Effect of Cervical Stability Training on Somatosensory Evoked Potential and Cervical Spine in Forward Head Posture (FHP)

to investigate the effect of cervical stability training on somatosensory evoked potential and cervical spine in forward head posture

Study Overview

• Status: Not yet recruiting
• Conditions: Forward Head Posture
• Intervention / Treatment: Other: cervical stability training; Other: traditional treatment

Detailed Description

The use of electronic tools is increasing in worldwide varieties and the attractiveness of these tools lead to variety of groups of people, especially teenagers, using them for prolonged period of time leading to increased musculoskeletal problems. Excessive use of smartphones for long period of time can lead to decreased postural control and forward head postur (FHP) as phone users maintain an abnormal alignment of the head and neck. The habit of repetitive use of computers, TV, mobile phones, and video games and even back packs forces the body to exhibit bad posture. The overall prevalence of FHP was reported to be 66% in computer based workers.

cervical stability training play a major role in treatment of forward head posture so this study will be conducted to investigate its role on craniovertebral angle, cervical range of motion, pain intensity level, functional disability, neck flexor and extensor muscles endurance, lordotic cervical curvature, somatosensory evoked potential in forward head patient.

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

Contacts and Locations

• Study Contact: Name: salah E Ahmed, master; Phone Number: 01158125773; Email: salaheid07@gmail.com

Study Locations

• Egypt
  • Giza, Egypt, 11251
    • Salah Eid Ahmed Ali

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 40 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

Adult participant (18-to-40years old) with forward head posture, BMI 20-to-25 kg/m², The area of mechanical neck pain will defined to the cervical region, possibly with referred pain into the occipit, nuchal muscles, and shoulders, All patients will have chronic neck pain for more than 3 months, Craniovertebral angle of ˂ 49.

Exclusion Criteria:

Signs of serious pathology (e.g., rheumatoid diseases, ankylosing spondylitis), History of cervical spine surgery, History of trauma or fractures in cervical spine, Signs of cervical radiculopathy or myelopathy, Vascular syndrome such as vertebrobasilar insufficiency.

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: cervical stability training; cervical stability training will be received three times a week for eight weeks	Other: cervical stability training; cervical stability training will be contain three phases, each phase has six positions ( supine, forearms, sidelying, four point kneeling, sitting and standing position); Other: traditional treatment; TENS, hot packs, stretching exercise of superficial neck muscles, and postural advice.
Active Comparator: traditional treatment; traditional treatment will be received three times a week for eight weeks	Other: traditional treatment; TENS, hot packs, stretching exercise of superficial neck muscles, and postural advice.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
somatosensory evoked potential	somatosensory evoked potential will be measured by electromyograph device	up to eight weeks
craniovertebral angle	craniovertebral angle will be measured photographically by surgimap program	up to eight weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain intensity level	pain will be measured by visual analogue scale	up to eight weeks
functional disability	disability will be measured by arabic neck disability index	up to eight weeks
cervical range of motion	Phone application (clinometer) will used to measure cervical range of motion using smartphone (Infinix Note 5)	up to eight weeks
endurance test	flexion and extension endurance will be measured using pressure biofeedback unit	up to eight weeks
cervical curvature	digital x ray will be used to measure cervical curvature	up to eight weeks

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Anticipated): December 15, 2021
• Primary Completion (Anticipated): March 1, 2022
• Study Completion (Anticipated): March 1, 2022

Study Registration Dates

• First Submitted: November 25, 2021
• First Submitted That Met QC Criteria: November 25, 2021
• First Posted (Actual): December 8, 2021

Study Record Updates

• Last Update Posted (Actual): December 8, 2021
• Last Update Submitted That Met QC Criteria: November 25, 2021
• Last Verified: November 1, 2021

More Information

Terms related to this study

• Keywords: forward head posture; somatosensory evoked potential; cervical stability
• Other Study ID Numbers: P.T.REC/012/003459

Drug and device information, study documents

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