Pilates Mat Versus Cervical Stabilization Exercises on Balance in Young Adults With Forward Head Posture

Not Applicable

Completed

• Conditions: Musculoskeletal Diseases
• Interventions: Other: Pilates mat exercises; Other: conventional physiotherapy; Other: cervical stabilization exercises

• Registration Number: NCT05068817
• Lead Sponsor: Cairo University

Brief Summary

see if there will be no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on dynamic balance in young adults with forward head posture.

Detailed Description

In modernized time, extended use of mobile phone and computers has increased anterior weight bearing of cervical spine leading to a variety of musculoskeletal disorders related to the neck by changing the biomechanical stress of cervical spine. Additionally, forward head posture (FHP) alters the center of gravity (COG) of the body that lead to mechanical modifications related to postural control in the torso and every joint. The body attempts to adapt to these changes by altering its balance control mechanisms; these adaptations decrease balance ability while performing different activities and increase the risk of falling and musculoskeletal injury.

Study Timeline

• Study First Submitted: 2021-09-16
• Study First Submitted QC: 2021-09-25
• Study First Posted: 2021-10-06
• Study Start: 2021-11-01
• Primary Completion: 2022-01-01
• Study Completion: 2022-01-01
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-24
• Last Update Posted: 2022-07-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Subjects of both genders aged 18-25 years old with forward head posture will be included in this study.
• Subjects have forward head posture if the craniovertebral angle ≤ 50.
• Subjects complain non- specific neck pain for at least 3 months or at least two episodes of non-specific neck pain during the last three months.
• Normal body mass index (18- 24.9).

Exclusion Criteria

• Subjects with any spinal problems.
• Temporo-mandibular disease.
• Subjects with experience in Pilates and who will not sedentary were excluded from the study.
• Previous surgery in the neck and shoulder regions
• Current participation in a structured exercises program
• Neurological symptoms of the upper extremities during screening tests (e.g., Spurling test and upper limb tension tests)
• Red flags suggesting of cancer, infection, vascular insufficiency.
• Cervical radiculopathy or myelopathy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Pilates mat exercises	Pilates mat exercises	one hour Pilates exercises with 10 min warm up and 5-10 min cooling down
conventional physiotherapy	conventional physiotherapy	10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program
cervical stabilization exercises	conventional physiotherapy	training of deep cervical flexor muscles with pressure biofeedback unit
Pilates mat exercises	conventional physiotherapy	one hour Pilates exercises with 10 min warm up and 5-10 min cooling down
cervical stabilization exercises	cervical stabilization exercises	training of deep cervical flexor muscles with pressure biofeedback unit

Primary Outcome Measures

Name	Time	Method
Craniovertebral angle	up to twelve weeks	will be measured by photogrammetric method
Dynamic balance	up to twelve weeks	will be measured by Biodex balance system

Secondary Outcome Measures

Name	Time	Method
pain intensity	up to twelve weeks	by visual analogue scale (VAS) 10 cm line with 2 ends, 0 and 10 ends 0 end means no pain 10 end means the worst pain
cervical range of motion	up to twelve weeks	by cervical range of motion device (CROM)
Function of daily life	up to twelve weeks	by Arabic version of neck disability index

Trial Locations

Locations (1)

Faculty of Physical Therapy-Cairo University; 🇪🇬 Giza, Egypt