Forward Head PostureFHPNCT07565688
Forward Head Posture Correction on Cerebral Oxygenation During Dual-task in Symptomatic Subjects
A study testing Forward Head Posture Correction in people with Forward Head Posture and Neck Pain, run by University of Sharjah at 1 site in United Arab Emirates.
Trial summary
This study aims to investigate the effects of forward head posture correction on neck pain, brain activity, and cognitive-motor performance. Forward head posture is a common postural problem, especially among young adults who spend long hours using smartphones and computers. Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Forward Head Posture, Neck Pain
- What is being tested?
- Forward Head Posture Correction
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 45 participants
- Where
- 1 siteUnited Arab Emirates
- Study dates
- 1 May 2027to 1 Sep 2028
- 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 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Young adults of both sexes aged 18-35 years
- Individuals with forward head posture (a craniovertebral angle (CVA) < 50°)
- Presence of neck pain with an intensity of ≥3 on the Visual Analog Scale (VAS)
- Ability to understand and follow basic English instructions
- No cognitive impairment (score >18 on the Montreal Cognitive Assessment (MoCA))
Who cannot join
- History of cervical spine surgery or significant cervical trauma
- Currently receiving physiotherapy or rehabilitation for cervical spine conditions
- Individuals on medications (diagnosed neurological disorders)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United Arab Emirates1 site
University of Sharjah
Sharjah city, 27272
Alham Al-sharman, 06-5057516, aal-sharman@sharjah.ac.ae
About this study
Official title: Effects of Forward Head Posture Correction on Prefrontal Cerebral Oxygenation During Cognitive-Motor Interference in Symptomatic Subjects With Forward Head Posture: A Randomized Controlled Trial
This study aims to investigate the effects of forward head posture correction on neck pain, brain activity, and cognitive-motor performance. Forward head posture is a common postural problem, especially among young adults who spend long hours using smartphones and computers. It is frequently associated with neck pain, reduced mobility, and functional limitations. Emerging evidence also suggests that this postural deviation may influence brain function and increase the mental effort required during tasks that involve both thinking and movement.
Participants with forward head posture and neck pain will be recruited and randomly assigned to one of three groups: an intervention group using a cervical traction device (Denneroll), a sham group using a towel roll, or a control group receiving no intervention. The intervention will be performed at home over a six-week period, with sessions conducted five times per week. The duration of each session will gradually increase based on participant tolerance to ensure safety and comfort.
Read more
All participants will undergo assessments at baseline and after the intervention period. Pain intensity will be measured using a standardized pain scale. Brain activity will be assessed using a non-invasive technique called functional near-infrared spectroscopy (fNIRS), which measures changes in oxygen levels in the brain. Participants will also perform balance tasks under single-task and dual-task conditions, where they will be asked to maintain balance while performing simple cognitive tasks. In addition, cognitive function will be evaluated using standardized tests of attention, memory, and overall cognitive performance.
This study will help determine whether correcting forward head posture can reduce pain and improve brain and cognitive function. The findings may provide valuable insights into the relationship between posture, pain, and brain activity, and may contribute to the development of more effective and comprehensive rehabilitation approaches for individuals with forward head posture.
Read the detailed description
Forward head posture (FHP) is a common postural deviation associated with neck pain, impaired sensorimotor control, and functional limitations. In addition to musculoskeletal effects, emerging evidence suggests that FHP may influence cortical activity, particularly within prefrontal regions involved in attention and cognitive-motor integration. Individuals with FHP have demonstrated increased cognitive-motor interference during dual-task performance, indicating greater reliance on cortical resources and reduced motor automaticity. However, it remains unclear whether correcting FHP can reduce pain and modify these neurophysiological responses.
This study aims to investigate the effects of forward head posture correction on pain intensity as a primary outcome, alongside task-evoked cerebral oxygenation and cognitive-motor interference. A prospective, single-blinded, randomized controlled trial design with three parallel groups will be used. Participants with symptomatic FHP will be randomly allocated to an intervention group receiving Denneroll cervical traction, a sham group receiving a non-therapeutic towel roll intervention, or a control group receiving no intervention.
The intervention will be conducted over six weeks, with participants in the intervention and sham groups performing home-based sessions with gradual progression in duration to ensure safety and tolerance. All participants will undergo assessments at baseline and post-intervention.
