Forward Head Posture
Conditions
Keywords
cervical stability, somatosensory evoked potential, forward head posture
Brief summary
to investigate the effect of cervical stability training on somatosensory evoked potential and cervical spine in forward head posture
Detailed description
The use of electronic tools is increasing in worldwide varieties and the attractiveness of these tools lead to variety of groups of people, especially teenagers, using them for prolonged period of time leading to increased musculoskeletal problems. Excessive use of smartphones for long period of time can lead to decreased postural control and forward head postur (FHP) as phone users maintain an abnormal alignment of the head and neck. The habit of repetitive use of computers, TV, mobile phones, and video games and even back packs forces the body to exhibit bad posture. The overall prevalence of FHP was reported to be 66% in computer based workers. cervical stability training play a major role in treatment of forward head posture so this study will be conducted to investigate its role on craniovertebral angle, cervical range of motion, pain intensity level, functional disability, neck flexor and extensor muscles endurance, lordotic cervical curvature, somatosensory evoked potential in forward head patient.
Interventions
OTHERcervical stability training
cervical stability training will be contain three phases, each phase has six positions ( supine, forearms, sidelying, four point kneeling, sitting and standing position)
OTHERtraditional treatment
TENS, hot packs, stretching exercise of superficial neck muscles, and postural advice.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
opaque sealed envelope
Intervention model description
this trial has two groups, one experimental and one control
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
Adult participant (18-to-40years old) with forward head posture, BMI 20-to-25 kg/m², The area of mechanical neck pain will defined to the cervical region, possibly with referred pain into the occipit, nuchal muscles, and shoulders, All patients will have chronic neck pain for more than 3 months, Craniovertebral angle of ˂ 49.
Exclusion criteria
Signs of serious pathology (e.g., rheumatoid diseases, ankylosing spondylitis), History of cervical spine surgery, History of trauma or fractures in cervical spine, Signs of cervical radiculopathy or myelopathy, Vascular syndrome such as vertebrobasilar insufficiency.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| somatosensory evoked potential | up to eight weeks | somatosensory evoked potential will be measured by electromyograph device |
| craniovertebral angle | up to eight weeks | craniovertebral angle will be measured photographically by surgimap program |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cervical range of motion | up to eight weeks | Phone application (clinometer) will used to measure cervical range of motion using smartphone (Infinix Note 5) |
| pain intensity level | up to eight weeks | pain will be measured by visual analogue scale |
| cervical curvature | up to eight weeks | digital x ray will be used to measure cervical curvature |
| endurance test | up to eight weeks | flexion and extension endurance will be measured using pressure biofeedback unit |
| functional disability | up to eight weeks | disability will be measured by arabic neck disability index |
Countries
Egypt
Contacts
Primary Contactsalah E Ahmed, master
Outcome results
None listed