Effect of Core Stabilization Exercises on Cervical Sagittal Balance Parameters in Forward Head Posture
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- cervical sagittal vertical alignment
Study Overview
Brief Summary
Based on the reviewed literature, Core Stabilization Exercises (CSEs) have been shown to have positive effects on patients with low back pain. To our knowledge, very few studies have examined the impact of CSEs on neck pain, particularly in patients with forward head posture (FHP), despite that several authors suggested that FHP may be caused by lumbopelvic malalignment.
Therefore, the purpose of the study is to assess how CSEs may affect the cervical sagittal balance parameters (CSB) in patient with FHP.
Detailed Description
After the patient fills the consent form, the Craniovertebral angle will be measured by taking a photograph, then this photograph will be analysed by the KINOVEA software.
If the CVA is less than 50 degrees, he/she will have a lateral x-ray on the cervical spine to measure the radiographic variables of the CSB parameters. These variables will be assessed and quantified by Image J software.
The patients will be classified randomly into 2 groups, the intervention and control groups. The intervention will receive CSEs program and Postural Correction Exercises (PCEs) program, but control group will receive only PCEs program.
Both programs will be implemented for 6 weeks 3 times/ week and after 6 weeks, patients will be reassessed again to determine the difference.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Investigator)
Eligibility Criteria
- Ages
- 18 Years to 30 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •CVA less than 50 degrees/ neck pain for about 4 weeks
Exclusion Criteria
- •Vertebrobasilar insufficiency/ cervical surgery/ cervical or TMJ fracture
Arms & Interventions
core stability exercise
This group will receive core stabilization exercises ( MCGILL 2008), in addition to postural correction exercises described by (HARMAN 2005)
Intervention: exercise therapy (Other)
traditional exercise
This group will receive only postural correction exercises described by (HARMAN 2005)
Intervention: exercise therapy (Other)
Outcomes
Primary Outcomes
cervical sagittal vertical alignment
Time Frame: baseline, week 6
calculated by measuring the horizontal distance between the posterosuperior corner of the C7 vertebral body and a plumb line drawn from the centroid of C2
T1 slope angle
Time Frame: baseline, week 6
he angle formed by drawing a line along the superior endplate of T1 and horizontal reference line at the median sagittal cervical vertebra from the CT radiographs
craniovertebral angle
Time Frame: baseline, week 6
the intersection of a horizontal line passing through the C7 spinous process and a line joining the midpoint of the tragus of the ear to the skin overlying the C7 spinous process.
Secondary Outcomes
- numerical pain rating scale(baseline, week 6)
- neck disability index(baseline, week 6)
Investigators
Ahmed Mahmoud Mohamed Shabana
Demonstrator
Cairo University