Effect Of Kinetic Control Training On Pain And Craniovertebral Angle In Symptomatic Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- craniovertebral angle
研究概览
简要总结
The goal of this clinical trial is to investigate the effect of adding kinetic control training of cervical and shoulder joints on pain, neck function, neuromuscular control of the deep cervical flexors, and craniovertebral angle in symptomatic forward head posture.
详细描述
Forward head posture (FHP) is one of the most common postural deformity, which affects 66% of the patient population with high prevalence among university students due to prolonged usage of computer, smartphones and faulty posture during lectures with lack of awareness about proper posture among them.Participants with FHP exhibited abnormal sensorimotor control and autonomic nervous system dysfunction compared to those with normal head alignment .
Identifying and classifying movement faults is fast becoming the key of recent neuromusculoskeletal rehabilitation. Uncontrolled movement (UCM), contributing to neck pain symptoms, can cause compression or impingement on one side of joints while developing tensile strain on the other side. If UCM is not managed, and the related tissue stress and strain are sustained or repeated beyond the limits of tissue tolerance, multiple tissue pathology may develop eventually and a combination of symptoms may occur . As seen in symptomatic forward head posture.
Along with the identification of site and direction of the faults, direction-movement control intervention(kinetic control) retrains the control of the movement faults. The suggestion is that uncontrolled movement links to the pattern of movement during everyday activities and relates to neck pain. This maneuver can reduce symptoms of neck pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
double blinding
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •50 Subjects of both genders aged 18-40 years old with symptomatic forward head posture (FHP) and Body Mass Index (BMI) less than 30 kg/m2 .
- •Subjects have FHP if CVA ≤ 50° for assessing FHP 3) Pain between three and eight using numerical pain rating scale NPRS 4) Subjects have non-specific neck pain for at least 3 months
排除标准
- •The patients were excluded if they had:
- •Experienced a history of neck injuries, neck and shoulder surgery
- •Shoulder trauma, tendinitis, thoracic surgery
- •Neurological disorders such as cervical spondylosis, spondylolisthesis.
- •Disc prolapse
- •Rheumatic disease, fibromyalgia
结局指标
主要结局
craniovertebral angle
时间窗: up to 4 weeks
* CVA is defined as the angle formed between a horizontal line through the spinous process of C7 and a line from the tragus of the ear.• To calculate the CVA, reflective markers will be put on the tragus of the ear and the spinous process of C7 before photographing.The eye level will be established by asking the subjects to look forward at a point directly in front of them (colored label will be put on the wall in front of them at their eye level) . * A Phone camera will be fixed on an adjustable tripod 1.5 m away from the subject and its base was set at the height of the participant's shoulder. Landmark will be placed on the floor to ensure the same positon of the participants and constant distance from the camera * The subjects will be asked to stand comfortably in a normal standing position with their hands hanging beside their bodies and a lateral view picture will be taken from the dominant side by a phone camera. The photos will be analyzed by Kinovea software
次要结局
- neck pain(up to 4weeks)
- neck function(up to 4 weeks)
- neuromuscular control of the deep cervical flexors (activation and endurance)(up to 4 weeks)
研究者
Noura metwally metwally ali khalifa
asisstant lecturer
Cairo University