Pain intensity will be evaluated using the Visual Analog Scale (VAS). Neurophysiological outcomes will be assessed using functional near-infrared spectroscopy (fNIRS) to measure changes in oxygenated and deoxygenated hemoglobin in the prefrontal cortex during rest, single-task, and dual-task conditions. Cognitive-motor interference will be examined using dual-task paradigms that combine balance tasks with cognitive demands. Cognitive function and balance performance will also be evaluated using standardized assessments.
The procedures used in this study are non-invasive and associated with minimal risk. The fNIRS device does not emit radiation, and the intervention may cause only mild and temporary discomfort, which will be minimized through gradual progression and monitoring. Participants will be informed of their right to withdraw at any time without consequences.
By integrating clinical, cognitive, and neurophysiological outcomes, this study aims to provide a comprehensive understanding of the effects of forward head posture correction. The findings may contribute to the development of more effective, mechanism-based rehabilitation strategies targeting both pain and brain function in individuals with forward head posture.
- Conditions
- Forward Head Posture, Neck Pain
- Being tested
- Forward Head Posture Correction
- Keywords
- Forward Head Posture, Neck Pain Musculoskeletal
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Forward Head Posture CorrectionOther
Duration: 6 weeks Frequency: 5 sessions per week (total 30 sessions) Setting: Home-based Position: Supine Session duration: Starts at ~3 minutes, progressively increased to 15-20 minutes (as tolerated)
- Intervention: DG: The denneroll will be given under the cervical spine (based on deviation level) TG: A towel roll will be given as an intervention CG: No intervention
This protocol simultaneously examines cerebral oxygenation using functional near-infrared spectroscopy (fNIRS)(HbO and HbR) , during single- and dual-task balance conditions(cognitive load-motor balance), and pain intensity using the VAS, postural alignment (craniovertebral angle),and cognitive function (MoCA, SDMT, BVMT-R) before and after intervention.
| Study group | Role | What they receive |
|---|---|---|
| Denneroll group (DG) | Active comparator | The intervention group will receive Denneroll cervical traction Receives: Other: Forward Head Posture Correction |
| Towel group (TG) | Sham comparator | The placebo group will receive a towel roll as an intervention Receives: Other: Forward Head Posture Correction |
| control group (CG) | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
The visual analog scale
The Visual Analog Scale (VAS) is a validated measure of pain intensity, typically presented as a 10 cm (100 mm) horizontal line. The scale ranges from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst imaginable pain." Higher scores represent greater pain intensity.
Measured: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Secondary outcomes (5)
functional near-infrared spectroscopy
cerebral oxygenation using functional near-infrared spectroscopy (fNIRS):
Task-evoked cerebral:
Changes in oxygenated (ΔHbO) and deoxygenated hemoglobin (ΔHbR) at rest, and during single-task and dual-task conditions will be calculated relative to pre-task baseline
Cortical dual-task cost:
The difference between dual-task and single-task ΔHbO will be used as an index of cognitive-motor interference.
Measured: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Symbol Digit Modalities Test
Symbol Digit Modalities Test (SDMT) is used to assess divided attention, visual scanning, tracking and motor speed. The SDMT presents a series of nine symbols, each paired with a single digit in a key at the top of the sheet. The participants will be asked to pair specific numbers with given geometric figures within 90 s using a reference key. The participants should respond by voicing the digit associated with each symbol as quickly as possible. SDMT-Incidental learning (IL) will be measured as well. The participants will be asked to recall each geometric figure represented which number after 20 minutes.
Measured: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Brief Visuospatial Memory Test-Revised
Brief Visuospatial Memory Test-Revised (BVMT-R) is used to assess visuospatial learning and memory performance. The BVMT-R consists of stimulus card (2 × 3 geometric figures). The researcher will show the participant a stimulus array of six abstract geometric figures for 10 seconds, then the participant will be asked to draw the figures from memory in their correct shape and locations. This procedure will be repeated for three learning trials. The participants will be asked to recall each geometric figure after 20 minutes
Measured: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Montreal Cognitive Assessment
Montreal Cognitive Assessment (MoCA) is a simple 10 min paper and pencil test, with accepted test-retest reliability and moderate validity, that was developed to detect mild cognitive impairment. The test assesses multiple cognitive domains including memory, language, executive functions, visuospatial skills, calculation, verbal abstraction, attention, concentration, and orientation to time and space. The clinical cut-off score of 26 is recommended.The test and instructions are freely available on the MoCA official website at www.mocatest.org.
