Pilates Mat Versus Cervical Stabilization Exercises on Balance in Young Adults With Forward Head Posture (FHP)

Pilates Mat Versus Cervical Stabilization Exercises on Craniovertebral Angle, Pain, Function of Daily Life, Cervical Range of Motion, Dynamic Balance in Young Adults With Forward Head Posture: Randomized Controlled Trial

see if there will be no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on dynamic balance in young adults with forward head posture.

Study Overview

• Status: Completed
• Conditions: Musculoskeletal Diseases
• Intervention / Treatment: Other: Pilates mat exercises; Other: conventional physiotherapy; Other: cervical stabilization exercises

Detailed Description

In modernized time, extended use of mobile phone and computers has increased anterior weight bearing of cervical spine leading to a variety of musculoskeletal disorders related to the neck by changing the biomechanical stress of cervical spine. Additionally, forward head posture (FHP) alters the center of gravity (COG) of the body that lead to mechanical modifications related to postural control in the torso and every joint. The body attempts to adapt to these changes by altering its balance control mechanisms; these adaptations decrease balance ability while performing different activities and increase the risk of falling and musculoskeletal injury.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Giza, Egypt, 12511
    • Faculty of Physical Therapy-Cairo University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 25 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Subjects of both genders aged 18-25 years old with forward head posture will be included in this study.
• Subjects have forward head posture if the craniovertebral angle ≤ 50.
• Subjects complain non- specific neck pain for at least 3 months or at least two episodes of non-specific neck pain during the last three months.
• Normal body mass index (18- 24.9).

Exclusion Criteria:

• Subjects with any spinal problems.
• Temporo-mandibular disease.
• Subjects with experience in Pilates and who will not sedentary were excluded from the study.
• Previous surgery in the neck and shoulder regions
• Current participation in a structured exercises program
• Neurological symptoms of the upper extremities during screening tests (e.g., Spurling test and upper limb tension tests)
• Red flags suggesting of cancer, infection, vascular insufficiency.
• Cervical radiculopathy or myelopathy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Factorial Assignment
• Masking: None (Open Label)

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Pilates mat exercises; one hour Pilates exercises with 10 min warm up and 5-10 min cooling down	Other: Pilates mat exercises; Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction). Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises.; Other: conventional physiotherapy; 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks
Experimental: cervical stabilization exercises; training of deep cervical flexor muscles with pressure biofeedback unit	Other: conventional physiotherapy; 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks; Other: cervical stabilization exercises; training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks.
Active Comparator: conventional physiotherapy; 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program	Other: conventional physiotherapy; 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Dynamic balance	will be measured by Biodex balance system	up to twelve weeks
Craniovertebral angle	will be measured by photogrammetric method	up to twelve weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain intensity	by visual analogue scale (VAS) 10 cm line with 2 ends, 0 and 10 ends 0 end means no pain 10 end means the worst pain	up to twelve weeks
cervical range of motion	by cervical range of motion device (CROM)	up to twelve weeks
Function of daily life	by Arabic version of neck disability index	up to twelve weeks

Collaborators and Investigators

• Sponsor: Cairo University
• Investigators: Study Director: Haytham M Elhafez, Professor, professor of physical therapy- cairo university

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2021
• Primary Completion (Actual): January 1, 2022
• Study Completion (Actual): January 1, 2022

Study Registration Dates

• First Submitted: September 16, 2021
• First Submitted That Met QC Criteria: September 25, 2021
• First Posted (Actual): October 6, 2021

Study Record Updates

• Last Update Posted (Actual): July 27, 2022
• Last Update Submitted That Met QC Criteria: July 24, 2022
• Last Verified: July 1, 2022

More Information

Terms related to this study

• Keywords: Balance; Craniovertebral angle
• Additional Relevant MeSH Terms: Musculoskeletal Diseases
• Other Study ID Numbers: P.T.REC/012/003348

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Yes
• IPD Plan Description: we will share the results of the trial 1-craniovertebral angle 2-dynamic balance 3-pain level of neck area 4-function of daily life 5-cervical range of motion
• IPD Sharing Time Frame: one year
• IPD Sharing Access Criteria: the criteria will be accessed by the publication of trials in international journal
• IPD Sharing Supporting Information Type: Study Protocol

Drug and device information, study documents

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