Advanced approach for patients with Forward Head Posture to correct their Cervical angle and Quality of Life

Phase 2/3

Not yet recruiting

Conditions: Participants with Forward Head Posture (FHP)

Registration Number: CTRI/2023/10/058581

Lead Sponsor: Chhatrapati Shahu Ji Maharaj University

Brief Summary: **Background:** Disruption in the normal alignment of the cervical spine with respect to the trunk, acromion process and the sagittal plane, propelling the head and cervical spine forwardaway from the plumb line is termed as Forward Head Posture (FHP). This FHP creates malalignment at level of cervical spine but also impacts the weight transference of the head and cervical region to the trunk. It is suggested that attaining FHP by individuals causes various mal-alignments whether pertaining to musculoskeletal, neurological, respiratory or behavioral abnormalities which may be a consequence of the adapted postures of individuals.

**Objective:** By far, there is no such study to treat various domains affected from FHP like musculoskeletal, balance, cognitive and vestibular cumulatively and comprehensively aiming to improve Cranio-vertebral angle and Quality of life of such individuals.

**Methodology:** This will be a multi-phased trial. Phase I will be a cross sectional study which will evaluate prevalence and correlation of FHP with other biomechanical lesion of the body. A total of 248 samples will be included in the study. Individuals between the age of 18 to 45 years will be recruited with the help of Purposive sampling. Phase II will be Feasibility study for protocol development and its Feasibility trial. Participants recruited in this phase will be chosen based on Purposive sampling. Phase III will be pre-test post-test Randomized Controlled trial.

**Discussion:** After the pandemic COVID-19, there have been a major increase in the risk and development of musculoskeletal ailments which are largely associated with lifestyle changes and activity cessation. This study will not only develop a treatment strategy for cases with Forward Head Posture but will also make sure that it does not stick over the Musculoskeletal discipline only. It will lead to researches being more focused over development of self-training and self-correcting strategies to combat Forward Head Posture during the initial phases of development of Forward Head Posture and will thus reduce the complications in future life.

**Keywords: Balance, Cervical, Cognition, Forward Head Posture, Posture, Rehabilitation**

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 248

Inclusion Criteria

Individuals between the age of 18 to 45 years.
Individuals who have a Cranio-vertebral Angle of less than 53 degrees, with or without pain in the cervical region.

Exclusion Criteria

Individuals having history of cerebral trauma, cancer, tumour, fall or any other injury which may affect the functioning of cervical region.
Individuals with systemic diseases such as Diabetes mellitus, hypertension, etc.
Pregnant females and hospitalized patients.
Patients of Stroke, Hemiparesis, Spinal Cord Injury, Myopathy or any neuromuscular disease.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Cranio-Vertebral Angle	1. Cranio-Vertebral Angle- It will be assessed at baseline and at the end of 4 weeks of Intervention. \| 2.Quality of Life- It will be assessed at baseline and at the end of 4 weeks of Intervention.
2. Quality of Life	1. Cranio-Vertebral Angle- It will be assessed at baseline and at the end of 4 weeks of Intervention. \| 2.Quality of Life- It will be assessed at baseline and at the end of 4 weeks of Intervention.

Secondary Outcome Measures

Name	Time	Method
1. Balance
Cognition	Cognition is the state of functioning of brain parameters. It will be assessed both at the baseline & after 4 weeks of Intervention

Trial Locations

Locations (1): Room No. SHS-106, Physiotherapy OPD
🇮🇳
Nagar, UTTAR PRADESH, India
Room No. SHS-106, Physiotherapy OPD
🇮🇳Nagar, UTTAR PRADESH, India
Apoorva Srivastava
Principal investigator
8953634686
apoorva.pt12@gmail.com