Measured: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Technobody Balance System (Balance performance)
Balance performance measurements will be evaluated using the Technobody Balance System under both single-task and dual-task conditions.
Measured: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2026
- Study start1 May 2027 (estimated)
- Primary completion1 May 2028 (estimated)
- Study completion1 Sep 2028 (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
- Model description
- This study will use a parallel-group interventional model in which participants are randomly assigned to one of three groups: an intervention group receiving forward head posture correction using Denneroll cervical traction, a sham group receiving a non-therapeutic towel roll intervention, and a control group receiving no intervention. Each group will be followed over a six-week period, with outcomes assessed at baseline and post-intervention. The parallel design allows for comparison of the intervention effect against both a placebo-controlled condition and a no-intervention control, thereby improving the internal validity of the study.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 45 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Sharjah
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Reime Jamal Shehadeh Shalash, University of Sharjah
- Investigators
- Alham Alsharman, Associate Prof., Principal investigator, University of Sharjah
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07565688
- Sponsor's protocol ID
- REC-26-04-23-05-PG
- Acronym
- FHP
- Status last verified
- May 2026
- First submitted
- 27 Apr 2026
- Last updated
- 8 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Forward Head Posture Correction on Prefrontal Cerebral Oxygenation During Cognitive-Motor Interference in Symptomatic Subjects With Forward Head Posture: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07565688
- Acronym / sponsor ID
- FHP / REC-26-04-23-05-PG
- Conditions
- Forward Head Posture, Neck Pain
- Keywords
- Forward Head Posture, Neck Pain Musculoskeletal
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 45 participants (estimated)
- Lead sponsor
- University of SharjahUniversity, hospital or other
- Study start
- 1 May 2027 (estimated)
- Primary completion
- 1 May 2028 (estimated)
- Study completion
- 1 Sep 2028 (estimated)
- First posted
- 4 May 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 study aims to investigate the effects of forward head posture correction on neck pain, brain activity, and cognitive-motor performance. Forward head posture is a common postural problem, especially among young adults who spend long hours using smartphones and computers. It is frequently associated with neck pain, reduced mobility, and functional limitations. Emerging evidence also suggests that this postural deviation may influence brain function and increase the mental effort required during tasks that involve both thinking and movement.
Participants with forward head posture and neck pain will be recruited and randomly assigned to one of three groups: an intervention group using a cervical traction device (Denneroll), a sham group using a towel roll, or a control group receiving no intervention. The intervention will be performed at home over a six-week period, with sessions conducted five times per week. The duration of each session will gradually increase based on participant tolerance to ensure safety and comfort.
All participants will undergo assessments at baseline and after the intervention period. Pain intensity will be measured using a standardized pain scale. Brain activity will be assessed using a non-invasive technique called functional near-infrared spectroscopy (fNIRS), which measures changes in oxygen levels in the brain. Participants will also perform balance tasks under single-task and dual-task conditions, where they will be asked to maintain balance while performing simple cognitive tasks. In addition, cognitive function will be evaluated using standardized tests of attention, memory, and overall cognitive performance.
This study will help determine whether correcting forward head posture can reduce pain and improve brain and cognitive function. The findings may provide valuable insights into the relationship between posture, pain, and brain activity, and may contribute to the development of more effective and comprehensive rehabilitation approaches for individuals with forward head posture.
Detailed description
Forward head posture (FHP) is a common postural deviation associated with neck pain, impaired sensorimotor control, and functional limitations. In addition to musculoskeletal effects, emerging evidence suggests that FHP may influence cortical activity, particularly within prefrontal regions involved in attention and cognitive-motor integration. Individuals with FHP have demonstrated increased cognitive-motor interference during dual-task performance, indicating greater reliance on cortical resources and reduced motor automaticity. However, it remains unclear whether correcting FHP can reduce pain and modify these neurophysiological responses.
This study aims to investigate the effects of forward head posture correction on pain intensity as a primary outcome, alongside task-evoked cerebral oxygenation and cognitive-motor interference. A prospective, single-blinded, randomized controlled trial design with three parallel groups will be used. Participants with symptomatic FHP will be randomly allocated to an intervention group receiving Denneroll cervical traction, a sham group receiving a non-therapeutic towel roll intervention, or a control group receiving no intervention.
The intervention will be conducted over six weeks, with participants in the intervention and sham groups performing home-based sessions with gradual progression in duration to ensure safety and tolerance. All participants will undergo assessments at baseline and post-intervention.
