Forward Head Posture
Conditions
Brief summary
This study investigates the effects of specific corrective exercises on EMG of masticatory and cervical muscles in patients with forward head posture. The study's design will be a prospective, double- blinded, randomized controlled trial. The participants will be randomly allocated to one of two groups: the exercise group and the control group. The training groups will perform a program consisting of two strengthening (deep cervical flexors and shoulder retractors) and two stretchings (cervical extensors and pectoral muscles) exercises. This exercise program will be repeated 4 times per week for 10 weeks, and each session lasted 30 minutes. The pre/post assessment of forward head posture will measure by using craniovertebral angle CVA. While the muscle activity EMG of the masseter, temporalis, splenius, upper trapezius, and SCM will measure pre and post-assessment using a biopic data acquisition system. There will be a high significance increase (p-value 0.000) between the pre-and-post CVA between the training groups and the control. And there will be a significant decrease in EMG of the masseter, temporalis, splenius, upper trapezius, and SCM across exercise groups compared to the control. As per the results and analysis, specific postural corrective exercises effectively decrease the EMG of masticatory and cervical muscles in patients with forward head postures.
Detailed description
Forward head posture (FHD) is a common habitual faulty posture exists in the surrounding that can alter the resting position of the mandible and may affect the masticatory muscle activity. The aim of this study is to investigate the effect of postural correction on masticatory and cervical muscle activity and mandibular opening in forward-head posture patients. Materials and Methods: * Cranio-vertebral angle measurement CVA * EMG activity of masseter, temporalis, splenius, upper trapezius and SCM BAU - Institutional Review Board (Form H-II) \| BEIRUT ARAB UNIVERSITY -Electrodes will be placed on the muscle belly parallel to the direction of muscle fibers. The distance between the two electrodes was 2 cm. The subjects will be instructed to complete maximum voluntary contraction (MVC) of clenching the teeth for 3 s and repeating twice. The average of the two trials of MVC will be used for further analysis. The subjects will be seated comfortably in a chair (---cm height).
Interventions
OTHERSpecific strengthening and stretching exercise
The program consisted of two strengthening (deep cervical flexors and shoulder retractors) and two stretching (cervical extensors and pectoral muscles) exercises based on Harman and Mostafa et al's approach. This exercise program will be repeated 4 times per week for 10 weeks, and each session lasted for 30 minutes.
OTHERGeneral Exercise
The program will consist of regular general postural exercises such as postural awareness exercises as well as general strengthening exercises such as range of motion exercises for the upper quadrant. The program will also be repeated 4 times per week for 10 weeks, with each session lasting 30 minutes
Sponsors
Beirut Arab University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Men and women * Age between 18-40 * Patient with forward head posture, CVA less than 48-50. * Patient suffer from temporomandibular joint disorder * No other treatment, such as medication, physical therapy, and joint injection, in the past 2 weeks
Exclusion criteria
* Previous history of TMG subluxation or dislocation that may interfere with the opening of the mouth * Neck pain which may affect the head and neck posture; * Head or neck trauma * Class II or III malocclusion * Posture disorder caused by abnormal curvature of spine; rheumatic disease; haemorrhagic disease, etc.; and * Lateral deviation of mandible
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EMG activity | 12 weeks | Electrodes will be placed on the muscle belly parallel to the direction of muscle fibers. The distance between the two electrodes was 2 cm. The subjects will be instructed to complete maximum voluntary contraction (MVC) of clenching the teeth for a period of 3 s and repeated twice. The average of the two trials of MVC will be used for further analysis. The subjects will be seated comfortably in a chair (---cm height). |
Other
| Measure | Time frame | Description |
|---|---|---|
| craniovertebral angle | 12 weeks | Forward head posture will be assess by the craniovertebral angle, one of the most reliable tool for evaluating the FHP. The examiner takes 2 lateral photographs of the subject in standing position, according to Shaghayegh fard et al. A digital camera will be positioned on a tripod at a distance of 0.8m from the subject at shoulder height. Two land mark will be taken, the spinous process of C7 and the tragus of ear. A horizontal line will be drawn passing through C7 making a right angle with the vertical. Then, the angle between the line connecting C7 spinous process with the tragus of the ear and the horizontal line. |
Countries
Lebanon
Contacts
Primary ContactAhmed M .elsayed, PhD
Backup ContactAhmed ElMelhat
Outcome results
None listed