Effects of Global Postural Reeducation on Forward Head Posture

NCT ID: NCT04723511

Last Updated: 2024-08-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-06

Study Completion Date

2021-10-14

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study aims at investigating the effects of application of twelve sessions of Global Postural Re-education Technique (GPR) and Kendall Exercises (KE) on Craniovertebral angle (CVA), Gaze Angle (GA), Shoulders Angle (SA), Pain, functional abilities, Range of Motion, stability of sense of position, cervical muscle strength and endurance, Spinal mobility, and Chest Expansion.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

A sample of 43 participants with a CVA less than 50 degrees will be randomly assigned to one of the two groups either receiving global postural reeducation added to traditional Kendall exercises or a group that receives Kendall Exercises only. Treatment sessions will be continued for a total of 12 sessions with a rate of 3 sessions per week. The effect of these two treatments will be assessed by various variables including: forward head angle, Gaze Angle and Shoulder angle via photogrammetry and Kinovea App, Pain intensity (VAS), functional abilities via neck disability index (NDI), cervical Range of motion and sense of position stability by Cervical Range of Motion instrument (CROM), Spinal mobility and chest expansion by tape measurement.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Forward Head Posture

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
The enrolled participants will be masked (single blind study) and randomly assigned into two groups without being informed whether they are in the control or the study(experimental) group.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

GPR

participants in this group receive global postural reeducation technique+ Kendall exercises

Group Type EXPERIMENTAL

Global Postural Re-education

Intervention Type OTHER

treatment techniques include corrective exercises both local and global to correct forward head posture.

first session will be to educate participants on the treatment sequence. This will be a session of Kendall's exercises as described below. This will followed be by performing GPR techniques of Anterior Chain stretch in the supine frog-like position for 20 minutes followed by posterior chain stretch against the wall for another 20 minutes. This is repeated in the first 6 sessions. Starting from the seventh session the time of holding each position is decreased to 15 minutes and a third position (standing against the wall) is introduced and performed for 15 minutes. Starting from the eighth session fourth position of sitting on the floor position is introduced and performed for another 15 minutes. total of a session will then take about 90 minutes.

Pre-treatment diaphragmatic release and deep breathing exercises are applied at the beginning of each session

Kendall exercises

Intervention Type OTHER

exercises that correct upper crossed syndrome:

The treatment sequence will be:

a) Strengthen deep Cervical Flexors via Chin tucks. Repetition will be repeated 10 times for 5 sets.

(b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times.

(c) Strengthening shoulder retraction. Repetition will be repeated 10 times for 5 sets.

(d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times.

Exercises will be progressed as the sessions develop.

Kendall

Kendall exercises

Group Type ACTIVE_COMPARATOR

Kendall exercises

Intervention Type OTHER

exercises that correct upper crossed syndrome:

The treatment sequence will be:

a) Strengthen deep Cervical Flexors via Chin tucks. Repetition will be repeated 10 times for 5 sets.

(b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times.

(c) Strengthening shoulder retraction. Repetition will be repeated 10 times for 5 sets.

(d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times.

Exercises will be progressed as the sessions develop.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Global Postural Re-education

treatment techniques include corrective exercises both local and global to correct forward head posture.

first session will be to educate participants on the treatment sequence. This will be a session of Kendall's exercises as described below. This will followed be by performing GPR techniques of Anterior Chain stretch in the supine frog-like position for 20 minutes followed by posterior chain stretch against the wall for another 20 minutes. This is repeated in the first 6 sessions. Starting from the seventh session the time of holding each position is decreased to 15 minutes and a third position (standing against the wall) is introduced and performed for 15 minutes. Starting from the eighth session fourth position of sitting on the floor position is introduced and performed for another 15 minutes. total of a session will then take about 90 minutes.

Pre-treatment diaphragmatic release and deep breathing exercises are applied at the beginning of each session

Intervention Type OTHER

Kendall exercises

exercises that correct upper crossed syndrome:

The treatment sequence will be:

a) Strengthen deep Cervical Flexors via Chin tucks. Repetition will be repeated 10 times for 5 sets.

(b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times.

(c) Strengthening shoulder retraction. Repetition will be repeated 10 times for 5 sets.

(d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times.

Exercises will be progressed as the sessions develop.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients suffering from forward head Posture (CVA less than 50 degrees)
* All subjects are medically stable and do not suffer from any other diseases which might affect the trial results.
* BMI (18-24)
* Patients willing and able to participate in this treatment program.
* At least a moderate user of English.

Exclusion Criteria

* History of whiplash injury.
* Patients who have undergone spinal surgeries or spinal fixations.
* Patients with a neurologic deficit in their upper limbs, such as hypertonia, hypotonia, hyporeflexia, absence of reflex, and vertebral instability.

The patient underwent other physical therapy programs in the last three months.

\- Excessive use of smart technology
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Cairo University

OTHER

Sponsor Role collaborator

Horus University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Walaa Abu-Taleb

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Walaa Abu-Taleb, MSc

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Horus University

Damietta, , Egypt

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Egypt

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

P.T.REC/012/002671

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.