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Symptomatic Forward Head PostureVRexercisesNCT07193537

Virtual Reality Exercises Versus Motor Control Training in Symptomatic Forward Head Posture

A study testing Virtual reality exercises and conventional treatment in people with Symptomatic Forward Head Posture, run by Cairo University at 1 site in Egypt.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

This study will be conducted to Compare between virtual reality exercises versus motor control training on cervical proprioception in symptomatic forward head posture Read more about this study

Who is it for?
Ages 18 to 30 years
Conditions the study is for
Symptomatic Forward Head Posture
What is being tested?
Virtual reality exercises and conventional treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
93 participants
Where
1 siteEgypt
Study dates
30 Oct 2025to 30 Jun 2026
Phase
Interventional

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 30 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Ninety three subjects from both sexes will participate in the study with CVA less than 50º.
  • Subject's age ranged from 18-30 years old, with Body Mass Index (BMI) less than 30Kg/m2. .
  • Subjects having neck pain more than 6 weeks .
  • Neck disability index (NDI) value less than 24 (mild to moderate disability scores on NDI)

Who cannot join

  • 1-Individuals with a recent history of neck or back surgery. 2- Individuals with recent history of trauma or fracture. 3- Individuals with congenital disorders 4- Individuals with any psychiatric diseases
  • -

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Shimaa Nabil

    Cairo, 11829

Other trials in Egypt

About this study

Official title: Virtual Reality Exercises Versus Motor Control Training on Cervical Proprioception in Symptomatic Forward Head Posture

This study will be conducted to Compare between virtual reality exercises versus motor control training on cervical proprioception in symptomatic forward head posture

Read the detailed description

Various occupations require people to maintain a static position for long periods that causes continuous contractions of the head and neck muscle.The poor posture leads to pain and deformity such as forward head posture.Virtual reality exercises(VRE) have been more commonly considered for the improvement of pain , functional ability, and muscular strength.Motor control training (MCT) re-establish the activation pattern of neck muscles and have proven to be effective in improving motor function of deep cervical muscles, reducing discomfort and impairment in patient with FHP and neck pain. 93 subjects from both sexes will participate in the study with CVA less than 50º.Group A:31 subjects will receive virtual reality exercises by VR Training using Xbox Kinect

.Group B: 31 subjects will receive motor control training Group C: 31 subjects will receive conventional treatment in form of (Posture correction (chin tuck exercise)and Stretching exercises .

Being tested
Virtual reality exercises, Motor control training, conventional treatment
Keywords
pain
Medical subject headings
Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Virtual reality exercisesOther

    Thirty one subjects will receive virtual reality exercises by VR Training using Xbox Kinect. The Kinect sensor is an infrared camera that can recognize the positions and motions of the player without the need for special controller. The console controls the various games .For the VR training, the Xbox Kinect, console, and monitor will set up in a dedicated space. The patient will placed 1.5-2 m away from the Kinect sensor. Before the start of the training session, the research assistant adjusted the position of the sensor while the patient is sitting to ensure optimal position and motion capture, and loaded games into the system. After the setup is completed, the research assistant demonstrated games included in the Kinect adventure

  • Motor control trainingOther

    Thirty one subjects will receive motor control training two times a week for eight weeks in form of deep cervical flexors strengthening using pressure biofeedback unit (craniocervical flexor exercise) :Pressure biofeedback unit will be used to perform Cranio-cervical flexor muscle training. Through which an endurance and isometric exercise for DNFs in progressive range positions will be performed each session, the PBU's air bag will be positioned below the occiput, and the inflatable cuff pressure sensor will be inflated to a baseline of 20 mmHg. Participants will instruct to target five pressure levels between 22 and 30 mmHg by nodding. scapular exercises .With patient in prone position, pillow under the chest and upper limb in varying degree of shoulder abduction, the participant lifts the hand toward the ceiling while retracting the scapula

  • conventional treatmentOther

    Thirty one subjects will receive conventional treatment for 3 times per week for 4 weeks. Conventional treatment will include the following:

    1-Posture correction (chin tuck exercise) Stand with the upper back against the wall, with the feet shoulder-width apart. Tuck the chin in and hold for 5 seconds 10 repetitions .Return to the starting position and repeat a number of times. This can help stretch the muscles in the upper neck 2. Stretching exercise: Self-stretching exercise for most common tight muscles. These muscles include upper trapezius (by contralateral side bending), levator scapulae (flexion, contralateral side bending and rotation) and sternocleidomastoid muscle (slight flexion with ipsilateral side bending and rotation). Each position should be maintained for 30 seconds and repeated for 3 times.

Study groups in NCT07193537
Study groupRoleWhat they receive
Virtual reality exercisesExperimentalThirty one subjects will receive virtual reality exercises by VR Training using Xbox Kinect for four weeks .
Receives: Other: Virtual reality exercises
Motor control trainingExperimentalMotor control training for four weeks
Receives: Other: Motor control training
conventional treatmentActive comparatorconventional treatment for four weeks in form of posture correction and stretching exercises
Receives: Other: conventional treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. cervical propioception

    Cervical proprioception will be assessed using CROM .

    Measured: up to four weeks

  2. Craniovertebral angle (CVA)

    Photogrammetric method will be used to assess CVA

    Measured: up to four weeks

Secondary outcomes (3)
  1. pain intensity

    Visual Analogue Scale (VAS) to assess pain intensity

    Measured: up to four weeks

  2. Neck function

    Arabic version of neck disability index will be used to assess neck function

    Measured: up to four weeks

  3. Deep neck flexors endurance

    Pressure Biofeedback Unit (PBU, Chattanooga, TN, USA) will be used to assess endurance

    Measured: up to four weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Sep 2025
  2. Study start30 Oct 2025
  3. Primary completion30 Jun 2026
  4. Study completion30 Jun 2026

Resources

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
Virtual reality systems have been used in assessments and treatments in the field of rehabilitation . Motor control training motor control training of deep neck flexors with pressure biofeedback is an effective intervention for improving pain intensity and disability in patients with neck pain and preferable to strength-endurance training of cervical muscles . Scapular stabilization exercise can help improve the head posture and pain in the patients with neck pain and forward head posture. conventional treatment in form of Posture correction (chin tuck exercise) and Stretching exercises
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
93 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07193537
Sponsor's protocol ID
exercises on symptomatic FHP
Acronym
VRexercises
Status last verified
Jul 2026
First submitted
24 Sep 2025
Last updated
22 Jul 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

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