Forward Head Posture Clinical Trial
Official title:
Effects of Cervical Spine Retraction Exercise With and Without Diaphragmatic Breathing on Pain, Disability and Craniovertebral Angle in Forward Head Posture.
This study aims to determine the effect of combining diaphragmatic exercises with cervical retraction exercise on pain, disability, active range of motions of cervical spine and craniovertebral angle in individuals with forward head posture.
Status | Recruiting |
Enrollment | 52 |
Est. completion date | February 10, 2024 |
Est. primary completion date | January 15, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 20 Years to 35 Years |
Eligibility | Inclusion Criteria: - Primary complaint of neck pain (pain on the posterior part of the cervical spine to the beginning of the thoracic area with or without pain in the shoulder girdle) - Age from 20 to 35 years - Both gender - CVA <49° (16) Exclusion Criteria: - Any serious pathology such as tumor - Had history of whiplash injury within 3 months of the examination, - Underwent prior surgery to the cervical spine - Currently using muscle relaxation medication. - Degenerative conditions - Exhibited positive neurologic signs consistent with nerve root compression. - Patients with a history of respiratory disease, such as repeated bronchitis, pneumonia, asthma, pulmonary lymph nodes, pleurisy, cured tuberculosis and others |
Country | Name | City | State |
---|---|---|---|
Pakistan | Chiropractor & Physio Pain Relief Center | Lahore | Punjab |
Lead Sponsor | Collaborator |
---|---|
Riphah International University |
Pakistan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Photogrammetry for Craniovertebral Angle (CVA) by image j software | CVA, can be measured using the lateral photos exposing C7 and the ear. The participants will maintain the natural head posture through the measurement method of self-balance posture. It is the angle made by the line that connects the seventh cervical spine with the tragus and the horizontal line of the seventh cervical spine in the sitting and standing positions. A CVA of <49° is characterized as FHP (3).
Image J is an image processing and analysis program that can read both image file formats and raw formats. It can display, edit, analyze, process, store, and print images, as well as measure distances and angles. |
6 weeks | |
Primary | Numeric pain rating scale (NPRS): | The NPRS is a subjective pain rating scale using an 11-point scale from 0 to 10, where 0 means 'no pain' and 10 means 'intolerable pain'. Participants select the whole number that best represents their level of pain. | 6 weeks | |
Primary | Neck disability index (NDI): | that restricts the activities of daily living (ADL); it also helps to determine self- assessed disability. NDI has 10 domains covering pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Scores range from 0 to 50, with 50 being the greatest levels of dysfunction. | 6 weeks | |
Primary | Goniometer for Cervical Range of motion (CROM) | Universal goniometer has fair inter-tester reliability ranging from 0.79-0.92. Validity of this tool is good i.e. 0.97-0.98 This tool is most commonly used in the clinical settings for evaluating joint ROM. | 6 weeks | |
Secondary | Global rating of change (GRC) | GRC scale is used as an objective means to test the improvement of patient symptoms, to identify the intervention effect after treatment completion in clinical practice | 6 weeks |
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