Pain intensity will be evaluated using the Visual Analog Scale (VAS). Neurophysiological outcomes will be assessed using functional near-infrared spectroscopy (fNIRS) to measure changes in oxygenated and deoxygenated hemoglobin in the prefrontal cortex during rest, single-task, and dual-task conditions. Cognitive-motor interference will be examined using dual-task paradigms that combine balance tasks with cognitive demands. Cognitive function and balance performance will also be evaluated using standardized assessments.
The procedures used in this study are non-invasive and associated with minimal risk. The fNIRS device does not emit radiation, and the intervention may cause only mild and temporary discomfort, which will be minimized through gradual progression and monitoring. Participants will be informed of their right to withdraw at any time without consequences.
By integrating clinical, cognitive, and neurophysiological outcomes, this study aims to provide a comprehensive understanding of the effects of forward head posture correction. The findings may contribute to the development of more effective, mechanism-based rehabilitation strategies targeting both pain and brain function in individuals with forward head posture.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
- Model description
- This study will use a parallel-group interventional model in which participants are randomly assigned to one of three groups: an intervention group receiving forward head posture correction using Denneroll cervical traction, a sham group receiving a non-therapeutic towel roll intervention, and a control group receiving no intervention. Each group will be followed over a six-week period, with outcomes assessed at baseline and post-intervention. The parallel design allows for comparison of the intervention effect against both a placebo-controlled condition and a no-intervention control, thereby improving the internal validity of the study.
| Arm | Type | Receives |
|---|---|---|
| Denneroll group (DG) | Active comparator | Other: Forward Head Posture CorrectionThe intervention group will receive Denneroll cervical traction |
| Towel group (TG) | Sham comparator | Other: Forward Head Posture CorrectionThe placebo group will receive a towel roll as an intervention |
| control group (CG) | No intervention | – |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Young adults of both sexes aged 18-35 years
- Individuals with forward head posture (a craniovertebral angle (CVA) < 50°)
- Presence of neck pain with an intensity of ≥3 on the Visual Analog Scale (VAS)
- Ability to understand and follow basic English instructions
- No cognitive impairment (score >18 on the Montreal Cognitive Assessment (MoCA))
Key exclusion criteria (3 listed)
- History of cervical spine surgery or significant cervical trauma
- Currently receiving physiotherapy or rehabilitation for cervical spine conditions
- Individuals on medications (diagnosed 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 |
|---|---|---|
| Forward Head Posture CorrectionDuration: 6 weeks Frequency: 5 sessions per week (total 30 sessions) Setting: Home-based Position: Supine Session duration: Starts at ~3 minutes, progressively increased to 15-20 minutes (as tolerated) - Intervention: DG: The denneroll will be given under the cervical spine (based on deviation level) TG: A towel roll will be given as an intervention CG: No intervention This protocol simultaneously examines cerebral oxygenation using functional near-infrared spectroscopy (fNIRS)(HbO and HbR) , during single- and dual-task balance conditions(cognitive load-motor balance), and pain intensity using the VAS, postural alignment (craniovertebral angle),and cognitive function (MoCA, SDMT, BVMT-R) before and after intervention. | Other | Denneroll group (DG), Towel group (TG) |
Primary outcome
The visual analog scale
Time frame: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
The Visual Analog Scale (VAS) is a validated measure of pain intensity, typically presented as a 10 cm (100 mm) horizontal line. The scale ranges from 0 to 10, where 0 indicates "no pain" and 10 indicates "worst imaginable pain." Higher scores represent greater pain intensity.
5 secondary outcomes
functional near-infrared spectroscopy
Time frame: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Symbol Digit Modalities Test
Time frame: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Brief Visuospatial Memory Test-Revised
Time frame: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Montreal Cognitive Assessment
Time frame: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
Technobody Balance System (Balance performance)
Time frame: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).
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 8 May 2026.
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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.
Alham Alsharman, Associate Prof. principal investigator
University of Sharjah
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Forward Head Posture Correction in people with Forward Head Posture and Neck Pain, run by University of Sharjah at 1 site in United Arab Emirates.
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 5 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: opening soon, as of the sponsor's last update on 8 May 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 United Arab Emirates. 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. Some participants in this study may receive a placebo. 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 Reime Jamal Shehadeh Shalash, PhD-Teaching assistant (+971 52-5568334, reemjamal25@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The visual analog scale (time frame: Outcome measures will be collected at baseline (week 0) and after completion of the intervention (week 6).). 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 8 May 2026.