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The effects of adding subscapularis muscle dry needling to exercise therapy on symptoms of individuals with forward head posture

Investigating the added effects of subscapularis muscle dry needling to exercise therapy on pain, kinematics, and cervical position sense in individuals with forward head posture

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20241004063260N2
Enrollment
32
Registered
2025-04-02
Start date
2025-04-09
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Forward head posture. Abnormal posture

Interventions

Intervention 1: Intervention group: Dry needling of the subscapularis muscle combined with exercise therapy. Individuals in this group will undergo 10 sessions of treatment, 3 sessions per week. The e

Sponsors

Shiraz University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 50 Years

Inclusion criteria

Inclusion criteria: Women and men between the ages of 18 and 50 Craniovertebral angle less than 50 degrees Shoulder angle less than 52 degrees

Exclusion criteria

Exclusion criteria: Having central nervous system problems Having musculoskeletal problems Having congenital neck problems Having spondylolisthesis Taking any pharmacological or non-pharmacological treatment for neck pain and postural disorders Having any mental disorder such as anxiety and depression Cancer Pregnancy The patient's fear of needles The patient's reluctance and negative beliefs about this method The patient's inability to obtain consent (cognitive problems and advanced age) The patient has a medical emergency or acute medical condition The patient has lymphedema in a region or an organ The patient has severe neutropenia or thrombocytopenia

Design outcomes

Primary

MeasureTime frame
Craniovertebral angle. Timepoint: Before the start of the intervention, after the intervention and two weeks after the intervention. Method of measurement: The craniovertebral angle is the angle between two anatomical landmarks (the spinous process of the seventh cervical vertebra and the outer part of the tragus of the ear) that is examined with the Kinovea software.

Secondary

MeasureTime frame
Shoulder angle. Timepoint: Before the intervention, after the intervention, and two weeks after the intervention. Method of measurement: The shoulder angle is the angle formed by the intersection between the horizontal line passing through the acromion and the line connecting the spinous process of the seventh cervical vertebra to the acromion, and is measured with the Kinovea software.;Pain. Timepoint: Before the intervention, after the intervention, and two weeks after the intervention. Method of measurement: Visual Analogue Scale.;Cervical positioning sense. Timepoint: Before the intervention, after the intervention, and two weeks after the intervention. Method of measurement: Joint position error test.;Cervical range of motion. Timepoint: Before the intervention, after the intervention, and two weeks after the intervention. Method of measurement: Goniometry.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactFarzaneh Yazdani

Shiraz University of Medical Sciences

yazdani_far@sums.ac.ir+98 71 3212 2600

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026