Forward Head PostureFHPNCT04959942
Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on on Forward Head Posture
A study testing scapular stabilization exercise, postural correction exercise and advice in people with Forward Head Posture, run by Cairo University.
Trial summary
The aim of this study is to investigate efficacy of adding Scapular Stabilization Exercises to postural correctional exercises on Endurance of cervical flexor and extensor muscles on Asymptomatic forward head posture. Read more about this study
- Who is it for?
- Ages 20 to 35 years
- Conditions the study is for
- Forward Head Posture
- What is being tested?
- scapular stabilization exercise, postural correction exercise and advice
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- No sites listed yet
- Study dates
- 15 Jul 2021to 30 Sep 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- If asymptomatic subjects with CVA equal or less than 50.
- shoulder flexion at least 130 degrees or more, they involved in this research.
Who cannot join
- If they had a history of cervical spine sur¬gery
- Cervical spondylosis
- Cervical or shoulder neurological movement disorder, Temporo-mandibular surgery, Pathologic trauma.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on Endurance of Cervical Flexor and Extensor Muscles on Asymptomatic Forward Head Posture; Randomized Controlled Trial
The aim of this study is to investigate efficacy of adding Scapular Stabilization Exercises to postural correctional exercises on Endurance of cervical flexor and extensor muscles on Asymptomatic forward head posture.
Read the detailed description
Forward head posture (FHP) is the most common deviation from ideal head posture and is characterized by the head projecting forward into the sagittal plane such that it is anterior to the trunk. Individuals with neck pain frequently demonstrate FHP, when compared to age-matched controls.
Asymmetric posture is a chronic stressor and the origin of most noxious stimuli that could alleviate 70-90 % of chronic pain. It is reported that FHP is a common postural abnormality, with a conservative estimate being 66 % of the patient population. It causes vertebral displacement patterns, abnormal stresses, and strain on the spinal cord. FHP has adverse mechanical tension on neural and vascular elements.
It is theorized that when muscle performance is impaired, the balance between the stabilizers on the posterior aspect of the neck and the DNFs will be disrupted, resulting in loss of proper alignment and posture, which is then likely to contribute to cervical Impairment (loss of range of motion, or decreased strength including, but not limited to, the sternocleidomastoid (SCM), trapezius, and deep neck flexor (DNF) muscles endurance of the neck musculature.
Assessment of DNF muscle performance properties is arguably important given the relationship between DNF muscle torque and endurance deficits and patient complaints of head and neck pain. sixty subjects with forward head posture assigned randomly to three groups. experimental group 1 will receive scapular stabilization plus postural correction exercise and advice, experimental group 2 will receive postural correction exercise plus advice and finally control group will receive advice.
- Conditions
- Forward Head Posture
- Being tested
- scapular stabilization exercise, postural correction exercise, advice
- Keywords
- scapular stabilization exercise, postural correction exercises, forward head posture
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
scapular stabilization exerciseOther
In the supine position, the subject will instruct to take a deep breath to relax the body. In croock-lying position, the subject will raise his dominant arm to 90° shoulder flexion with full elbow extension and scapular protraction. In the quadruped position, the subject lifts up his arms alternatively with shoulder abduction and 120 ° flexion. In a sitting position with 90° knee flexion on a stool or bed without back support, the subject held a pair of dumbbells (2 kg) in each hand and laterally lifted them up while maintaining the height of scapulae below 80°. Each stage will instruct to be held for 10 seconds before returning to the starting position and three laps of 10 repetitions with a 30-second break in between will perform. In the sitting position, a mirror will place in front of the patient. The subject will instruct to check and correct his posture by him
postural correction exerciseOther
The program consisted of two strengthening (deep cervical flexors and scapular retractors) and two stretchings: cervical extensors (sub-occipital muscles) and pectoral muscles). The program was based on a program by Harman and Kendall.
adviceOther
all subjects will be instructed to maintain normal alignment of the cervical vertebry
| Study group | Role | What they receive |
|---|---|---|
| scapular stabilization exercise | Experimental | the subjects will receive scapular stabilization exercise + postural correction exercise and advice three times per week for 10 weeks Receives: Other: scapular stabilization exercise |
| postural correction exercise | Experimental | the subjects will receive postural correction exercise and advice three times per week for 10 weeks Receives: Other: scapular stabilization exercise; Other: postural correction exercise |
| advice | Active comparator | the subjects will receive advice three times per week for 10 weeks Receives: Other: scapular stabilization exercise; Other: postural correction exercise; Other: advice |
What is being measured
The primary outcome is the main question the study is designed to answer.
craniovertebral angle
craniovertebral angle will be measured by objective software.
