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Acute Effects of Instrument-Assisted Soft Tissue Mobilization Added to Postural Corrective Exercises in Young Adults With Forward Head Posture

19. maj 2026 opdateret af: Ilke KARA, Dokuz Eylul University
This study investigated the acute effects of instrument-assisted soft tissue mobilization added to postural corrective exercises in young adults with forward head posture. Participants were randomly allocated to one of three groups: instrument-assisted soft tissue mobilization plus postural corrective exercises, postural corrective exercises only, or control. The primary outcome was craniovertebral angle. Secondary outcomes included cervical joint repositioning error, deep cervical flexor muscle endurance, and scapular muscle endurance. All outcomes were assessed at baseline and 1 hour after the intervention by a blinded outcome assessor.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Forward head posture is a common postural deviation in young adults and may be associated with altered cervicothoracic alignment, impaired cervical proprioception, and reduced cervical and scapular muscle endurance. Postural corrective exercises are commonly used in physiotherapy practice to improve head-neck posture and related neuromuscular control. Instrument-assisted soft tissue mobilization may provide additional acute effects through mechanical stimulation of soft tissues and proprioceptive input.

This single-blind randomized controlled trial evaluated the acute effects of instrument-assisted soft tissue mobilization added to postural corrective exercises in young adults with forward head posture. Eligible participants were randomly allocated in a 1:1:1 ratio to one of three groups: instrument-assisted soft tissue mobilization plus postural corrective exercises, postural corrective exercises only, or control. The control group received no intervention and was assessed at the same time intervals as the intervention groups. Outcome assessments were conducted by a blinded assessor at baseline and 1 hour after the intervention.

The primary outcome was craniovertebral angle, used as an indicator of forward head posture. Secondary outcomes included cervical joint repositioning error, deep cervical flexor muscle endurance, and scapular muscle endurance.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

45

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Tyrkiet (Türkiye)
      • Izmir, Tyrkiet (Türkiye), 35340
        • Dokuz Eylul University Faculty of Physical Therapy and Rehabilitation

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Individuals aged 18-25 years
  • Presence of forward head posture
  • Provision of written informed consent

Exclusion Criteria:

  • History of any disease or surgical procedure affecting cervical or thoracic posture
  • Any health condition preventing completion of the assessments

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Instrument-Assisted Soft Tissue Mobilization Plus Exercise Group
Participants in this group received a single-session postural corrective exercise program and postural education in addition to instrument-assisted soft tissue mobilization applied to the cervicothoracic region.
Andet: Instrument-Assisted Soft Tissue Mobilization Plus Postural Corrective Exercises
Participants received a single-session postural corrective exercise program and postural education in addition to instrument-assisted soft tissue mobilization. The exercise program included deep cervical flexor activation using the chin tuck exercise, active cervical range-of-motion exercises, scapular exercises, and pectoral stretching. Instrument-assisted soft tissue mobilization was applied bilaterally to the cervicothoracic region, including the upper and middle trapezius, sternocleidomastoid, levator scapulae, scalene, suboccipital, and cervical erector spinae muscles. The mobilization was applied for approximately 10 minutes using appropriate instruments.
Aktiv komparator: Exercise Group
Participants in this group received a single-session postural corrective exercise program and postural education.
Andet: Postural Corrective Exercises
Participants received a single-session postural corrective exercise program and postural education. The exercise program included deep cervical flexor activation using the chin tuck exercise, active cervical flexion, extension, lateral flexion and rotation exercises, scapular exercises, and pectoral stretching.
Ingen indgriben: Control Group
Participants in this group received no intervention and were assessed at the same time intervals as the intervention groups.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Craniovertebral Angle
Tidsramme: Baseline and 1 hour after the intervention
Craniovertebral angle was assessed using digital photographic postural analysis. Markers were placed on the tragus of the ear and the spinous process of C7, and the angle was calculated from a lateral-view photograph. Higher values indicate a more upright head posture.
Baseline and 1 hour after the intervention

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Cervical Joint Repositioning Error
Tidsramme: Baseline and 1 hour after the intervention
Cervical joint repositioning error was assessed using a laser pointer system during cervical flexion, extension, right and left rotation, and right and left lateral flexion. Absolute repositioning error was calculated for each movement direction. Lower values indicate better cervical joint position sense.
Baseline and 1 hour after the intervention
Deep Cervical Flexor Muscle Endurance
Tidsramme: Baseline and 1 hour after the intervention
Deep cervical flexor muscle endurance was assessed using the cervical flexor endurance test. The duration for which the participant could maintain the test position was recorded in seconds. Higher values indicate greater muscle endurance.
Baseline and 1 hour after the intervention
Scapular Muscle Endurance
Tidsramme: Baseline and 1 hour after the intervention
Scapular muscle endurance was assessed using the scapular muscle endurance test. The duration for which the participant could maintain the required test position and resistance was recorded in seconds. Higher values indicate greater muscle endurance.
Baseline and 1 hour after the intervention

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Dokuz Eylul University

Samarbejdspartnere

The Scientific and Technological Research Council of Turkey

Efterforskere

  • Studiestol: Nihal Gelecek, Professor, Dokuz Eylul University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

22. maj 2024

Primær færdiggørelse (Faktiske)

22. maj 2025

Studieafslutning (Faktiske)

18. juni 2025

Datoer for studieregistrering

Først indsendt

19. maj 2026

Først indsendt, der opfyldte QC-kriterier

19. maj 2026

Først opslået (Faktiske)

26. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

26. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

19. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • DEU-FTR-IK-04
  • 19198012327028 (Andet bevillings-/finansieringsnummer: The Scientific and Technological Research Council of Turkey)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Individual participant data will not be shared because participant consent did not include public sharing of individual-level data.

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Kliniske forsøg med Fremadrettet hovedstilling

Kliniske forsøg med Instrument-Assisted Soft Tissue Mobilization Plus Postural Corrective Exercises

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