An Investigation Into the Immediate Effects of Atlanto-Occipital Joint Mobilization on Head Posture, Respiratory Function, and Cervical Range of Motion in Individuals With Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Craniovertebral Angle (CVA) for Forward Head Posture
研究概览
简要总结
The purpose of this study is to investigate the immediate effects of atlanto-occipital joint mobilization on head posture, respiratory function, and cervical range of motion in healthy individuals with forward head posture.
详细描述
Forward head posture (FHP) is a common postural disorder characterized by the anterior displacement of the head relative to the shoulders. The estimated prevalence of FHP among individuals who use electronic devices frequently is reported to be high, affecting a significant portion of the general population. While postural correction exercises and ergonomic education are generally the first-line management strategies for FHP, manual therapy techniques (such as joint mobilizations and soft tissue therapy) are often recommended as an adjunct treatment. Additionally, various physiotherapy approaches, including stretching of the posterior cervical muscles, strengthening of the deep neck flexors, and respiratory exercises, can also be utilized. Specific mobilization of the atlanto-occipital joint is theorized to normalize arthrokinematics and reduce fascial restrictions in the suboccipital region. This is said to decrease neuromuscular tension, improve proprioceptive input, and restore optimal alignment, resulting in positive effects on head posture, cervical mobility, and respiratory function.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
The researcher performing the measurements will be blinded to the group allocation of the participants.
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Volunteering to participate in the study.
- •Being between the ages of 18 and
- •Having forward head posture according to craniovertebral angle measurement.
排除标准
- •History of cervical surgery or trauma.
- •Diagnosed cervical disc herniation or cervical stenosis.
- •Presence of a diagnosed neurological and/or rheumatological disorder.
- •Pregnancy.
- •Presence of malignancy.
研究组 & 干预措施
Mobilization group
The intervention group will receive atlanto-occipital joint mobilization.
干预措施: Atlanto-occipital joint mobilization (Other)
Sham group
The control group will receive the sham application.
干预措施: Sham application (Other)
结局指标
主要结局
Craniovertebral Angle (CVA) for Forward Head Posture
时间窗: Assessments will be performed at baseline (before the application) and immediately following the single-session intervention.
Forward head posture will be assessed by measuring the craniovertebral angle (CVA) using a goniometer. The CVA is the angle between the horizontal line passing through the C7 spinous process and the line from the tragus of the ear to the C7 spinous process.
Respiratory Function assessed by Spirometry (FVC, FEV1, FEV1/FVC, PEF, FEF25-75%)
时间窗: Assessments will be performed at baseline (before the application) and immediately following the single-session intervention.
Respiratory function will be assessed using a spirometry device. The following parameters will be recorded and analyzed: Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1), the FEV1/FVC ratio, Peak Expiratory Flow (PEF), and Forced Expiratory Flow at 25-75% of FVC (FEF25-75%).
Cervical mobility (Cervical Range of Motion (CROM)) assessed by Bubble Inclinometer
时间窗: Assessments will be performed at baseline (before the application) and immediately following the single-session intervention.
Cervical mobility (range of motion) will be assessed using a bubble inclinometer. Active range of motion will be measured in degrees for the movements of flexion, extension, lateral flexion (left/right), and rotation (left/right).
次要结局
未报告次要终点
研究者
Mesut Arslan
assistant professor
Bitlis Eren University