Global Postural Reeducation Exercises Versus Deep Neck Flexor Activation on Non Specific Neck Pain With Forward Head Posture

Not Applicable

Not yet recruiting

• Conditions: Non Specific Neck Pain; Forward Head Posture

• Registration Number: NCT06711497
• Lead Sponsor: October 6 University

Brief Summary

this study will be conducted to compare between global postural reeducation (GPR) and deep neck flexors (DNF) activation in patients with chronic nonspecific neck pain (NSNP) on pain, disability, forward head posture and deep neck flexors endurance

Detailed Description

Neck pain (NP) is highly prevalent and is the sixth largest cause of disability in the world, causing considerable economic impact. Between 50% and 75% of people will not recover from an acute episode and will experience recurrent neck pain within the next 1 to 5 years, approximately 68% of people will develop persistent and chronic neck pain.Forward head posture (FHP) is a common posture malalignment which characterized by increased craniocervical angle more than 50 degrees. There is a significant association between neck pain and forward head posture. According to previous studies, it has been proven that an average of 60% of patients with neck pain have a forward head posture.Cranio-cervical flexor muscles training focuses on the deep flexor muscles such as longus capitis and longus colli muscles, which flex the neck, not the head. Also, these low-load exercises train the deep cervical flexors more specifically, rather than all the neck flexors involved in the head-lifting exercise.Global postural reeducation (GPR) is a method of physiotherapy, developed by Phillipe Souchard in the 1950s.Its therapeutic approach depends on causality, and globality and is based on the hypothesis that the muscular system is organized into muscle chains, which can be shortened because of musculoskeletal disorders and constitutional, behavioral and psychological factors. forty four patients will be assigned randomly into two equal groups; fist one will receive global postural reeducation plus active neck exercise and the other will receive deep neck flexor exercises plus active neck exercise

Study Timeline

• Status Verified: 2024-11
• Study First Submitted: 2024-11-27
• Study First Submitted QC: 2024-11-27
• Last Update Submitted: 2024-11-27
• Study Start: 2024-12-01
• Study First Posted: 2024-12-02
• Last Update Posted: 2024-12-02
• Primary Completion: 2025-02-15
• Study Completion: 2025-02-27

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Adult physiotherapists with mechanical neck pain and base line score of at least 3 out of 10 pain intensity on VAS .
• Adult physiotherapists with FHP and CVA less than 50 as a reference angle
• Adult physiotherapists aged from 18 to 24.

Exclusion Criteria

• Specific cause of neck pain as (rheumatic ,sytemic ,neuromuscular diseases ).
• Cognitive impairment .
• Cervical radiculopathy .
• Cervical spondylolisthesis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
neck disability	up to four weeks	neck disability will be measured by the Arabic version of neck disability index. NDI is a self-reported questionnaire that consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50. However, the NDI is frequently normalized to 100 and reported as percent Because the questionnaire is straightforward, most of the patients need approximately 5 minutes to complete it

Secondary Outcome Measures

Name	Time	Method
pain intensity	up to four weeks	pain intensity will be measured by visual analogue scale. The VAS tool is a very simple tool as the therapist asks the patient to express how potent he/she feels current pain or last 24 hours' pain through choosing a point on a100 mm line drawn between two ends one end refer to absence of pain and the other the worst intense pain
Craniovertebral Angle	up to four weeks	The Craniovertebral Angle will be measured using a digital imagining technique (kinovea software). The craniovertebral angle is measured by calculating the angle found at the intersection of a line drawn from the tragus of the ear through the spinous process of C7 Vertebra and a horizontal line through C7 Vertebra.
deep neck flexors endurance	up to four weeks	deep neck flexor endurance will be measured by pressure biofeedback device. The pressure biofeedback unit will be centered just below the occiput between the plinth and the back of the neck and inflated to a baseline of 20 mmHg. Each subject was asked to execute the head nodding action gently and slowly (as if they said yes) at five different levels of pressure (22, 24, 26, 28 and 30 mmHg) and to maintain each level for 10 seconds There was a 30-second rest period between each level. The test protocol will end when the subject will be unable to hold the same pressure level for 10 sec or will reach a peak level of 30mmHg