Forward Head Posture Clinical Trial
Official title:
Effect Of Muscle Energy Technique Of Lower Limb Superficial Backline Muscles in Patients With Forward Head Posture
The aim of this randomized controlled trial is to find the effect of muscle energy technique of muscles involved in lower limb superficial backline (hamstring and Gastro-soleus) on improving craniovertebral angle and cervical proprioception and minimizing pain among patients with forward head posture
Status | Recruiting |
Enrollment | 36 |
Est. completion date | April 20, 2025 |
Est. primary completion date | March 20, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 35 Years |
Eligibility | Inclusion Criteria: - Age between 20 and 35 years - Both Genders - Craniovertebral angle <49.9 degrees - History of neck pain >3 months - Patients with hamstring tightness(Inability to achieve greater than 160° of knee extension with hip at 90° of flexion) - Patients with calf muscle tightness(The Taloche Sign (Maestro) If a patient with a tight gastrocnemius tries to stand on an inclined plane, it is immediately evident that it is impossible for the patient to be stable in this position) Exclusion Criteria: - Patient with recent injuries or surgeries in and around the neck region - Vertigo - radiating pain in upper limb - spinal deformities - malignancy in and around the neck region - cervical instabilities - fibromyalgia - patients with any lower limb or lower back pathology(e.g arthritis) |
Country | Name | City | State |
---|---|---|---|
Pakistan | We Care Physical Therapy Clinic street 13 phase 4A, Ghouri town Islamabad | Islamabad | Punjab |
Lead Sponsor | Collaborator |
---|---|
Riphah International University |
Pakistan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Neck disability index (NDI) | The NDI is a Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation.
The NDI is composed of 10 items. Each item consists of different statements which describe how much neck pain interferes with certain activity. Patient choses one option which describes his pain most precisely. |
4 weeks | |
Primary | Numeric Pain Rating Scale NPRS | The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score. | 4 weeks | |
Secondary | Bubble inclinometer | It is an instrument that measures the available range of motion at a joint. | 4 weeks | |
Secondary | FHP Mobile Application (To measure Craniovertebral angle) | FHP app is a free mobile application that enables measurement of the CV angle for the analysis of cervical posture in the sagittal plane. It was used to measure the CV angle. The protocol involved:(1) Preparation of the location of the camera and the subject; (2) palpation and marking anatomical reference points(3) realization of the photographs. | 4 weeks | |
Secondary | Cervical Joint Position Error | The patient is sitting 90 cm from the wall, and the starting point (center of target or reference point) of the laser projection is marked. The patient (blindfolded or closed) performs active neck movement and then returns to the starting position as accurately as possible. The final laser position is measured relative to the starting position (distance or angle). The errors are measured after cervical extension and flexion. | 4 weeks |
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