Comparison Between Effect of Posterior Cervical Weighting and Deep Cervical Flexion Exercise on Forward Head Posture (FHP)
Comparison Between Effect of Posterior Cervical Weighting and Deep Cervical Flexion Exercise on Forward Head Posture: Randomized Control Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
One of the most common postural deformities in the neck region is forward head posture seen in 66% of the population according to the American Physical Therapy Association. The use of computers and smartphones and long readings, which are the result of today's technological lifestyle, is one of the most common causes of FHP, causing the body to lean forward for hours. Maintaining the reverse neck posture also forces the body into many bad postures that damage the spine. Although forward head posture is experienced unconsciously at first, this unbalanced posture will accompany various degrees of advanced head posture, which turns into deformity, symptoms and complications.
FHP is an anterior translation of the head characterized by the extension of the upper cervical vertebra C1 and 2 and the bending of the lower cervical vertebra. According to Kapandji, each inch (2.54 cm) of the head forward equals the extra 4.5 kg on the neck extensor muscle, which leads to muscle fatigue and weakness, resulting in an unbalanced head posture with an abnormal bow in the neck. Immunohistochemical studies conducted by Satoshi Inami and colleagues showed that there is damage to the synovial folds containing nociceptive nerve endings as a result of compression of the facet joints in the forward head posture.
Aim of the work The aim of this study is to present a neck orthosis to correct neck posture and to see how posture correction will reflect on balance and plantar pressure distribution in individuals with forward head posture. This study can help answer questions about changes in gait level and mechanics between the spine and peripheral levels.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Alexandria, Egypt, 21131
- Ethics Committee - Alexandria Faculty of Medicine
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults aged 18 years and over willing to attend the study.
- Individuals with craniovertebral angle (CVA) less than 48 degrees for those participating in forward head posture (FHP).
- Young adults without known problems will be divided into groups by evaluating their craniovertebral angle value. (As individuals below 48 degrees).
- Mechanical neck pain experienced / felt in the last 3 months.
Exclusion Criteria:
- Spine trauma, surgery, bone pathology, arthritis, etc. Having a history of illness.
- Kyphotic deformity types are rounded back, Scheuermann's disease, hunched back, flat back and Dowager hump.
- Any spinal deformity, bone abnormality, postural deformity, and disc herniation with / without peripheral symptoms.
- Body mass index (BMI)> 30, which is an indicator of obesity.
- Suffering from balance problems, coordination problems, and other neurological or vestibular diseases that affect body balance and posture.
- Any orthopedic or neurological disease affecting the body joints or the integrity of the musculoskeletal system.
- Use of any medication that can cause dizziness or drowsiness in the last months.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Neck orthosis - posterior cervical weight
The posterior cervical weight orthosis is made of a well-padded adjustable Velcro attached to the end with a two-kilogram weight attached with two durable straps.
The device is firmly anchored around the curvature of the jaw and attached with Velcro to the apex of the skull.
Neck orthosis group will use a cervical orthosis (with the posterior cervical neck weight) for 10 minutes / 3 times a day, for a total of 30 minutes a day
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The posterior cervical weight orthosis is made of a well-padded adjustable Velcro attached to the end with a two-kilogram weight attached with two durable straps.
The device is firmly anchored around the curvature of the jaw and attached with Velcro to the apex of the skull.
Other Names:
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Active Comparator: Deep cervical flexors exercise
Deep cervical flexors exercise group will do 15 repetitions x 3 sets of deep neck flexor exercises every day of the week.
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The participant will lay down in crook lying position, participant's head relaxed on the flat surface.
Each participant will passively tuck in his/her chin without activation of superficial cervical muscles.
Participants of this group will do 15 repetitions x 3 sets of deep neck flexor exercises every day of the week.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Craniovertebral Angle (CVA)
Time Frame: 6 weeks
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Cranio vertebral angle: Above 52 degrees will be considered as normal head posture, while less than 48 degrees will be considered as forward head posture
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6 weeks
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Neck Disability Index (NDI)
Time Frame: 6 weeks
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The scale consists of 20 questions, the intensity of the pain; researches in terms of recreational, professional, social and daily life functions and emotional factors.
Maximum score is 50 (which is total maximum score) means severe neck disability.
Minimum score is 0(which is total minimum score) means without any reported neck disability.
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6 weeks
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 0305072
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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