• Status: Recruiting
• Phase: N/A
• Start date: March 9, 2021
• Est. completion date: July 30, 2023

Study information

• Verified date: September 2021
• Source: Horus University
• Contact: Walaa A Abu-Taleb, MSc
• Phone: 01002280181
• Email: w.abutaleb11[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims at investigating the effects of application of a twelve sessions of Global Postural Re-education Technique (GPR) on Craniovertebral angle (CVA), functional abilities, stability of sense of position, cognitive abilities and treatment satisfaction.

Description:

A sample of 36 participants with a CVA less than 50 degrees will be randomly assigned to one of the two groups either receiving global postural reeducation added to traditional Kendall exercises or a group that receives Kendall Exercises only. Treatment sessions will be continued for a total of 12 sessions with a rate of 2-3 sessions per week. The effect of these two treatments will be assessed by various variables including: forward head angle via photogrammetry and Kinovea App, functional abilities via neck disability index, stability of sense of position by Cervical Range of Motion instrument (CROM) ,cognitive abilities via Stroop and Montreal Cognitive Assessment (MOCA) tests and agreeability of treatment techniques via treatment satisfaction scale.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 36
• Est. completion date: July 30, 2023
• Est. primary completion date: December 30, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• Patients suffering from forward head Posture (CVA 50-40 degrees)
• All subjects are medically stable and do not suffer from any other diseases which might affect the trial results.
• Patients willing and able to participate in this treatment program.
• At least a moderate user of English.

Exclusion Criteria:

• History of whiplash injury.
• Patients who have undergone spinal surgeries or spinal fixations.
• Patients with a neurologic deficit in their upper limbs, such as hypertonia, hypotonia, hyporeflexia, absence of reflex, and vertebral instability.
• Patient undergone other physical therapy program in the last three months.

Related Conditions & MeSH terms

• Forward Head Posture

Intervention

Other:
• Global Postural Re-education
treatment techniques include corrective exercises both local and global to correct forward head posture. first session will be to educate participants the treatment sequence. This will be a session of Kendall exercises as described below. This will followed be performing GPR techniques of Anterior Chain stretch in the supine frog like position for 20 minutes followed by posterior chain stretch against the wall for another 20 minutes. This is repeated in the first 6 sessions. Staring from the seventh session the time of holding each position is decreased to 15 minutes and a third position (standing against the wall) is introduced and performed for 15 minutes. Starting from the eighth session a forth position of sitting on the floor position is introduced and performed for another 15 minutes. total of a session will then take a bout 90 minutes.
• Kendall exercises
exercises that correct upper crossed syndrome: Treatment sequence will be: a) Strengthen deep Cervical Flexors via Chin tucks. Repetition will be 15 times repeated for 3 sets. (b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times. (c) Strengthening shoulder retraction. Repetition will be 15 times repeated for 3 sets. (d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times.

Locations

Country	Name	City	State
Egypt	Horus University	Damietta

Sponsors (2)

Lead Sponsor	Collaborator
Horus University	Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	craniovertebral angle	the angle formed between a horizontal line and a line extending from ear meatus and C7	12 sessions with a rate of 2-3 sessions/week taking a 4-6 weeks /patient (according to patient's timetable)
Secondary	Neck disability index	a scale that tests the effect of treatment on functional abilities of patients.	12 sessions with a rate of 2-3 sessions/week taking a 4-6 weeks /patient (according to patient's timetable)
Secondary	Proprioceptive stability test	By utilizing CROM testing the patients' sense of location precision	12 sessions with a rate of 2-3 sessions/week taking a 4-6 weeks /patient (according to patient's timetable)
Secondary	Stroop test	a word- color test to measure cognitive abilities of patients	12 sessions with a rate of 2-3 sessions/week taking a 4-6 weeks /patient (according to patient's timetable)
Secondary	MOCA test	a series of questions that enable to measure cognitive abilities of patients	12 sessions with a rate of 2-3 sessions/week taking a 4-6 weeks /patient (according to patient's timetable)
Secondary	Treatment satisfaction scale	a scale measuring the satisfaction and agreeability of the treatment according to patients' perspective	12 sessions with a rate of 2-3 sessions/week taking a 4-6 weeks /patient (according to patient's timetable)