CORE STABILIZATION EXERCISES IN FORWARD HEAD POSTURE

Forward Head Posture Clinical Trial

Official title:

EFFECT OF CORE STABILIZATION EXERCISES ON CERVICAL SAGITTAL BALANCE PARAMETERS IN FORWARD HEAD POSTURE

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06160245
• Other study ID #: CSEs in FHP
• Status: Not yet recruiting
• Phase: N/A
• Start date: December 1, 2023
• Est. completion date: July 1, 2024

Study information

• Verified date: November 2023
• Source: Cairo University
• Contact: Ahmed Mahmoud Shabana, bachelor
• Phone: 01065434780
• Email: ahmedshabana300[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Based on the reviewed literature, Core Stabilization Exercises (CSEs) have been shown to have positive effects on patients with low back pain. To our knowledge, very few studies have examined the impact of CSEs on neck pain, particularly in patients with forward head posture (FHP), despite that several authors suggested that FHP may be caused by lumbopelvic malalignment. Therefore, the purpose of the study is to assess how CSEs may affect the cervical sagittal balance parameters (CSB) in patient with FHP.

Description:

After the patient fills the consent form, the Craniovertebral angle will be measured by taking a photograph, then this photograph will be analysed by the KINOVEA software. If the CVA is less than 50 degrees, he/she will have a lateral x-ray on the cervical spine to measure the radiographic variables of the CSB parameters. These variables will be assessed and quantified by Image J software. The patients will be classified randomly into 2 groups, the intervention and control groups. The intervention will receive CSEs program and Postural Correction Exercises (PCEs) program, but control group will receive only PCEs program. Both programs will be implemented for 6 weeks 3 times/ week and after 6 weeks, patients will be reassessed again to determine the difference.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 40
• Est. completion date: July 1, 2024
• Est. primary completion date: June 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 30 Years

Eligibility

Inclusion Criteria:

• CVA less than 50 degrees/ neck pain for about 4 weeks

Exclusion Criteria:

• Vertebrobasilar insufficiency/ cervical surgery/ cervical or TMJ fracture

Related Conditions & MeSH terms

• Forward Head Posture

Intervention

Other:
• exercise therapy
core stabilization exercises

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	cervical sagittal vertical alignment	calculated by measuring the horizontal distance between the posterosuperior corner of the C7 vertebral body and a plumb line drawn from the centroid of C2	baseline, week 6
Primary	T1 slope angle	he angle formed by drawing a line along the superior endplate of T1 and horizontal reference line at the median sagittal cervical vertebra from the CT radiographs	baseline, week 6
Primary	craniovertebral angle	the intersection of a horizontal line passing through the C7 spinous process and a line joining the midpoint of the tragus of the ear to the skin overlying the C7 spinous process.	baseline, week 6
Secondary	numerical pain rating scale	patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity [1]. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible	baseline, week 6
Secondary	neck disability index	a standard instrument for measuring self-rated disability due to neck pain	baseline, week 6