Effects of Global Postural Reeducation on Forward Head Posture
- Conditions
- Forward Head Posture
- Interventions
- Other: Global Postural Re-educationOther: Kendall exercises
- Registration Number
- NCT04723511
- Lead Sponsor
- Horus University
- Brief Summary
This study aims at investigating the effects of application of twelve sessions of Global Postural Re-education Technique (GPR) and Kendall Exercises (KE) on Craniovertebral angle (CVA), Gaze Angle (GA), Shoulders Angle (SA), Pain, functional abilities, Range of Motion, stability of sense of position, cervical muscle strength and endurance, Spinal mobility, and Chest Expansion.
- Detailed Description
A sample of 43 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 3 sessions per week. The effect of these two treatments will be assessed by various variables including: forward head angle, Gaze Angle and Shoulder angle via photogrammetry and Kinovea App, Pain intensity (VAS), functional abilities via neck disability index (NDI), cervical Range of motion and sense of position stability by Cervical Range of Motion instrument (CROM), Spinal mobility and chest expansion by tape measurement.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 43
- Patients suffering from forward head Posture (CVA less than 50 degrees)
- All subjects are medically stable and do not suffer from any other diseases which might affect the trial results.
- BMI (18-24)
- Patients willing and able to participate in this treatment program.
- At least a moderate user of English.
- 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.
The patient underwent other physical therapy programs in the last three months.
- Excessive use of smart technology
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description GPR Global Postural Re-education participants in this group receive global postural reeducation technique+ Kendall exercises Kendall Kendall exercises Kendall exercises GPR Kendall exercises participants in this group receive global postural reeducation technique+ Kendall exercises
- Primary Outcome Measures
Name Time Method craniovertebral angle before and after 12 sessions the angle formed between a horizontal line and a line extending from ear meatus and C7
- Secondary Outcome Measures
Name Time Method Shoulder Angle before and after 12 sessions the angle formed between the line extending from C7 to acromion with horizontal line
Gaze Angle before and after 12 sessions the angle formed between the line extending from the tragus of the ear to the canthus of the eye.
Cervical muscle strength and endurance before and after 12 sessions Biofeedback stabiliser is used to measure the maximum time the muscles could hold in addition to time the contraction of 50% maximum muscle contractionis maintained.
Spinal mobility before and after 12 sessions Fingers to floor test using a tape measurement
Chest expansion before and after 12 sessions Axillary and Xyphoid chest expansion by the tape measurement
Proprioceptive stability test before and after 12 sessions By utilizing CROM testing the patients' sense of location precision
Neck disability index before and after 12 sessions a scale that tests the effect of treatment on functional abilities of patients.
Pain intensity before and after 12 sessions Visual analogue scale is given to participants to select their pain scale level.
Trial Locations
- Locations (1)
Horus University
🇪🇬Damietta, Egypt