Effect of Exercises on Forward Head Posture

The Effect of Chin Tuck Exercises and Cervical Extension Exercises on Forward Head Posture

The Study aims to evaluate the effectiveness of chin tuck exercises in improving forward head posture.

To assess the impact of cervical extension exercises on forward head posture. To determine which exercise protocol provides superior results for FHP

Study Overview

• Status: Not yet recruiting
• Conditions: Postural; Defect
• Intervention / Treatment: Other: Chin Tuck Exercise; Other: Seated cervical extension exercises

Detailed Description

The study focus on understanding Forward head posture (FHP). Forward head posture (FHP) is a common musculoskeletal disorder characterized by a shift of the head forward in relation to the vertical axis of the body. This condition increases the load on the cervical spine, causing discomfort, pain and impaired musculoskeletal function. The incidence of FHP has increased significantly due to sedentary lifestyles and prolonged use of electronic devices, making it a pressing problem for healthcare providers.

• Study Type: Interventional
• Enrollment (Estimated): 56
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Ataur Rahman, MS-PT; Phone Number: 03038371112; Email: ataur.rahman@riphah.edu.pk

Study Locations

• Pakistan
  • KPK
    • Malakand, KPK, Pakistan, 23060
      • Riphah international University Malakand Campus

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Participants falling in this category would be recruited into the study.
• Adults aged 30-45 years with diagnosed forward head posture.
• Chronic nonspecific neck pain for at least 3 months.
• FHP diagnosed via craniovertebral angle measurement.

Exclusion Criteria:

• Participants fall in this category would be excluded of the study.
• History of cervical spine surgery or trauma.
• Severe cervical instability or neurological deficits.
• Systemic diseases affecting posture.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Chin tuck exercises; Participants will perform supervised chin tuck exercises targeting deep cervical flexors	Other: Chin Tuck Exercise; Chin Tuck Exercises and Cervical Extension Exercises on Forward Head Posture; Other Names: Exercise
Experimental: Seated cervical extension exercises; Perform seated cervical extension exercises focusing on activating posterior neck muscles	Other: Seated cervical extension exercises; Perform seated cervical extension exercises focusing on activating posterior neck muscles

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Craniovertebral angle measurement	The craniovertebral angle (CVA) is a measurement of the angle between the neck and the head. It's used to assess head posture and forward head posture (FHP)	4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numerical Pain Rating Scale (NPRS) for pain.	A Numerical Pain Rating Scale (NPRS) is a pain assessment tool where patients rate their pain intensity on a scale from 0 to 10, with "0" representing "no pain" and "10" representing "the worst pain imaginable	4 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Neck Disability Index (NDI) for functional outcomes.	The Neck Disability Index (NDI) is a questionnaire that measures how neck pain affects a person's daily life. It's used to assess functional outcomes and disability in patients with neck pain	4 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Ataur Rahman, MS-PT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Estimated): August 15, 2025
• Primary Completion (Estimated): March 12, 2026
• Study Completion (Estimated): March 12, 2026

Study Registration Dates

• First Submitted: April 7, 2025
• First Submitted That Met QC Criteria: April 7, 2025
• First Posted (Actual): April 15, 2025

Study Record Updates

• Last Update Posted (Actual): July 15, 2025
• Last Update Submitted That Met QC Criteria: July 14, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Keywords: Forward Head Posture, chin tuck exercises.
• Other Study ID Numbers: REC-01008 Muhammad Haris

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