Neck Disorder, Posture
Conditions
Keywords
posture, Pain, Artificial intelligence (AI), Pilates exercises, Physiotherapy and rehabilitation
Brief summary
Posture is the alignment of body segments. While ideal posture places minimal stress on the joints, poor posture increases joint stress. Forward head posture (FHP) is a common postural abnormality characterized by the anterior displacement of the head in the sagittal plane. This condition may lead to muscle imbalances, pain, reduced cervical range of motion (ROM), decreased quality of life, and spinal degeneration. The most common method for evaluating FHP is the craniovertebral angle (CVA). Causes of FHP include excessive smartphone and computer use, mouth breathing, carrying heavy bags, and rounded shoulders. Cervical stabilization exercises and holistic approaches are recommended for prevention and treatment. Pilates, developed by Joseph Pilates, especially in its clinical form, has been shown to improve posture, strengthen core muscles, and enhance quality of life. Literature indicates that stretching- and strengthening-based exercise programs targeting FHP positively affect CVA, neck pain, and ROM. In recent years, artificial intelligence (AI) has gained importance in physiotherapy as a diagnostic and therapeutic support tool. Its potential in generating exercise prescriptions is being explored, though whether AI can replace physiotherapists remains debated. The aim of this study is to compare the effectiveness of an AI-generated reformer Pilates protocol and a studio-based reformer Pilates protocol in individuals with FHP. Hypotheses: H0: The studio-based reformer Pilates protocol has no effect on CVA, ROM, pain, muscle endurance, or quality of life in individuals with FHP. H1: The studio-based reformer Pilates protocol has a positive effect on these parameters.
Interventions
BEHAVIORALChatGPT Exercise Group
Participants in the ChatGPT group will follow an exercise program generated by ChatGPT and supervised by a physiotherapist. The program will be delivered twice weekly for 6 weeks, with each 50-minute session including exercises designed to improve posture, flexibility, and musculoskeletal function.
BEHAVIORALClinical Pilates Group
Participants in this arm will perform supervised clinical Pilates exercises twice weekly for 6 weeks. Each session will last 50 minutes and include core stabilization, postural correction, and flexibility exercises.
Sponsors
Uskudar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
The study population consisted of a total of 40 male and female volunteers aged between 18 and 50 years with a craniovertebral angle of less than 54 degrees. Participants were randomized into two groups: the Clinical Pilates group and the ChatGPT group. The Clinical Pilates group (n=20) performed clinical Pilates exercises under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session. The ChatGPT group (n=20) followed an exercise program generated by ChatGPT under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session.
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* Inclusion Criteria: Volunteers aged between 18-50 years Craniovertebral angle less than 54° Ability to participate in exercise sessions twice a week for 6 weeks Willingness to provide informed consent
Exclusion criteria
History of musculoskeletal, neurological, or cardiovascular disorders Previous surgery affecting posture or spine Current participation in another structured exercise program Pregnancy \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Craniovertebral Angle | Baseline and after 6 weeks | Craniovertebral angle will be measured using digital photography and goniometric analysis to evaluate postural improvement. |
Countries
Turkey (Türkiye)
Outcome results
None listed