Effect of Core Stabilization Exercises on Cervical Sagittal Balance Parameters in Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- cervical sagittal vertical alignment
研究概览
简要总结
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.
详细描述
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.
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
- Triple (Participant, Care Provider, Investigator)
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CVA less than 50 degrees/ neck pain for about 4 weeks
排除标准
- •Vertebrobasilar insufficiency/ cervical surgery/ cervical or TMJ fracture
研究组 & 干预措施
core stability exercise
This group will receive core stabilization exercises ( MCGILL 2008), in addition to postural correction exercises described by (HARMAN 2005)
干预措施: exercise therapy (Other)
traditional exercise
This group will receive only postural correction exercises described by (HARMAN 2005)
干预措施: exercise therapy (Other)
结局指标
主要结局
cervical sagittal vertical alignment
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- numerical pain rating scale(baseline, week 6)
- neck disability index(baseline, week 6)
研究者
Ahmed Mahmoud Mohamed Shabana
Demonstrator
Cairo University