Muscle Energy Technique on Forward Head Posture and Cervical Mobility in Visually Impaired Children

Efficacy of Muscle Energy Technique on Forward Head Posture and Cervical Mobility in Visually Impaired Children

Forward head posture is one of the most common postural deviation seen among visually impaired children and, it is characterized by hyperextension of upper cervical and flexion of lower cervical spine. These changes lead to muscle imbalance and resulting in weakness of the deep cervical flexors, shortening of the opposing cervical extensors and reduction in cervical range of motion. Muscle energy technique is a manual therapy technique using in the treatment of shortened muscles, muscle weakness, restricted joints range of motion. so this study aimed to investigate the efficacy of muscle energy technique on forward head posture and cervical mobility in visually impaired children.

Study Overview

• Status: Recruiting
• Conditions: Children With Visual Disabilities
• Intervention / Treatment: Procedure: muscle energy technique

Detailed Description

subjects will be allocated according to the inclusion and exclusion criteria from different schools for visually impaired children. They will be divided randomly into study group and control group. Study group will be participated in suboccipital muscle energy technique. Control group will be participated in sham technique. The duration of treatment for both groups will be 3 times/week for 6 weeks. Autodesk AutoCAD software will be used to analyze the measured angles and CROM will be used to assess cervical mobility

• Study Type: Interventional
• Enrollment (Anticipated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Eman W Mahmoud, PhD; Phone Number: +201008079576; Email: Eman.wagdy@pt.bsu.edu.eg

Study Locations

• Egypt
  • Cairo, Egypt
    • Recruiting
    • Noha Elserty
    • Contact: Noha S Elserty

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 8 years to 14 years (CHILD)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Visual acuity will be 6/24, 6/36 and 6/60 after correction.
• Wearing glasses more than one year.
• Craniovertebral angle < 50°.
• Functional hearing.

Exclusion Criteria:

• Injury of cervical region (e.g: atlantoaxial instability).
• Cervical spine deformities or/disorders.
• History of previous cervical spine surgery.
• Rheumatic and congenital heart disease.
• Regular participation in any sport activities.
• Intellectual or/mental disabilities

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: group A; suboccipital muscle energy technique	Procedure: muscle energy technique; muscle energy technique for suboccipital muscles
SHAM_COMPARATOR: group B; sham muscle energy technique	Procedure: muscle energy technique; muscle energy technique for suboccipital muscles

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
change in craniovertebral angle	analysis of craniovertebral angle form lateral view performed by AUTOCAD program	baseline pre intervention and immediately after the intervention
change of cervical range of motion	measurement of cervical range of motion including cervical flexion, cervical extension, cervical side bending, and cervical rotation. these measurement will be applied by CROM device	baseline pre intervention and immediately after the intervention

Collaborators and Investigators

• Sponsor: Egyptian Chinese University

Study record dates

Study Major Dates

• Study Start (ACTUAL): February 1, 2021
• Primary Completion (ANTICIPATED): June 1, 2021
• Study Completion (ANTICIPATED): June 1, 2021

Study Registration Dates

• First Submitted: January 11, 2021
• First Submitted That Met QC Criteria: January 15, 2021
• First Posted (ACTUAL): January 20, 2021

Study Record Updates

• Last Update Posted (ACTUAL): May 11, 2021
• Last Update Submitted That Met QC Criteria: May 9, 2021
• Last Verified: May 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: Egyptian Chinese University

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: supporting information that will be shared after publication of the study
• IPD Sharing Time Frame: after publishing the study
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No