Pilates Mat Versus Cervical Stabilization Exercises on Myoelectric Activity of Cervical Muscles, Craniovertebral Angle, Pain and Function in Young Adults With Forward Head Posture: Randomized Controlled Trial
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
- Myoelectric activity of cervical muscles
研究概览
简要总结
see if there is no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on myoelectric activity of cervical muscles in young adults with forward head posture.
详细描述
Forward head posture (FHP) increases extension of the atlanto-occipital joint and the upper cervical vertebrae as well as flexion of the lower cervical and upper thoracic vertebrae. Furthermore, this posture causes persistent and abnormal contraction of the suboccipital, neck, and shoulder muscles. Additionally, the muscles around the head and shoulders, including the trapezius, sternocleidomastoid, suboccipital, and temporal, are affected by FHP, which further worsens postural deformity. FHP is the most common deviation from ideal head posture and is characterized by the head projecting forward into the sagittal plane such that it is anterior to the trunk. Head in forward posture can add up to thirty pounds of abnormal leverage on the cervical spine, which pull the entire spine out of alignment, in addition, loss of the physiological lordosis could be a possible cause of pain due to muscular imbalance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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 craniovertebral angle ≤
- •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
排除标准
- •Subjects with any spinal problems
- •Subjects with experience in Pilates exercises through the last 3 months of the start of intervention will be 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
研究组 & 干预措施
Pilates mat exercises
one hour Pilates exercises with 10 min warm up and 5-10 min cooling down
干预措施: Pilates mat exercises (Other)
Pilates mat exercises
one hour Pilates exercises with 10 min warm up and 5-10 min cooling down
干预措施: conventional physiotherapy (Other)
cervical stabilization exercises
training of deep cervical flexor muscles with pressure biofeedback unit
干预措施: cervical stabilization exercises (Other)
cervical stabilization exercises
training of deep cervical flexor muscles with pressure biofeedback unit
干预措施: conventional physiotherapy (Other)
conventional physiotherapy
10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program
干预措施: conventional physiotherapy (Other)
结局指标
主要结局
Myoelectric activity of cervical muscles
时间窗: up to twelve weeks
by surface electromyography (EMG)
Craniocervical angle
时间窗: up to twelve weeks
by photogrammetric method.
次要结局
- Pain intensity of neck area(up to twelve weeks)
- function of daily life(up to twelve weeks)
研究者
Al Shaymaa Shaaban Abd El Azeim
Doctor of physical therapy
Cairo University