Forward Head Posture, Mechanical Neck Pain
Conditions
Keywords
Mechanical Neck Pain, Forward Head Posture, Upper Cervical Mobilization, Muscle Energy Technique, Craniovertebral Angle, Neck Disability Index
Brief summary
forty-five patients with MNP and FHP age from 25-40 years will be randomly assigned into three groups: Group A (study): 15patients will receive (upper cervical translatoric mobilization) and traditional physical therapy, Group B (study): 15patients received sub occipital muscle energy technique and traditional physical therapy, and Group C (control): 15 patients will receive the traditional physical therapy treatment only . Interventions will be conducted three times a week for four weeks. Craniovertebral angle (CVA) using Photographic Posture Analysis Method (surgimap software), pain intensity using viual analogue scale (VAS), Cervical ROM using CROM device, and neck functional ability using Neck Disability Index (NDI) will be assessed for all participants before and after the treatment program.
Detailed description
This randomized controlled trial aims to compare the efficacy of Upper Cervical Translatoric Mobilization (UC-TSM) and Sub-Occipital Muscle Energy Technique (MET) in patients with Mechanical Neck Pain (MNP) and Forward Head Posture (FHP). Forty-five participants will be randomly assigned to one of three groups: Group A (UC-TSM + conventional physical therapy), Group B (Sub-Occipital MET + conventional physical therapy), and Group C (conventional physical therapy only). Interventions will be administered three times per week for four weeks. Outcomes include pain intensity (VAS), neck disability (NDI), cervical range of motion (CROM), and craniovertebral angle (CVA) assessed via photographic analysis (Surgimap). The study will be conducted at Benha University.
Interventions
OTHERupper cervical translatoric mobilisation
(UC-TSM) is defined as a system of manual techniques using straight-line forces delivered in a parallel or perpendicular direction to an individual vertebral joint or motion segment there is also increasing in body of evidence supporting the its clinical effectiveness and safety in the management of patients with cervical impairments.
OTHERsub occipital muscle energy technique
Muscle Energy Technique (MET) is another form of a gentle manual therapy intervention that primarily targets the soft tissues, though it also contributes significantly to joint mobilization. It has been reported that, adding MET to exercise program resulted in better improvement in CVA and FHP than exercise group only
OTHERtraditional physical therapy
hot pack and kendel exercise
Sponsors
MTI University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* patients aged from 20-60 Years * suffering from M echanical neck pain with Craniovertebral angle ; \< 53 * their NDI ranging from 30-48% \[9\]. Patients were excluded from the study if they have injury or trauma to cervical region, spinal surgery, cervical canal stenosis, radicular pain and malignancy.
Exclusion criteria
* Patients were excluded from the study if they have injury or trauma to cervical region, spinal surgery, cervical canal stenosis, radicular pain and malignancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) for Pain Intensity | Baseline and after 4 weeks of treatment | Pain intensity will be assessed using the Visual Analog Scale (VAS), a 10-cm line where 0 = no pain and 10 = worst pain imaginable. A lower score indicates improvement. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) for Pain Intensity | Baseline and after 4 weeks of treatment | Functional disability will be assessed using the Neck Disability Index (NDI), a 10-item questionnaire scored from 0 to 50, where higher scores indicate greater disability. |
| Craniovertebral Angle (CVA) via Photographic Posture Analysis | baseline and after 4 weeks | The craniovertebral angle (CVA) will be measured using lateral-view photography and analyzed using Surgimap software. A higher CVA indicates improvement in forward head posture. |
Countries
Egypt
Outcome results
None listed