Musculoskeletal Diseases
Conditions
Keywords
Balance, Craniovertebral angle
Brief summary
see if there will be no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on dynamic balance in young adults with forward head posture.
Detailed description
In modernized time, extended use of mobile phone and computers has increased anterior weight bearing of cervical spine leading to a variety of musculoskeletal disorders related to the neck by changing the biomechanical stress of cervical spine. Additionally, forward head posture (FHP) alters the center of gravity (COG) of the body that lead to mechanical modifications related to postural control in the torso and every joint. The body attempts to adapt to these changes by altering its balance control mechanisms; these adaptations decrease balance ability while performing different activities and increase the risk of falling and musculoskeletal injury.
Interventions
Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction). Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises.
training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks.
OTHERconventional physiotherapy
10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
* Subjects of both genders aged 18-25 years old with forward head posture will be included in this study. * Subjects have forward head posture if the craniovertebral angle ≤ 50. * Subjects complain non- specific neck pain for at least 3 months or at least two episodes of non-specific neck pain during the last three months. * Normal body mass index (18- 24.9).
Exclusion criteria
* Subjects with any spinal problems. * Temporo-mandibular disease. * Subjects with experience in Pilates and who will not sedentary were excluded from the study. * Previous surgery in the neck and shoulder regions * Current participation in a structured exercises program * Neurological symptoms of the upper extremities during screening tests (e.g., Spurling test and upper limb tension tests) * Red flags suggesting of cancer, infection, vascular insufficiency. * Cervical radiculopathy or myelopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dynamic balance | up to twelve weeks | will be measured by Biodex balance system |
| Craniovertebral angle | up to twelve weeks | will be measured by photogrammetric method |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | up to twelve weeks | by visual analogue scale (VAS) 10 cm line with 2 ends, 0 and 10 ends 0 end means no pain 10 end means the worst pain |
| cervical range of motion | up to twelve weeks | by cervical range of motion device (CROM) |
| Function of daily life | up to twelve weeks | by Arabic version of neck disability index |
Countries
Egypt
Outcome results
None listed