Forward Head PostureNCT05650346
Efficacy of Deep Cervical Training Combined With Mobilization Techniques on Forward Head Posture
A study testing Deep Cervical Training, Deep cervical training + Upper cervical mobilization group and Deep cervical training + Upper thoracic mobilization group in people with Forward Head Posture, run by Egyptian Chinese University at 1 site in Egypt.
Trial summary
To investigate the efficacy of adding cervical \& thoracic spinal mobilization techniques to deep cervical training compared to deep cervical training alone on Pain, Neck functional ability, Craniovertebral angle. Read more about this study
- Who is it for?
- Ages 18 to 25 years
- Conditions the study is for
- Forward Head Posture
- What is being tested?
- Deep Cervical Training, Deep cervical training + Upper cervical mobilization group and Deep cervical training + Upper thoracic mobilization group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 66 participants
- Where
- 1 siteEgypt
- Study dates
- 10 Jan 2023to 20 Feb 2023
- 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 18 to 25 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- The craniovertebral angle is less than 50 degrees.
- Age ranges from 18 to 25 years old.
- Forward head is associated with neck pain.
Who cannot join
- A history of any of the following conditions:
- Previous surgery regarding the spine or shoulders.
- Vertebral fractures regarding the cervical spine or the skull.
- Positive neurological signs or evidence of spinal compression
- headaches prior to the onset of neck pain and without cervical origin
- Inner ear or vestibular Problems
- Whiplash Injuries
Trial locations and contacts
1 site in 1 country.
Egypt1 site, 1 recruiting
- Recruiting
The Egyptian Chinese University
Cairo, 00202
Ahmed Ma Hamed, M.Sc., 01064123606 ext. +2, ahmedmahmoudbusiness@gmail.com
About this study
Official title: Efficacy of Deep Cervical Training Combined With Mobilization Techniques on Forward Head
To investigate the efficacy of adding cervical \& thoracic spinal mobilization techniques to deep cervical training compared to deep cervical training alone on Pain, Neck functional ability, Craniovertebral angle.
- Conditions
- Forward Head Posture
- Being tested
- Deep Cervical Training, Deep cervical training + Upper cervical mobilization group, Deep cervical training + Upper thoracic mobilization group
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Deep Cervical TrainingOther
The Cranio cervical flexion exercise will be performed with the patient in supine crook lying with the neck in a neutral position (no pillow) such that the line of the face is horizontal and a line bisecting the neck longitudinally is horizontal to the testing surface. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task.
Deep cervical training + Upper cervical mobilization groupOther
- the patient in supine crook lying with the neck in a neutral position.The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg
- The therapist will cover the rear of the cervical part of the participant with his right hand for stabilization, and will place his thumb and index fingers on the atlas of the participant. To conduct the atlanto-occipital mobilization, the therapist will place his left hand at the right side of the participant and at the same time will place his fifth finger under the occipital area and will pull the participant's head toward his trunk.
Deep cervical training + Upper thoracic mobilization groupOther
- The Cranio cervical flexion exercise will be performed with the patient in supine crook lying with the neck in a neutral position (no pillow) such that the line of the face is horizontal and a line bisecting the neck longitudinally is horizontal to the testing surface. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task.
- The participants will be placed in the prone position and the therapist will stand facing the joint where the mobilization will be applied to improve the extension of the upper thoracic spine (T1-2).
| Study group | Role | What they receive |
|---|---|---|
| Control Group ( Deep Cervical Training ) | Active comparator | Not described Receives: Other: Deep Cervical Training |
| Experimental group I (Deep cervical training + Upper cervical mobilization group) | Experimental | Not described Receives: Other: Deep Cervical Training; Other: Deep cervical training + Upper cervical mobilization group |
| Experimental group II (Deep cervical training + Upper thoracic mobilization group) | Experimental | Not described Receives: Other: Deep Cervical Training; Other: Deep cervical training + Upper thoracic mobilization group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Craniovertebral Angle
The CVA was formed at the intersection of the horizontal line, which passed through the back and the line, which joined the tragus of the ear and the back. The Patient Will Be In Standing Position and the image will be taken from the lateral view then the image will be inserted to IMAGEJ Software To Measure The Angle
Measured: One Month
Deep Neck Core Strength
The the patient in supine crook lying with the neck in a neutral position. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg.The movement will perform gently and slowly as a head nodding action (as if saying "yes"). The Cranio cervical flexion exercise the activation and endurance of the deep cervical flexors in progressive inner range positions as the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task.
Measured: One Month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Dec 2022
- Study start10 Jan 2023 (estimated)
- Primary completion20 Feb 2023 (estimated)
- Study completion20 Feb 2023 (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.
