Forward Head PostureNCT07484555
Postural Rehabilitation for Visual Dysfunction in Forward Head Posture
A study testing Sensor development training group and conventional posture training in people with Forward Head Posture, run by Riphah International University at 1 site in Pakistan.
Trial summary
This assessor-blinded randomized controlled trial aims to compare the effects of motor control training, sensor-based biofeedback training using a wearable inertial measurement unit, and standardized postural correction exercises on mild visual dysfunction in university students with forward head posture. Read more about this study
- Who is it for?
- Ages 18 to 30 years
- Conditions the study is for
- Forward Head Posture
- What is being tested?
- Sensor development training group and conventional posture training
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Apr 2026to 25 Feb 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- 18-30 years Both genders BMI 17.5-27.99 CVA <50° Mild visual impairment log Mar 0.1-0.5
Who cannot join
- • Head and neck trauma or surgical history, Neurological disorders
- Vestibular disorders, Benign paroxysmal positional vertigo (BPPV)
- Congenital head and neck postural abnormality
- Diagnosed oculomotor pathology (strabismus, nystagmus)
- Diagnosed congenital ocular defects (corneal dystrophies)
- Diagnosed glaucoma, cataract, uncorrected refractive errors
- Diagnosed diabetes
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
Post-graduate research Lab, Riphah international university, gulberg greens campus, islamabad
Islamabad, Capital, 46000
Aisha Razzaq, PHD*, 03015030784, aisha.razzaq@riphah.edu.pk
Aisha Razzaq, PHD*
About this study
Official title: Postural Rehabilitation Through Motor Control Versus Sensor-based Biofeedback Training for Visual Dysfunction in Forward Head Posture
This assessor-blinded randomized controlled trial aims to compare the effects of motor control training, sensor-based biofeedback training using a wearable inertial measurement unit, and standardized postural correction exercises on mild visual dysfunction in university students with forward head posture. The trial seeks to establish whether targeted postural rehabilitation can produce measurable improvements in validated visual and sensorimotor outcomes.
Read the detailed description
Forward head posture is highly prevalent among young adults due to prolonged screen exposure and sustained cervical flexion. Emerging neurophysiological evidence suggests that cervical alignment influences visual stability through altered proprioceptive input, cervico-ocular reflex mechanisms, and sensorimotor integration. However, no randomized controlled trials have investigated whether correcting FHP leads to measurable improvements in validated visual parameters.
- Conditions
- Forward Head Posture
- Being tested
- motor control training, Sensor development training group, conventional posture training
- Keywords
- Balance, posture, Motor control training, Muscle endurance, Sensors, Visual impairment
- Medical subject headings
- Vision Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
motor control trainingOther
the intervention will be a progressive training starting from the stationary, no inertia and no object manipulation to in motion with inertia and with object manipulation taking help of sitting standing and stepping stairs like activities keep the head in normal position with the help of a laser gun. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.
Sensor development training groupDevice
the sensor will be being placed at cervical vertebrae C7 measuring current craniovertebral angle with the threshold being set at 50 degrees. the real time feedback will be shown on the mobile app. and the data will be recorded for whole intervention time. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.
conventional posture trainingOther
the strengthening of deep neck flexors and retractors and stretching of pectoralis major and cervical extensors will be done using intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.
| Study group | Role | What they receive |
|---|---|---|
| motor control training group | Experimental | the motor control training is done in the stationary and in motion conditions with and without inertia and with and without object manipulations for the forward head posture participants. Receives: Other: motor control training |
| Sensor biofeedback training group | Experimental | Real time biofeedback training is being done through the sensor being applied to cervical spine during normal day activities. Receives: Device: Sensor development training group |
| conventional postural training | Experimental | this program consists on strengthening of deep cervical flexors and scapular retractors and stretching of cervical extensors and pectoralis major muscles Receives: Other: conventional posture training |
| control group | No intervention | postural education about proper ergonomics is being shared to the participants |
What is being measured
The primary outcome is the main question the study is designed to answer.
visual impairment
The mild visual impairment will be measured by LogMar chart. the smallest line that person can read will be recorded as reading of visual impairment. the score is generally in form of fractions.
