Efficacy of Adding Pilates to Postural Correction Exercise on Nerve Root Function and Electromyography Activity in Symptomatic Forward Head Posture: Randomized Controlled Trial
- Conditions
- Forward Head Posture
- Interventions
- Other: Pilates exercisesOther: Pilates and postural correction exerciseOther: postural correction exercises
- Registration Number
- NCT05170776
- Lead Sponsor
- Cairo University
- Brief Summary
to investigate the Efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture: Randomized Controlled Trial
- Detailed Description
Forward head posture (FHP) is nowadays the most common postural problem. In FHP, the head protrudes forward from the sagittal plane and appears to be positioned in front of the body, and this condition is considered the most common postural deformity. The prevalence of anterior head translation in neck pain patients was found to be 37%, out of which 58% were females and 42%were males. FHP is among the most common abnormal postures in upper quarter. 85% of patients with myofascial pain syndrome have FHP. Even more alarming is how frequently these problems are seen in younger populations since it's suggested that problems at a young age may lead to more serious consequences later in life. Pilate's method is a physical fitness system that was developed during the First World War in the early 20th century by Joseph Hubertus Pilates. Direction Control and Range Control exercises are two key types of specific exercises that should be used when specific uncontrolled movements are found. Pilates is a mind-body exercise that focuses on strength, core stability, flexibility, muscle control, posture and breathing. Exercises can be mat-based or involve use of specialized equipment. Six major components of Pilates as: Centering, Concentration, Control, Precision, Flow and Breathing.
pilates exercise and postural correction play a major role in restoring the normal posture in patients with forward head posture so this trial will be conducted to investigate efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 120
- Ages from 20-45 years old with symptomatic forward head posture will be included in this study
- Participants have FHP if CVA ≤ 50 Non- athletes
- Normal body mass index (BMI) (18- 24.9). (BMI = body mass in kg divided by subject height in meters).
- any spinal problems
- Temporomandibular disease
- Participants with experience in pilates and who will not be sedentary were excluded from the study
- Previous surgery in the neck and shoulder
- 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 mylopathy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Pilates exercises Pilates exercises pilates exercise will be received three times a week for 10 weeks Pilates and postural correction exercise Pilates and postural correction exercise pilates and postural correction exercise will be received three times a week for 10 weeks postural correction exercises postural correction exercises postural corrections exercise will be received three times a week for 10 weeks
- Primary Outcome Measures
Name Time Method nerve root function up to ten weeks nerve root function in the form of somatosensory evoked potential will be measure by electromyograph.
- Secondary Outcome Measures
Name Time Method muscle amplitude up to ten weeks electromyography will be used to measure the muscle amplitude in the form of root mean square
pain intensity up to ten weeks pain intensity will be measure by visual analogue scale.
flexion and extension endurance test up to ten weeks the endurance will be measured by stop watch
craniovertebral angle up to ten weeks craniovertebrel angle will be measured by surgimap program
neck disability up to ten weeks neck disability will be measure by Arabic neck disability index
Trial Locations
- Locations (1)
Al Shaymaa Shaaban Abd El Azeim
🇪🇬Giza, Egypt