Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on Endurance of Cervical Flexor and Extensor Muscles on Asymptomatic Forward Head Posture; Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Forward Head Posture
- Sponsor
- Cairo University
- Enrollment
- 60
- Primary Endpoint
- cervical range of motion
- Last Updated
- 4 years ago
Overview
Brief Summary
The aim of this study is to investigate efficacy of adding Scapular Stabilization Exercises to postural correctional exercises on Endurance of cervical flexor and extensor muscles on Asymptomatic forward head posture.
Detailed Description
Forward head posture (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. Individuals with neck pain frequently demonstrate FHP, when compared to age-matched controls. Asymmetric posture is a chronic stressor and the origin of most noxious stimuli that could alleviate 70-90 % of chronic pain. It is reported that FHP is a common postural abnormality, with a conservative estimate being 66 % of the patient population. It causes vertebral displacement patterns, abnormal stresses, and strain on the spinal cord. FHP has adverse mechanical tension on neural and vascular elements. It is theorized that when muscle performance is impaired, the balance between the stabilizers on the posterior aspect of the neck and the DNFs will be disrupted, resulting in loss of proper alignment and posture, which is then likely to contribute to cervical Impairment (loss of range of motion, or decreased strength including, but not limited to, the sternocleidomastoid (SCM), trapezius, and deep neck flexor (DNF) muscles endurance of the neck musculature. Assessment of DNF muscle performance properties is arguably important given the relationship between DNF muscle torque and endurance deficits and patient complaints of head and neck pain. sixty subjects with forward head posture assigned randomly to three groups. experimental group 1 will receive scapular stabilization plus postural correction exercise and advice, experimental group 2 will receive postural correction exercise plus advice and finally control group will receive advice.
Investigators
Al Shaymaa Shaaban Abd El Azeim
principle investigator
Cairo University
Eligibility Criteria
Inclusion Criteria
- •If asymptomatic subjects with CVA equal or less than
- •shoulder flexion at least 130 degrees or more, they involved in this research.
Exclusion Criteria
- •If they had a history of cervical spine sur¬gery
- •Cervical spondylosis
- •Cervical or shoulder neurological movement disorder, Temporo-mandibular surgery, Pathologic trauma.
Outcomes
Primary Outcomes
cervical range of motion
Time Frame: up to ten weeks
cervical range of motion will be assessed by CROM. cervical flexion, extension, side bending and rotation will be assessed
craniovertebral angle
Time Frame: up to ten weeks
craniovertebral angle will be measured by objective software.
Secondary Outcomes
- muscle activity during rest and activity(up to ten weeks)
- flexion endurance(up to ten weeks)
- extension endurance(up to ten weeks)