Measured: baseline to 8th week
oculomotor function
this will be measured by the near point convergence test. the point at which blurring stated by participant will be measured in cms.
Measured: baseline to 8th week
visual reaction time
this will be measured on visual reaction time app on phone. the person has to click the screen when the stimulus arrives on screen. The average of 3 readings will be recorded as the visual reaction time
Measured: baseline to 8th week
visual fatigue
The visual fatigue will be measured by 17 item asthenopia questionnaire (ASQ-17). the score will be marked on 5 point likert scale with greater score shows more severity
Measured: baseline to 8th week
craniovertebral angle (CVA)
this will be measured by mobile app specified for said purpose. sideways picture will be taken and CVA will be noted from the app.
Measured: baseline to 8th week
Secondary outcomes (5)
flexor muscle endurance
this will be measure by flexor endurance test as the end of couch in supine lying with head lift in chin tuck in position. the time of hold in seconds will be noted.
Measured: baseline to 8th week
extensor muscle endurance
the test will be done in prone lying holding the head in static position at the end of couch. the time of hold will be measured in seconds.
Measured: baseline to 8th weeks
pelvic tilt
the pelvic tilt will be measured by the pelvic inclinometer in degrees by place its both ends at anterior superior iliac spine.
Measured: baseline to 8th week
static balance
the static balance will be measured by Balance Error Scoring System test. the readings in double foot stance, single leg stance and tandem stance will be done on firm and foam surface and the composite score will be used. the no. of wrrors in adopting position will be marked as points. total score is 60. lower score indicate good balance.
Measured: baseline to 8th week
dynamic balance
The dynamic balance will be measured by the Y-balance test in anterior, postero-medial and postero-latertal positions. the composite score according to formula will be taken as final score. the higher score indicates good balance.
Measured: baseline to 8th week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Mar 2026
- Study start1 Apr 2026
- Primary completion30 Nov 2026 (estimated)
- Study completion25 Feb 2027 (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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 72 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Qamar Mehmood, PHD, Principal investigator, Riphah internatioal university
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07484555
- Sponsor's protocol ID
- RiphahIU Aisha Razzaq
- Status last verified
- Aug 2026
- First submitted
- 16 Mar 2026
- Last updated
- 27 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Postural Rehabilitation Through Motor Control Versus Sensor-based Biofeedback Training for Visual Dysfunction in Forward Head Posture
- ClinicalTrials.gov ID
- NCT07484555
- Acronym / sponsor ID
- RiphahIU Aisha Razzaq
- Conditions
- Forward Head Posture
- Keywords
- Balance, posture, Motor control training, Muscle endurance, Sensors, Visual impairment
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 72 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Apr 2026 (actual)
- Primary completion
- 30 Nov 2026 (estimated)
- Study completion
- 25 Feb 2027 (estimated)
- First posted
- 20 Mar 2026 (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.
This assessor-blinded randomized controlled trial aims to compare the effects of motor control training, sensor-based biofeedback training using a wearable inertial measurement unit, and standardized postural correction exercises on mild visual dysfunction in university students with forward head posture. The trial seeks to establish whether targeted postural rehabilitation can produce measurable improvements in validated visual and sensorimotor outcomes.
