Core Stabilization Exercises in Forward Head Posture

Not Applicable

Completed

• Conditions: Forward Head Posture
• Interventions: Other: exercise therapy

• Registration Number: NCT06160245
• Lead Sponsor: Cairo University

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 Timeline

• Study First Submitted: 2023-11-29
• Study First Submitted QC: 2023-11-29
• Study Start: 2023-12-01
• Study First Posted: 2023-12-07
• Primary Completion: 2024-04-01
• Study Completion: 2024-04-01
• Status Verified: 2024-08
• Last Update Submitted: 2024-08-19
• Last Update Posted: 2024-08-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• CVA less than 50 degrees/ neck pain for about 4 weeks

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Exclusion Criteria

• Vertebrobasilar insufficiency/ cervical surgery/ cervical or TMJ fracture

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
core stability exercise	exercise therapy	This group will receive core stabilization exercises ( MCGILL 2008), in addition to postural correction exercises described by (HARMAN 2005)
traditional exercise	exercise therapy	This group will receive only postural correction exercises described by (HARMAN 2005)

Primary Outcome Measures

Name	Time	Method
cervical sagittal vertical alignment	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	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	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 Outcome Measures

Name	Time	Method
numerical pain rating scale	baseline, week 6	patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity \[1\]. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible
neck disability index	baseline, week 6	a standard instrument for measuring self-rated disability due to neck pain

Trial Locations

Locations (1)

Faculty of physical therapy, Cairo University & AXA One-Health clinics Korba branch; 🇪🇬 Giza, Egypt