Efficacy of Adding Pilates to Postural Correction Exercise on Nerve Root Function and Electromyography Activity in Symptomatic Forward Head Posture: Randomized Controlled Trial (FHP)

to investigate the Efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture: Randomized Controlled Trial

Study Overview

• Status: Completed
• Conditions: Forward Head Posture
• Intervention / Treatment: Other: Pilates and postural correction exercise; Other: Pilates exercises; Other: postural correction exercises

Detailed Description

Forward head posture (FHP) is nowadays the most common postural problem. In FHP, the head protrudes forward from the sagittal plane and appears to be positioned in front of the body, and this condition is considered the most common postural deformity. The prevalence of anterior head translation in neck pain patients was found to be 37%, out of which 58% were females and 42%were males. FHP is among the most common abnormal postures in upper quarter. 85% of patients with myofascial pain syndrome have FHP. Even more alarming is how frequently these problems are seen in younger populations since it's suggested that problems at a young age may lead to more serious consequences later in life. Pilate's method is a physical fitness system that was developed during the First World War in the early 20th century by Joseph Hubertus Pilates. Direction Control and Range Control exercises are two key types of specific exercises that should be used when specific uncontrolled movements are found. Pilates is a mind-body exercise that focuses on strength, core stability, flexibility, muscle control, posture and breathing. Exercises can be mat-based or involve use of specialized equipment. Six major components of Pilates as: Centering, Concentration, Control, Precision, Flow and Breathing.

pilates exercise and postural correction play a major role in restoring the normal posture in patients with forward head posture so this trial will be conducted to investigate efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture.

• Study Type: Interventional
• Enrollment (Actual): 120
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Giza, Egypt, 12511
    • Al Shaymaa Shaaban Abd El Azeim

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 45 years (ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Ages from 20-45 years old with symptomatic forward head posture will be included in this study
• Participants have FHP if CVA ≤ 50 Non- athletes
• Normal body mass index (BMI) (18- 24.9). (BMI = body mass in kg divided by subject height in meters).

Exclusion Criteria:

• any spinal problems
• Temporomandibular disease
• Participants with experience in pilates and who will not be sedentary were excluded from the study
• Previous surgery in the neck and shoulder
• 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 mylopathy

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Pilates and postural correction exercise; pilates and postural correction exercise will be received three times a week for 10 weeks	Other: Pilates and postural correction exercise; ten exercises will be performed: Hip Twist Level 1; Double leg stretch Level 1; Double leg stretch Level 2; One leg stretch Level 1; Clam Level 1; Scissors Level 1; Arm openings Level 1; Breast stroke prep Level 1t; Hip Twist Level 1.; Breast stroke prep Level 2 as for level 1 postural correction exercise 1-Strengthening deep cervical flexors 2-Stretching cervical extensors 3- Strengthen shoulder retractors 4-Unilateral and bilateral pectoralis stretch
ACTIVE_COMPARATOR: Pilates exercises; pilates exercise will be received three times a week for 10 weeks	Other: Pilates exercises; ten exercises will be performed: Hip Twist Level 1; Double leg stretch Level 1; Double leg stretch Level 2; One leg stretch Level 1; Clam Level 1; Scissors Level 1; Arm openings Level 1; Breast stroke prep Level 1t; Hip Twist Level 1.; Breast stroke prep Level 2 as for level 1
ACTIVE_COMPARATOR: postural correction exercises; postural corrections exercise will be received three times a week for 10 weeks	Other: postural correction exercises; postural correction exercise in the form of : Strengthening deep cervical flexors through chin tucks,; Stretching cervical extensors through a chin drop; Strengthen shoulder retractors; Unilateral and bilateral pectoralis stretch alternating each two-week period.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
nerve root function	nerve root function in the form of somatosensory evoked potential will be measure by electromyograph.	up to ten weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
pain intensity	pain intensity will be measure by visual analogue scale.	up to ten weeks
neck disability	neck disability will be measure by Arabic neck disability index	up to ten weeks
flexion and extension endurance test	the endurance will be measured by stop watch	up to ten weeks
muscle amplitude	electromyography will be used to measure the muscle amplitude in the form of root mean square	up to ten weeks
craniovertebral angle	craniovertebrel angle will be measured by surgimap program	up to ten weeks

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (ACTUAL): January 1, 2022
• Primary Completion (ACTUAL): June 1, 2022
• Study Completion (ACTUAL): June 1, 2022

Study Registration Dates

• First Submitted: December 11, 2021
• First Submitted That Met QC Criteria: December 11, 2021
• First Posted (ACTUAL): December 28, 2021

Study Record Updates

• Last Update Posted (ACTUAL): August 9, 2022
• Last Update Submitted That Met QC Criteria: August 5, 2022
• Last Verified: August 1, 2022

More Information

Terms related to this study

• Keywords: Pilates exercise; nerve root function; forward head psture; postural correction exercise
• Other Study ID Numbers: p.t.REC/012/003411

Drug and device information, study documents

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