Detailed description
Forward head posture is highly prevalent among young adults due to prolonged screen exposure and sustained cervical flexion. Emerging neurophysiological evidence suggests that cervical alignment influences visual stability through altered proprioceptive input, cervico-ocular reflex mechanisms, and sensorimotor integration. However, no randomized controlled trials have investigated whether correcting FHP leads to measurable improvements in validated visual parameters.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| motor control training group | Experimental | Other: motor control trainingthe motor control training is done in the stationary and in motion conditions with and without inertia and with and without object manipulations for the forward head posture participants. |
| Sensor biofeedback training group | Experimental | Device: Sensor development training groupReal time biofeedback training is being done through the sensor being applied to cervical spine during normal day activities. |
| conventional postural training | Experimental | Other: conventional posture trainingthis program consists on strengthening of deep cervical flexors and scapular retractors and stretching of cervical extensors and pectoralis major muscles |
| control group | No intervention | –postural education about proper ergonomics is being shared to the participants |
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- 18-30 years Both genders BMI 17.5-27.99 CVA <50° Mild visual impairment log Mar 0.1-0.5
Key exclusion criteria (7 listed)
- • Head and neck trauma or surgical history, Neurological disorders
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 |
|---|---|---|
| motor control trainingthe intervention will be a progressive training starting from the stationary, no inertia and no object manipulation to in motion with inertia and with object manipulation taking help of sitting standing and stepping stairs like activities keep the head in normal position with the help of a laser gun. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks. | Other | motor control training group |
| Sensor development training groupthe sensor will be being placed at cervical vertebrae C7 measuring current craniovertebral angle with the threshold being set at 50 degrees. the real time feedback will be shown on the mobile app. and the data will be recorded for whole intervention time. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks. | Device | Sensor biofeedback training group |
| conventional posture trainingthe strengthening of deep neck flexors and retractors and stretching of pectoralis major and cervical extensors will be done using intervention duration is 45 minutes/day, with three sessions per week for 4 weeks. | Other | conventional postural training |
Primary outcome
visual impairment
Time frame: baseline to 8th week
The mild visual impairment will be measured by LogMar chart. the smallest line that person can read will be recorded as reading of visual impairment. the score is generally in form of fractions.
oculomotor function
Time frame: baseline to 8th week
this will be measured by the near point convergence test. the point at which blurring stated by participant will be measured in cms.
visual reaction time
Time frame: baseline to 8th week
this will be measured on visual reaction time app on phone. the person has to click the screen when the stimulus arrives on screen. The average of 3 readings will be recorded as the visual reaction time
visual fatigue
Time frame: baseline to 8th week
The visual fatigue will be measured by 17 item asthenopia questionnaire (ASQ-17). the score will be marked on 5 point likert scale with greater score shows more severity
craniovertebral angle (CVA)
Time frame: baseline to 8th week
this will be measured by mobile app specified for said purpose. sideways picture will be taken and CVA will be noted from the app.
5 secondary outcomes
flexor muscle endurance
Time frame: baseline to 8th week
extensor muscle endurance
Time frame: baseline to 8th weeks
pelvic tilt
Time frame: baseline to 8th week
static balance
Time frame: baseline to 8th week
dynamic balance
Time frame: baseline to 8th week
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Aug 2026.
- Individual participant dataSharing planned: No
Related trials for Forward Head Posture
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Relationship of Forward Head Posture With Burnout and Quality of Life
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Effects of Progressive Neck Motor Control Exercises With and Without Conventional Therapy in Text Neck Syndrome.(PNMCE-TNS)
Text Neck Syndrome
RecruitingObservational study
The Association Between Smartphone Overuse and Mechanical Neck Pain Among Galala University Students
Mechanical Neck Pain, Forward Head Posture (FHP), Upper Cross Syndrome (UCS)
Recruiting
Comparative Effects of Pressure and Visual Biofeedback Training on Pain, Disability, Range of Motion Among Patients With Forward Head Posture Correction: A Randomized Controlled Trial
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Recruiting
Effects of a Wearable Device ,Phone App and Exercise on Cervico-thoracic Posture in University Students.
Forward Head Posture
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.
Qamar Mehmood, PHD principal investigator
Riphah internatioal university
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Sensor development training group and conventional posture training in people with Forward Head Posture, run by Riphah International University at 1 site in Pakistan.
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 1 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: looking for participants now, as of the sponsor's last update on 27 Aug 2026. 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 Pakistan. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Qamar Mehmood, PHD (03335151063, qamar.mehmood@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
visual impairment (time frame: baseline to 8th week). The study lists 5 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 27 Aug 2026.