FORWARD HEAD POSTURE
Conditions
Keywords
FORWARD HEAD POSTURE, Knee Proprioception, Postural Balance
Brief summary
The aim of the study is to investigate the effect of forward head posture on knee joint proprioception and to investigate the effect of forward head posture on balance.
Detailed description
Forward head posture (FHP) represents a prevalent sagittal plane deviation characterized by the anterior displacement of the head relative to the shoulder. While its impact on cervical proprioception and upper-body neuromuscular control is well-documented, current literature reveals significant gaps regarding its influence on distal joint function. This study aims to investigate the musculoskeletal system as a holistic kinetic chain, wherein cervical misalignment may necessitate compensatory adaptations throughout the body to maintain the center of gravity. Research indicates that FHP is frequently associated with an anterior pelvic tilt and altered ankle joint position errors, suggesting that postural deviations in the neck can diminish neuromuscular performance in the lower extremities. Given this interconnected nature, it is hypothesized that FHP similarly affects knee joint proprioception and stability. By evaluating these distal effects, this investigation seeks to clarify whether cervical postural deviations contribute to balance impairments or knee instability. The findings may have significant implications for clinical practice, potentially shifting rehabilitation paradigms to include cervical assessment and correction when treating patients with lower-limb injuries or chronic knee instability.
Interventions
DEVICEIsokinetic Dynamometer
Isokinetic dynamometry is considered a valid and reliable method for assessing knee proprioception, particularly joint position sense (JPS).
Sponsors
Cairo University
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Inclusion criteria
1. Ages range from 18-35years old 2. Participants are categorized as having FHP, the craniovertebral angle (CVA) measurement is used, FHP was classified as having a CVA \< 53°; thus, participants were in the FHP group when CVA was \<53°. Conversely, the control group was defined as having normal or no FHP when a participant's CVA was \>53°.
Exclusion criteria
* Subjects will be excluded if they have: 1. Fractures 2. Neck pain 3. Deformity of the spine or extremities 4. A history of significant knee injury requiring medical treatment in the past 12 months 5. Any inflammatory joint disease 6. Primary Musculo-skeletal surgical interventions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knee Proprioception | once | Proprioception evaluation will be started by using the isokinetic system in measurement of JPS by active joint reproduction test. |
| Postural Balance | once | The Biodex Balance System (BBS) is a widely recognized and reliable tool for assessing postural stability and balance control in both clinical and research settings. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Craniovertebral Angle (CVA) | once | the angle of intersection between a horizontal line and a line bisecting the tragus of the ear and the C7 spinous process. |
Countries
Egypt
Outcome results
None listed