Measured: up to ten weeks
cervical range of motion
cervical range of motion will be assessed by CROM. cervical flexion, extension, side bending and rotation will be assessed
Measured: up to ten weeks
Secondary outcomes (3)
flexion endurance
flexion endurance test by stop watch will be used for assessment the endurance of cervical flexor
Measured: up to ten weeks
extension endurance
extension endurance test by stop watch will be used for assessment the endurance of extensor muscles
Measured: up to ten weeks
muscle activity during rest and activity
electromyography will be used for measuring the activity of upper trapezius and sternocleidomastoid muscle at rest and during activity
Measured: up to ten weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2021
- Study start15 Jul 2021 (estimated)
- Primary completion30 Sep 2021 (estimated)
- Study completion30 Sep 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Forward Head PostureStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- scapular stabilization and postural correction exercise
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Al Shaymaa Shaaban Abd El Azeim, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04959942
- Sponsor's protocol ID
- p.t.REC/012/003244
- Acronym
- FHP
- Status last verified
- Jul 2021
- First submitted
- 2 Jul 2021
- Last updated
- 13 Jul 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on Endurance of Cervical Flexor and Extensor Muscles on Asymptomatic Forward Head Posture; Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT04959942
- Acronym / sponsor ID
- FHP / p.t.REC/012/003244
- Conditions
- Forward Head Posture
- Keywords
- scapular stabilization exercise, postural correction exercises, forward head posture
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 15 Jul 2021 (estimated)
- Primary completion
- 30 Sep 2021 (estimated)
- Study completion
- 30 Sep 2021 (estimated)
- First posted
- 13 Jul 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to investigate efficacy of adding Scapular Stabilization Exercises to postural correctional exercises on Endurance of cervical flexor and extensor muscles on Asymptomatic forward head posture.
Detailed description
Forward head posture (FHP) is the most common deviation from ideal head posture and is characterized by the head projecting forward into the sagittal plane such that it is anterior to the trunk. Individuals with neck pain frequently demonstrate FHP, when compared to age-matched controls.
Asymmetric posture is a chronic stressor and the origin of most noxious stimuli that could alleviate 70-90 % of chronic pain. It is reported that FHP is a common postural abnormality, with a conservative estimate being 66 % of the patient population. It causes vertebral displacement patterns, abnormal stresses, and strain on the spinal cord. FHP has adverse mechanical tension on neural and vascular elements.
It is theorized that when muscle performance is impaired, the balance between the stabilizers on the posterior aspect of the neck and the DNFs will be disrupted, resulting in loss of proper alignment and posture, which is then likely to contribute to cervical Impairment (loss of range of motion, or decreased strength including, but not limited to, the sternocleidomastoid (SCM), trapezius, and deep neck flexor (DNF) muscles endurance of the neck musculature.
Assessment of DNF muscle performance properties is arguably important given the relationship between DNF muscle torque and endurance deficits and patient complaints of head and neck pain. sixty subjects with forward head posture assigned randomly to three groups. experimental group 1 will receive scapular stabilization plus postural correction exercise and advice, experimental group 2 will receive postural correction exercise plus advice and finally control group will receive advice.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
- Model description
- scapular stabilization and postural correction exercise
| Arm | Type | Receives |
|---|---|---|
| scapular stabilization exercise | Experimental | Other: scapular stabilization exercisethe subjects will receive scapular stabilization exercise + postural correction exercise and advice three times per week for 10 weeks |
| postural correction exercise | Experimental | Other: scapular stabilization exercise, Other: postural correction exercisethe subjects will receive postural correction exercise and advice three times per week for 10 weeks |
| advice | Active comparator | Other: scapular stabilization exercise, Other: postural correction exercise, Other: advicethe subjects will receive advice three times per week for 10 weeks |
Who may qualify
- Ages
- 20 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- If asymptomatic subjects with CVA equal or less than 50.
- shoulder flexion at least 130 degrees or more, they involved in this research.
Key exclusion criteria (3 listed)
- If they had a history of cervical spine sur¬gery
- Cervical spondylosis
- Cervical or shoulder neurological movement disorder, Temporo-mandibular surgery, Pathologic trauma.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| scapular stabilization exerciseIn the supine position, the subject will instruct to take a deep breath to relax the body. In croock-lying position, the subject will raise his dominant arm to 90° shoulder flexion with full elbow extension and scapular protraction. In the quadruped position, the subject lifts up his arms alternatively with shoulder abduction and 120 ° flexion. In a sitting position with 90° knee flexion on a stool or bed without back support, the subject held a pair of dumbbells (2 kg) in each hand and laterally lifted them up while maintaining the height of scapulae below 80°. Each stage will instruct to be held for 10 seconds before returning to the starting position and three laps of 10 repetitions with a 30-second break in between will perform. In the sitting position, a mirror will place in front of the patient. The subject will instruct to check and correct his posture by him | Other | advice, postural correction exercise, scapular stabilization exercise |
| postural correction exerciseThe program consisted of two strengthening (deep cervical flexors and scapular retractors) and two stretchings: cervical extensors (sub-occipital muscles) and pectoral muscles). The program was based on a program by Harman and Kendall. | Other | advice, postural correction exercise |
| adviceall subjects will be instructed to maintain normal alignment of the cervical vertebry | Other | advice |
Primary outcome
craniovertebral angle
Time frame: up to ten weeks
craniovertebral angle will be measured by objective software.
cervical range of motion
Time frame: up to ten weeks
cervical range of motion will be assessed by CROM. cervical flexion, extension, side bending and rotation will be assessed
3 secondary outcomes
flexion endurance
Time frame: up to ten weeks
extension endurance
Time frame: up to ten weeks
muscle activity during rest and activity
Time frame: up to ten weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jul 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Questions about this trial
What is this clinical trial studying?
A study testing scapular stabilization exercise, postural correction exercise and advice in people with Forward Head Posture, run by Cairo University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 13 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact al shaymaa sh abd el azeim, lecturer (01033771553, alshaymaa.shaaban@pt.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
craniovertebral angle (time frame: up to ten weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jul 2021.