Effect of Muscle Energy Technique on Craniovertebral and Shoulder Angles in Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- craniovertebral angle
研究概览
简要总结
The study will be determine how muscle energy strategy for the upper trapezius and sternocleidomastoid muscles affects the craniovertebral angle and shoulder angle.
详细描述
Participants in group (A) received PIR for upper trapezius and sternocleidomastoid muscles. the therapist moved the subject's head into the position that put each muscle in stretch, once resistance/ barrier was felt, that position was held and subjects were asked to isometrically contract the target muscle with 20% of maximal contraction for 5 sec against mild resistance from the therapist, relax for 5 sec followed by passive stretch until reaching a new barrier for 30 sec, 3 repetitions for each muscle, 3sessions /week over a period of 4 weeks . In addition to the program designed for control group.
The treatment protocol was designed based on the assumption that the targeted muscles are the most shortened muscles in FHP.
PIR for upper trapezius The patient sat on a stool in an erect position. The therapist stood behind the patient with one hand on the patient's ipsilateral shoulder for stabilization, while the other was on the side of the patient's head. The patient's head was moved to flexion, lateral bending to the opposite side and rotation to the same side of the stretched muscle. The ipsilateral hand pushed the shoulder inferiorly to lengthen the muscle until the restrictive barrier was met, then we asked the patients to raise the shoulder against the hand isometrically then gently stretch the muscle until meeting a new barrier.
PIR for upper trapezius PIR for Sternocleidomastoid The patient sat on a stool in an erect position. The therapist stood behind the patient with her forearm on the patient's ipsilateral shoulder for stabilization, while the hands surrounded the patient's head. The head moved into lateral flexion away from the side of the involvement, rotation to the side of involvement, extension of the lower cervical spine and flexion of upper cervical spine to meet the restrictive barrier. The patient was instructed to push forward against the therapist's hand isometrically, and then gently stretch the muscle until meeting a new barrier.
Group (B) Participants in group (B) received static stretching exercise for upper trapezius and sternocleidomastoid .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
盲法说明
with computer generated block. Participants were randomized in blocks of 4 with a 1:1 allocation ratio to reduce the bias and variability between the two groups. The randomization was generated by an author who was not entailed in data collection. Randomization codes were kept confidential in sealed opaque envelopes and sequentially numbered to ensure concealed allocation.
入排标准
- 年龄范围
- 18 Years 至 23 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both sex will be included with age ranged between (18-23) years old
- •subject with CVA less than 50°
- •subject with shoulder angle less than 52.28°.
- •Subjects without neck or shoulder pain or recent shoulder fracture.
- •Body mass index between (18-31) Kg/m2
- •They will understand and follow instructions included in the test.
排除标准
- •Neck pain
- •Shoulder pain
- •Recent shoulder fracture
- •Cervical disc
- •Radiculopathy
- •Subjects had symptoms of vertigo, dizziness.
- •Subjects had visual or auditory problems.
- •Subjects had an autoimmune disease or systemic disease
研究组 & 干预措施
treatment group
(30) thirty patients with forward head received PIR for upper trapezius and sternocleidomastoid muscles. the therapist moved the subject's head into the position that put each muscle in stretch, once resistance/ barrier was felt, that position was held and subjects were asked to isometrically contract the target muscle with 20% of maximal contraction for 5 sec against mild resistance from the therapist, relax for 5 sec followed by passive stretch until reaching a new barrier for 30 sec, 3 repetitions for each muscle, 3sessions /week over a period of 4 weeks In addition to the program designed for control group.
干预措施: exersice program (Muscle energy technique) (Other)
treatment group
(30) thirty patients with forward head received PIR for upper trapezius and sternocleidomastoid muscles. the therapist moved the subject's head into the position that put each muscle in stretch, once resistance/ barrier was felt, that position was held and subjects were asked to isometrically contract the target muscle with 20% of maximal contraction for 5 sec against mild resistance from the therapist, relax for 5 sec followed by passive stretch until reaching a new barrier for 30 sec, 3 repetitions for each muscle, 3sessions /week over a period of 4 weeks In addition to the program designed for control group.
干预措施: exersice program (stretching and strengthening exercises ) In addition to postural advices (Other)
control group
(30) thirty patients with forward head received static stretching exercise for upper trapezius and sternocleidomastoid .
Repetitions: 3times/day, 3days/week over a period of 4 weeks, in addition to strengthening exercises of deep cervical flexors and scapular retractor muscles 3sets of 12 repetitions with 6 sec hold. In addition to postural advices
干预措施: exersice program (stretching and strengthening exercises ) In addition to postural advices (Other)
结局指标
主要结局
craniovertebral angle
时间窗: one month
(CVA): It is the angle formed between a horizontal line through the spinous process of C7 and a line from the tragus of the ear It is a measure of forward head posture
shoulder angle
时间窗: one month
(SA) : is formed at a line between the center of the humerus and spinous process of C7 and the horizontal line through the center of the humerus. It is a measure of rounded shoulder posture.
Pressure Pain Threshold
时间窗: one month
the point at which a non-painful pressure stimulus turns into a painful pressure sensation Subjects' pressure pain thresholds (PPTs) were assessed using a Commander algometer
次要结局
未报告次要终点
研究者
Heba saeid Mohamed Ahmed Elfaky
Teaching Assistant
Cairo University