Pilates Mat Versus Cervical Stabilization Exercises on Myoelectric Activity of Cervical Muscles in Forward Head Posture

NCT ID: NCT05069181

Last Updated: 2022-10-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-10-01
• Study Completion Date: 2022-02-01

Brief Summary

see if there is no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on myoelectric activity of cervical muscles in young adults with forward head posture.

Detailed Description

Forward head posture (FHP) increases extension of the atlanto-occipital joint and the upper cervical vertebrae as well as flexion of the lower cervical and upper thoracic vertebrae. Furthermore, this posture causes persistent and abnormal contraction of the suboccipital, neck, and shoulder muscles. Additionally, the muscles around the head and shoulders, including the trapezius, sternocleidomastoid, suboccipital, and temporal, are affected by FHP, which further worsens postural deformity. FHP is the most common deviation from ideal head posture and is characterized by the head projecting forward into the sagittal plane such that it is anterior to the trunk. Head in forward posture can add up to thirty pounds of abnormal leverage on the cervical spine, which pull the entire spine out of alignment, in addition, loss of the physiological lordosis could be a possible cause of pain due to muscular imbalance.

Conditions

Musculoskeletal Diseases

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Pilates mat exercises

one hour Pilates exercises with 10 min warm up and 5-10 min cooling down

Group Type: EXPERIMENTAL

Pilates mat exercises

Intervention Type: OTHER

Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction).

Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises.

conventional physiotherapy

Intervention Type: OTHER

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

cervical stabilization exercises

training of deep cervical flexor muscles with pressure biofeedback unit

Group Type: EXPERIMENTAL

cervical stabilization exercises

Intervention Type: OTHER

training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks.

conventional physiotherapy

Intervention Type: OTHER

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

conventional physiotherapy

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program

Group Type: ACTIVE_COMPARATOR

conventional physiotherapy

Intervention Type: OTHER

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Interventions

Pilates mat exercises

Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction).

Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises.

Intervention Type: OTHER

cervical stabilization exercises

training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks.

Intervention Type: OTHER

conventional physiotherapy

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Subjects of both genders aged 18-25 years old with forward head posture will be included in this study
• Subjects have forward head posture if craniovertebral angle ≤ 50.
• Subjects complain non- specific neck pain for at least 3 months or at least two episodes of non-specific neck pain during the last three months.
• Normal body mass index

Exclusion Criteria

• Subjects with any spinal problems
• Subjects with experience in Pilates exercises through the last 3 months of the start of intervention will be excluded from the study
• Previous surgery in the neck and shoulder regions
• Current participation in a structured exercises program
• Neurological symptoms of the upper extremities during screening tests (e.g., Spurling test and upper limb tension tests)
• Red flags suggesting of cancer, infection, vascular insufficiency
• Cervical radiculopathy or myelopathy

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 25 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Al Shaymaa Shaaban Abd El Azeim

Doctor of physical therapy

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Haytham M Elhafez, Professor

Role: STUDY_DIRECTOR

professor of physical therapy- cairo university

Locations

Faculty of Physical Therapy-Cairo University

Giza, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/003349

Identifier Type: -

Identifier Source: org_study_id