EFFECTS OF BODY-BLADE EXERCISES ON NECK POSTURE, FUNCTION, AND MUSCLE STRENGTH IN FORWARD HEAD POSTURE

This study will be conducted to determine the effect of adding Body-blade exercises to traditional treatment on posture, scapular muscles strength, neck pain, and function in individuals with forward head posture

Study Overview

• Status: Recruiting
• Conditions: Forward Head Posture
• Intervention / Treatment: Other: hot pack and exercises; Device: body blade(BB)

Detailed Description

Many studies have proposed that the Body-blade may be a more effective tool for activating the muscles employed during the training and rehabilitation of the shoulder and trunk than traditional interventions such as cuff weights and Therabands. There is few literature which studied the effect of Body-blade exercises on neck problems. So there is insufficient evidence for their effectiveness on improving forward head posture.

• Study Type: Interventional
• Enrollment (Anticipated): 42
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Nourhan Sarhan, bachelor; Phone Number: +201060551785/+201151928893; Email: nourhan_theworld@yahoo.com
• Study Contact Backup: Name: Enas Fawzy, doctoral; Phone Number: +201127867507; Email: Enas.fawzy@pt.cu.edu.eg

Study Locations

• Egypt
  • Cairo, Egypt
    • Recruiting
    • Mansheyet El Bakry General Hospital
    • Contact: enas fawzy; Phone Number: +201127867507; Email: Enas.fawzy@pt.cu.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 40 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria :

1. Participants with FHP of both genders
2. Age range from 20-40 years
3. craniovertebral angle (CVA) less than 52 degrees

Exclusion Criteria :

1. Patients with a previous diagnosis of a musculoskeletal system disease over the last 6 months,
2. severely unstable spine
3. osteoporosis
4. vascular disease
5. cervical or shoulder neurological movement disorder

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: physical therapy inervention; hot pack; Three active exercises	Other: hot pack and exercises; 20-minute hot pack,and three active exercises: (a) chin tucks in supine lying with the head in contact with the floor, (b) active Standing Shoulder pull back , and (c) scapular plane shoulder elevation. (3 sets of 10 repetitions for all the 3 exercises)
Experimental: Body-blade exercises in addition to physical therapy intervention; Three Body-blade exercises will be performed in random order (Two sets of, 3-minute exercise and 5-minute break, for each exercise ); hot pack; Three active exercises	Other: hot pack and exercises; 20-minute hot pack,and three active exercises: (a) chin tucks in supine lying with the head in contact with the floor, (b) active Standing Shoulder pull back , and (c) scapular plane shoulder elevation. (3 sets of 10 repetitions for all the 3 exercises); Device: body blade(BB); The Body-blade (Classic, Mad Dogg Athletics, USA), an elastic pole exercise tool with 122 cm in length, 0.68 kg, 4.3 cm in width,based on oscillatory/vibration motions that have been used in training or rehabilitation.The body blade works by rapidly changing directions at a low-frequency rhythm of approximately 4.5 Hz (cycles per second )

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
cranio vertebral angle using the Autocad	It is defined as the angle formed from a horizontal line passing through the C7 spinous process and a line passing through the tragus of the ear	5 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain using visual Analogue Scale (VAS)	VAS is a self-reported scale consisting of a horizontal or vertical line, usually 10 centimeters long (100 mm) anchored at the extremes by two verbal descriptors referring to the pain status	5 minutes
Neck function using the Neck Disability Index	The participants will be informed with the questionnaire10-items: pain intensity, personal care, lifting, work, headaches, concentration, sleeping, driving, reading, and recreation. and will be asked to fill the response to each item which is rated on a 6-point scale from 0 (no disability) to 5 (complete disability).The higher the final score the more severe the functional disability. Scores were divided into 0- 4 points for no disability, 5-14 points for mild disability, 15-24 points for moderate disability, 25-34 points for severe disability, and 35 or higher for complete disability	5 minutes
Scapular muscles strength using Hand Held Dynamometer	the participants will be positioned in different positions according to the muscle to be measured .	10 minutes

Collaborators and Investigators

• Sponsor: Cairo University

Publications and helpful links

General Publications

• Sheikhhoseini R, Shahrbanian S, Sayyadi P, O'Sullivan K. Effectiveness of Therapeutic Exercise on Forward Head Posture: A Systematic Review and Meta-analysis. J Manipulative Physiol Ther. 2018 Jul - Aug;41(6):530-539. doi: 10.1016/j.jmpt.2018.02.002. Epub 2018 Aug 11.
• Lister JL, Del Rossi G, Ma F, Stoutenberg M, Adams JB, Tobkin S, Signorile JF. Scapular stabilizer activity during Bodyblade, cuff weights, and Thera-Band use. J Sport Rehabil. 2007 Feb;16(1):50-67.

Study record dates

Study Major Dates

• Study Start (Actual): December 30, 2020
• Primary Completion (Anticipated): April 1, 2021
• Study Completion (Anticipated): August 1, 2021

Study Registration Dates

• First Submitted: February 3, 2021
• First Submitted That Met QC Criteria: February 3, 2021
• First Posted (Actual): February 8, 2021

Study Record Updates

• Last Update Posted (Actual): February 8, 2021
• Last Update Submitted That Met QC Criteria: February 3, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Other Study ID Numbers: Forward head posture treatment

Drug and device information, study documents

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