Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on on Forward Head Posture

Forward Head Posture Clinical Trial

— FHP  

Official title:

Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on Endurance of Cervical Flexor and Extensor Muscles on Asymptomatic Forward Head Posture; Randomized Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04959942
• Other study ID #: p.t.REC/012/003244
• Status: Not yet recruiting
• Phase: N/A
• Start date: July 15, 2021
• Est. completion date: September 30, 2021

Study information

• Verified date: July 2021
• Source: Cairo University
• Contact: al shaymaa sh abd el azeim, lecturer
• Phone: 01033771553
• Email: alshaymaa.shaaban[@]pt.cu.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to investigate efficacy of adding Scapular Stabilization Exercises to postural correctional exercises on Endurance of cervical flexor and extensor muscles on Asymptomatic forward head posture.

Description:

Forward head posture (FHP) is the most common deviation from ideal head posture and is characterized by the head projecting forward into the sagittal plane such that it is anterior to the trunk. Individuals with neck pain frequently demonstrate FHP, when compared to age-matched controls.

Asymmetric posture is a chronic stressor and the origin of most noxious stimuli that could alleviate 70-90 % of chronic pain. It is reported that FHP is a common postural abnormality, with a conservative estimate being 66 % of the patient population. It causes vertebral displacement patterns, abnormal stresses, and strain on the spinal cord. FHP has adverse mechanical tension on neural and vascular elements.

It is theorized that when muscle performance is impaired, the balance between the stabilizers on the posterior aspect of the neck and the DNFs will be disrupted, resulting in loss of proper alignment and posture, which is then likely to contribute to cervical Impairment (loss of range of motion, or decreased strength including, but not limited to, the sternocleidomastoid (SCM), trapezius, and deep neck flexor (DNF) muscles endurance of the neck musculature.

Assessment of DNF muscle performance properties is arguably important given the relationship between DNF muscle torque and endurance deficits and patient complaints of head and neck pain. sixty subjects with forward head posture assigned randomly to three groups. experimental group 1 will receive scapular stabilization plus postural correction exercise and advice, experimental group 2 will receive postural correction exercise plus advice and finally control group will receive advice.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 60
• Est. completion date: September 30, 2021
• Est. primary completion date: September 30, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 35 Years

Eligibility

Inclusion Criteria:

1. If asymptomatic subjects with CVA equal or less than 50.

2. shoulder flexion at least 130 degrees or more, they involved in this research.

Exclusion Criteria:

1. If they had a history of cervical spine sur¬gery

2. Cervical spondylosis

3. Cervical or shoulder neurological movement disorder, Temporo-mandibular surgery, Pathologic trauma.

Related Conditions & MeSH terms

• Forward Head Posture

Intervention

Other:
• scapular stabilization exercise
In the supine position, the subject will instruct to take a deep breath to relax the body. In croock-lying position, the subject will raise his dominant arm to 90° shoulder flexion with full elbow extension and scapular protraction. In the quadruped position, the subject lifts up his arms alternatively with shoulder abduction and 120 ° flexion. In a sitting position with 90° knee flexion on a stool or bed without back support, the subject held a pair of dumbbells (2 kg) in each hand and laterally lifted them up while maintaining the height of scapulae below 80°. Each stage will instruct to be held for 10 seconds before returning to the starting position and three laps of 10 repetitions with a 30-second break in between will perform. In the sitting position, a mirror will place in front of the patient. The subject will instruct to check and correct his posture by him
• postural correction exercise
The program consisted of two strengthening (deep cervical flexors and scapular retractors) and two stretchings: cervical extensors (sub-occipital muscles) and pectoral muscles). The program was based on a program by Harman and Kendall.
• advice
all subjects will be instructed to maintain normal alignment of the cervical vertebry

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	craniovertebral angle	craniovertebral angle will be measured by objective software.	up to ten weeks
Primary	cervical range of motion	cervical range of motion will be assessed by CROM. cervical flexion, extension, side bending and rotation will be assessed	up to ten weeks
Secondary	flexion endurance	flexion endurance test by stop watch will be used for assessment the endurance of cervical flexor	up to ten weeks
Secondary	extension endurance	extension endurance test by stop watch will be used for assessment the endurance of extensor muscles	up to ten weeks
Secondary	muscle activity during rest and activity	electromyography will be used for measuring the activity of upper trapezius and sternocleidomastoid muscle at rest and during activity	up to ten weeks