- 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
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 66 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Egyptian Chinese University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ahmed Mahmoud Hamed Hasnin, Egyptian Chinese University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05650346
- Sponsor's protocol ID
- P.T.REC/012/003524
- Status last verified
- Jan 2023
- First submitted
- 23 Nov 2022
- Last updated
- 10 Jan 2023
- 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 10 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Deep Cervical Training Combined With Mobilization Techniques on Forward Head
- ClinicalTrials.gov ID
- NCT05650346
- Acronym / sponsor ID
- P.T.REC/012/003524
- Conditions
- Forward Head Posture
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 66 participants (estimated)
- Lead sponsor
- Egyptian Chinese UniversityUniversity, hospital or other
- Study start
- 10 Jan 2023 (estimated)
- Primary completion
- 20 Feb 2023 (estimated)
- Study completion
- 20 Feb 2023 (estimated)
- First posted
- 14 Dec 2022 (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.
To investigate the efficacy of adding cervical \& thoracic spinal mobilization techniques to deep cervical training compared to deep cervical training alone on Pain, Neck functional ability, Craniovertebral angle.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Control Group ( Deep Cervical Training ) | Active comparator | Other: Deep Cervical Training |
| Experimental group I (Deep cervical training + Upper cervical mobilization group) | Experimental | Other: Deep Cervical Training, Other: Deep cervical training + Upper cervical mobilization group |
| Experimental group II (Deep cervical training + Upper thoracic mobilization group) | Experimental | Other: Deep Cervical Training, Other: Deep cervical training + Upper thoracic mobilization group |
Who may qualify
- Ages
- 18 to 25 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- The craniovertebral angle is less than 50 degrees.
- Age ranges from 18 to 25 years old.
- Forward head is associated with neck pain.
Key exclusion criteria (7 listed)
- Previous surgery regarding the spine or shoulders.
- Vertebral fractures regarding the cervical spine or the skull.
- Positive neurological signs or evidence of spinal compression
- headaches prior to the onset of neck pain and without cervical origin
- Inner ear or vestibular Problems
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 |
|---|---|---|
| Deep Cervical TrainingThe Cranio cervical flexion exercise will be performed with the patient in supine crook lying with the neck in a neutral position (no pillow) such that the line of the face is horizontal and a line bisecting the neck longitudinally is horizontal to the testing surface. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task. | Other | Control Group ( Deep Cervical Training ), Experimental group I (Deep cervical training + Upper cervical mobilization group), Experimental group II (Deep cervical training + Upper thoracic mobilization group) |
| Deep cervical training + Upper cervical mobilization group1. the patient in supine crook lying with the neck in a neutral position.The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg 2. The therapist will cover the rear of the cervical part of the participant with his right hand for stabilization, and will place his thumb and index fingers on the atlas of the participant. To conduct the atlanto-occipital mobilization, the therapist will place his left hand at the right side of the participant and at the same time will place his fifth finger under the occipital area and will pull the participant's head toward his trunk. | Other | Experimental group I (Deep cervical training + Upper cervical mobilization group) |
| Deep cervical training + Upper thoracic mobilization group1. The Cranio cervical flexion exercise will be performed with the patient in supine crook lying with the neck in a neutral position (no pillow) such that the line of the face is horizontal and a line bisecting the neck longitudinally is horizontal to the testing surface. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task. 2. The participants will be placed in the prone position and the therapist will stand facing the joint where the mobilization will be applied to improve the extension of the upper thoracic spine (T1-2). | Other | Experimental group II (Deep cervical training + Upper thoracic mobilization group) |
Primary outcome
Craniovertebral Angle
Time frame: One Month
The CVA was formed at the intersection of the horizontal line, which passed through the back and the line, which joined the tragus of the ear and the back. The Patient Will Be In Standing Position and the image will be taken from the lateral view then the image will be inserted to IMAGEJ Software To Measure The Angle
Deep Neck Core Strength
Time frame: One Month
The the patient in supine crook lying with the neck in a neutral position. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg.The movement will perform gently and slowly as a head nodding action (as if saying "yes"). The Cranio cervical flexion exercise the activation and endurance of the deep cervical flexors in progressive inner range positions as the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jan 2023.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Deep Cervical Training, Deep cervical training + Upper cervical mobilization group and Deep cervical training + Upper thoracic mobilization group in people with Forward Head Posture, run by Egyptian Chinese University at 1 site in Egypt.
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 3 inclusion and 7 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 10 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
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 Ahmed Ma Hamed, M.Sc. (01064123606 ext. +2, ahmedmahmoudbusiness@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Craniovertebral Angle (time frame: One Month). 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 10 Jan 2023.