Forward Head Posture
Conditions
Keywords
Cervical Pain, Priprioception, Joint Range of Motion
Brief summary
This randomized controlled trial will compare the effectiveness of Kaltenborn mobilization and Mulligan mobilization in individuals with Forward Head Posture. The study will compare their effects in neck pain, craniovertebral angle, cervical range of motion, cervical proprioception, and deep neck flexor endurance after a two-week treatment program.
Detailed description
Participants aged 18-40 years will be recruited and randomly allocated into two groups of through purposive sampling. Group A will receive Kaltenborn mobilization, progressing from Grades I-II to Grade III, while Group B will receive Mulligan SNAGs with gradually increased repetitions and overpressure. Both groups will also receive conventional treatment three times weekly for two weeks, completing six sessions with progression according to symptoms and tolerance.
Interventions
PROCEDUREKaltenborn mobilization
All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Kaltenborn mobilization involves applying graded, sustained cervical joint glides and distraction to hypomobile segments, beginning with Grade I-II techniques for pain relief and progressing to Grade III to improve joint mobility and reduce stiffness.
PROCEDUREMulligan Mobilization
All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Mulligan mobilization (SNAGs) involves applying a sustained anterosuperior glide to the affected cervical segment while the participant actively performs the restricted movement in a pain-free range, with gentle overpressure added at the end range as tolerated.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female * aged between 18 to 40 years * CVA of \<48 * Pain on NPRS 3-8 * Hypo-mobility of cervical spine * Joint Position Error \> 4.5 in any of the cervical range * Participants who gave consent
Exclusion criteria
* Acute musculoskeletal injuries of the cervical spine and shoulder in the last 6 months * Diagnosed cases of pathological conditions like spondylosis, cervical myelopathy * Whiplash injury of cervical spine in last 6 months * Neck and shoulder surgery * Diagnosed cases of osteoporosis * Rheumatoid arthritis * Uncontrolled diabetes and hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cervical Pain | Baseline and after 2 weeks of treatment. | Numeric Pain Rating Scale (NPRS) will be used to measure Pain, 0 means no pain and 10 means worst pain ever. |
| Cervical Range of Motion | Baseline and after 2 weeks of treatment | A bubble inclinometer will be used to measure cervical range of motion. |
| CranioVertebral Angle | baseline and after 2 weeks of treatment. | Kinovea software will be used to measure Craniovertebral Angle. |
| Cervical Joint Proprioception | Baseline and after 2 weeks of treatment | Cervical Joint Proprioception will be measured via Joint position error test. |
| Deep Neck Flexor Muscle Endurance | Baseline and after 2 weeks of treatment | Deep Neck Flexor Muscle Endurance will be measured by Deep Neck Flexor Muscle Endurance test. |
Countries
Pakistan
Contacts
CONTACTNeha Jamshaid, DPT
CONTACTQuratulain Saeed, MS-OMPT
Outcome results
None listed