- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05533853
Different Methods of Forward Head Posture Correction
September 5, 2022 updated by: Ibrahim Moustafa, University of Sharjah
Different Methods of Forward Head Posture Correction: Does it Matter? A Randomized Controlled Study
The goal of the study is to compare various methods of correcting forward head posture in elderly subjects.
In particular, we will contrast two methods: the conventional program, which aims to restore muscle balance, and the Chiropractic BioPhysics (CBP) rehabilitation program, which relies on stretching the viscous and plastic elements of the longitudinal ligament and intervertebral disc in addition to effectively stretching the soft tissue throughout the entire body.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Forward head posture has been shown to be a common postural displacement, with a conservative estimate being 66% of the whole population.
It is generally believed that this abnormal posture is associated with the development and persistence of many disorders.
There are many strategies to treat forward head posture; the commonly used is traditional exercise program, which aims to restore muscle balance by stretching the short muscles and strengthening the weak ones.
The second treatment method is Chiropractic BioPhysics (CBP) rehabilitation program which depend on stretching of the viscous and plastic elements of the longitudinal ligament and intervertebral disc, in addition to effectively stretching the soft tissue through the entire neck area in the direction of the normal head and neck postures as seen with Denneroll traction in addition to mirror image exercise.
Up to our knowledge, there is no available studies evaluating the difference between the two forward head correcting methods regarding the amount of head posture correction and the impact of different correction methods on balance.
Most important, in the majority of the previous studies which investigated the efficacy of the different posture correction techniques, the subjects were young people.
Therefore, the results might not be applicable to all age groups, particularly to the elderly, due to age-related musculoskeletal and physiological changes.
Accordingly, the aim of this study is to compare between traditional exercise program and chiropractic biophysics approach in elderly subject .
Study Type
Interventional
Enrollment (Anticipated)
80
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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United Arab Emirate
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Sharjah, United Arab Emirate, United Arab Emirates, 27272
- Ibrahim Moustafa
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
60 years to 70 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- craniovertebral angle (CVA) is less than 50°
Exclusion Criteria:
- any signs or symptoms of medical "red flags" were present: tumor, fracture, rheumatoid arthritis, severe osteoporosis, and prolonged steroid use.
- Subjects with previous spine surgery
- Neurological diseases
- Vascular disorders
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Traditional exercise
The exercise group will receive a posture corrective exercise program in the form of two strengthening(deep cervical flexors and shoulder retractors)and two stretching (cervical extensors and pectoral muscles) exercises.
The exercise program will be done according to Harman et al.'s protocol and based on Kendall et al.'s approach.
|
The exercises are of two types strengthening exercises and starching exercise ,).
The strengthening exercises are to be done for 15 repetitions in 2 sets, Progression will be by increasing to 3 sets and adding 1 Kilogram of resistance in dumbbells exercises, the targeted muscles are teres minor, infraspinatus, medial and lower trapezius, rhomboids, and cervical flexor muscles.
On the other hand, stretching exercises are to be hold for 30 seconds for 2 sets then progressed to 3 sets, the targeted muscles are pectoralis minor, sternocleidomastoid and levator scapulae.
|
EXPERIMENTAL: Denneroll extension traction
Denneroll extension traction.
Participants in the intervention group will receive the Denneroll cervical orthotic .
In the current study, Denneroll cervical traction will be used to restore the normal cervical alignment. .
We will follow previously published protocols and procedures for application of this orthotic.
The Denneroll orthotic will be performed in the physiotherapy clinic setting.
The participants will be instructed to lie supine on the floor, in a straightened position, with their arms gently folded across their stomach.
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The participants will be instructed to lie supine and keep their legs extended.
Based on the apex of each participant's cervical curvature on the initial radiograph, the therapist will position the apex of the denneroll in one of two regions (mid cervical placement or lower cervical placement).
The duration of the traction session will start at 2-3 min and increased 1 min per session until reaching the goal of 20 min, the traction will repeated three times per week for 6 weeks
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change in craniovertebral angle
Time Frame: will be measured at two intervals ;pre-treatment and immediately after treatment
|
The craniovertebral angle will be measured by taking a lateral photograph.
The participants will be asked to sit on a chair as usual and a lateral photograph will be taken.
Adhesive markers will be fixed on the tragus of the ear and the spinous processes of the seventh cervical vertebra.
The head forward angle will be measured as an angle between a line drawn from the tragus of the ear to the seventh cervical vertebra and horizontal line
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will be measured at two intervals ;pre-treatment and immediately after treatment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The change in pain intensity
Time Frame: will be measured at two intervals ;pre-treatment and immediately after treatment
|
Measurement of pain will be performed by using a visual analogue scale (VAS).
The subjects will be asked about the perception of pain using a 10-cm line with 0 (no pain) on one end and 10 (worst pain) on the other.
subjects will be asked to place a mark along the line to denote their level of pain
|
will be measured at two intervals ;pre-treatment and immediately after treatment
|
The change in Neck Disability Index
Time Frame: will be measured at two intervals ;pre-treatment and immediately after treatment
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The Neck Disability Index , consisting of 10 items related to daily living activities.
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will be measured at two intervals ;pre-treatment and immediately after treatment
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Changes in Cervical joint position sense testing
Time Frame: will be measured at two intervals ;pre-treatment and immediately after treatment
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Assessment of head repositioning accuracy with a cervical range of motion (CROM) device will be done according to existing investigations .
Participants will be placed in upright neutral seated posture on a stool with no back rest with their feet touching the ground; where their perceived natural head position was determined and used as the reference neutral point.
The CROM device will be positioned to 0, 0, 0 for x, y, and z rotational displacements.
With their eyes closed, participants will be asked to remember their NHP as the starting posture, andthen actively rotate their head 30° to the left about the vertical y-axis and then reposition their head back the natural head position
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will be measured at two intervals ;pre-treatment and immediately after treatment
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ANTICIPATED)
September 10, 2022
Primary Completion (ANTICIPATED)
October 30, 2022
Study Completion (ANTICIPATED)
October 30, 2022
Study Registration Dates
First Submitted
September 5, 2022
First Submitted That Met QC Criteria
September 5, 2022
First Posted (ACTUAL)
September 9, 2022
Study Record Updates
Last Update Posted (ACTUAL)
September 9, 2022
Last Update Submitted That Met QC Criteria
September 5, 2022
Last Verified
September 1, 2022
More Information
Terms related to this study
Other Study ID Numbers
- Cairo192022
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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