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Impact of Forward Head Posture on Postural Stability and Gait Kinematics

17 mei 2026 bijgewerkt door: Yasmin Magdy Othman, Cairo University

Impact of Forward Head Posture on Postural Stability and Kinematic Gait Characteristics: A Comparative Cross Sectional Study

  1. Evaluate postural stability in subjects with forward head posture versus matching controls.
  2. Evaluate gait parameters in subjects with forward head posture versus matching controls.
  3. Investigate the correlation between postural stability and kinematic gait parameters in each group.

Studie Overzicht

Toestand

Werving

Conditie

Gedetailleerde beschrijving

Forward head posture (FHP) is a common sagittal-plane postural deviation characterized by anterior translation of the head relative to the trunk. It has become increasingly prevalent among young adults due to prolonged use of computers, smartphones, and other digital devices. FHP has been associated with musculoskeletal dysfunction, altered cervical biomechanics, impaired proprioception, and deficits in postural control.

Recent evidence indicates that altered cervical alignment may influence not only local cervical function but also whole-body balance control and locomotor performance. Changes in head and neck alignment may disrupt vestibular, visual, and somatosensory integration, thereby affecting postural stability and gait efficiency. Although previous studies have independently investigated the effects of FHP on balance or gait, the relationship between postural stability and detailed kinematic gait characteristics in individuals with FHP remains insufficiently understood.

Therefore, this comparative cross-sectional study will investigate the impact of forward head posture on postural stability and kinematic gait characteristics in asymptomatic young adults.

A total of 66 participants of both sexes, aged between 18 and 35 years, will be recruited and assigned into two groups:

Forward Head Posture Group: participants with craniovertebral angle less than 50 degrees.

Control Group: participants with normal cervical posture.

Each participant will attend one laboratory-based assessment session.

Assessment Procedures

  1. Postural Assessment

    Craniovertebral angle will be measured using standardized lateral photography and a smartphone-based digital angle measurement application for group allocation.

  2. Postural Stability Assessment

    Dynamic postural stability will be assessed using the Biodex Balance System. Participants will perform bilateral stance testing at stability level 6 for three trials of 20 seconds each, with 10-second rest intervals. Outcome measures will include:

    Overall Stability Index Anterior-Posterior Stability Index Mediolateral Stability Index

  3. Gait Assessment

Spatiotemporal gait characteristics will be assessed using the Biodex Gait Trainer. Following a familiarization period, participants will walk under two testing conditions:

Self-selected comfortable walking speed Fast walking speed

Outcome measures will include:

Walking velocity Step length Cadence Symmetry indices Temporal gait parameters Primary Objective

To compare postural stability and gait characteristics between young adults with forward head posture and healthy controls.

Secondary Objective

To investigate the relationship between postural stability measures and gait parameters within each group.

Statistical Analysis

Descriptive statistics will be calculated for all variables. Between-group comparisons will be performed using one-way multivariate analysis of variance (MANOVA). Correlation analysis will be performed to examine associations between postural stability and gait parameters. Statistical significance will be set at p < 0.05.

Studietype

Observationeel

Inschrijving (Geschat)

66

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

  • Naam: Yasmin Magdy Othman Yasmin Magdy Othman, Bachelor
  • Telefoonnummer: 01061051254
  • E-mail: ymothman@msa.edu.eg

Studie Locaties

  • Egypte
      • Giza, Egypte
        • Werving
        • Cairo University
        • Contact:
          • Cairo university Cairo University
          • Telefoonnummer: 0237617691
          • E-mail: eth.com@pt.cu.edu

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen

Accepteert gezonde vrijwilligers

Ja

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

The study population will consist of adult males and females recruited from the university community and surrounding local community. Participants aged 18-35 years will be screened for eligibility. Eligible participants will be allocated into two cohorts based on head posture assessment using craniovertebral angle measurement: individuals with forward head posture and healthy individuals with normal head posture. Participants must be able to walk independently without assistive devices and have no history of neurological, musculoskeletal, vestibular, or visual disorders that may affect balance or gait performance.

Beschrijving

Inclusion Criteria:

  • Cranio-vertebral angle less than 50◦
  • Age from 18-35 years old (Young adults)
  • BMI from 18.5-24.9
  • Participants can walk independently without assistive devices

Exclusion Criteria:

  • Individuals are excluded if they have had:

    • Neck trauma, recent fractures, or Surgery or any underlying neurological or systemic conditions affecting the neck
    • Pregnancy or Malignancy
    • any inability to comprehend or respond to study assessments
    • Any known respiratory or cardiovascular conditions that might affect the results of gait analysis
    • Vestibular problems, visual problems, and sensory impairment affecting balance
    • If they are undergoing current physical therapy or ergonomic intervention for FHP

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

Cohorten en interventies

Groep / Cohort
Forward Head Posture Group
Participants with clinically identified forward head posture based on craniovertebral angle assessment. Postural stability and gait kinematic characteristics will be assessed during standardized testing procedures.
Control Group
Age- and sex-matched healthy participants with normal head posture. Postural stability and gait kinematic characteristics will be assessed using the same standardized procedures.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Walking speed
Tijdsspanne: through study completion, an average of 1 year
Kinematic Gait characteristic, measured in meter/second
through study completion, an average of 1 year
Overall stability index
Tijdsspanne: through study completion, an average of 1 year
one of the postural stability outcome measures, Higher values indicate poorer balance
through study completion, an average of 1 year
Step Cycle
Tijdsspanne: through study completion, an average of 1 year
Kinematic Gait characteristic measured in cycle/sec
through study completion, an average of 1 year
Mediolateral Stability index
Tijdsspanne: through study completion, an average of 1 year
one of the postural stability index outcome measures, Higher values indicate poorer balance
through study completion, an average of 1 year
Anteroposterior Stability index
Tijdsspanne: through study completion, an average of 1 year
one of the postural stability outcome measures, Higher values indicate poorer balance in the anteroposterior directions
through study completion, an average of 1 year
Step Length
Tijdsspanne: through study completion, an average of 1 year
Kinematic gait characteristic, measured in cm
through study completion, an average of 1 year

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Cairo University

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Geschat)

11 mei 2026

Primaire voltooiing (Geschat)

11 mei 2026

Studie voltooiing (Geschat)

30 december 2026

Studieregistratiedata

Eerst ingediend

11 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

17 mei 2026

Eerst geplaatst (Werkelijk)

22 mei 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

22 mei 2026

Laatste update ingediend die voldeed aan QC-criteria

17 mei 2026

Laatst geverifieerd

1 mei 2026

Meer informatie

Termen gerelateerd aan deze studie

Andere studie-ID-nummers

  • P.T.REC/012/006413

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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