Effect of Specific Postural Corrective Exercises on EMG Activity in Patients With Forward Head Posture

NCT ID: NCT05895708

Last Updated: 2023-06-09

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

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-15

Study Completion Date

2023-09-20

Brief Summary

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This study investigates the effects of specific corrective exercises on EMG of masticatory and cervical muscles in patients with forward head posture. The study's design will be a prospective, double- blinded, randomized controlled trial. The participants will be randomly allocated to one of two groups: the exercise group and the control group. The training groups will perform a program consisting of two strengthening (deep cervical flexors and shoulder retractors) and two stretchings (cervical extensors and pectoral muscles) exercises. This exercise program will be repeated 4 times per week for 10 weeks, and each session lasted 30 minutes.

The pre/post assessment of forward head posture will measure by using craniovertebral angle CVA. While the muscle activity EMG of the masseter, temporalis, splenius, upper trapezius, and SCM will measure pre and post-assessment using a biopic data acquisition system. There will be a high significance increase (p-value 0.000) between the pre-and-post CVA between the training groups and the control. And there will be a significant decrease in EMG of the masseter, temporalis, splenius, upper trapezius, and SCM across exercise groups compared to the control. As per the results and analysis, specific postural corrective exercises effectively decrease the EMG of masticatory and cervical muscles in patients with forward head postures.

Detailed Description

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Forward head posture (FHD) is a common habitual faulty posture exists in the surrounding that can alter the resting position of the mandible and may affect the masticatory muscle activity.

The aim of this study is to investigate the effect of postural correction on masticatory and cervical muscle activity and mandibular opening in forward-head posture patients.

Materials and Methods:

* Cranio-vertebral angle measurement CVA
* EMG activity of masseter, temporalis, splenius, upper trapezius and SCM

BAU - Institutional Review Board (Form H-II) \| BEIRUT ARAB UNIVERSITY

-Electrodes will be placed on the muscle belly parallel to the direction of muscle fibers. The distance between the two electrodes was 2 cm. The subjects will be instructed to complete maximum voluntary contraction (MVC) of clenching the teeth for 3 s and repeating twice. The average of the two trials of MVC will be used for further analysis. The subjects will be seated comfortably in a chair (---cm height).

Conditions

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Forward Head Posture

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Specified strengthening and stretching

The program consisted of two strengthening (deep cervical flexors and shoulder retractors) and two stretching (cervical extensors and pectoral muscles) exercises based on Harman and Mostafa et al's approach. This exercise program will be repeated 4 times per week for 10 weeks, and each session lasted for 30 minutes.

Group Type EXPERIMENTAL

Specific strengthening and stretching exercise

Intervention Type OTHER

The program consisted of two strengthening (deep cervical flexors and shoulder retractors) and two stretching (cervical extensors and pectoral muscles) exercises based on Harman and Mostafa et al's approach. This exercise program will be repeated 4 times per week for 10 weeks, and each session lasted for 30 minutes.

General Exercise group

The program will consist of regular general postural exercises such as postural awareness exercises as well as general strengthening exercises such as range of motion exercises for the upper quadrant. The program will also be repeated 4 times per week for 10 weeks, with each session lasting 30 minutes

Group Type SHAM_COMPARATOR

General Exercise

Intervention Type OTHER

The program will consist of regular general postural exercises such as postural awareness exercises as well as general strengthening exercises such as range of motion exercises for the upper quadrant. The program will also be repeated 4 times per week for 10 weeks, with each session lasting 30 minutes

Interventions

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Specific strengthening and stretching exercise

The program consisted of two strengthening (deep cervical flexors and shoulder retractors) and two stretching (cervical extensors and pectoral muscles) exercises based on Harman and Mostafa et al's approach. This exercise program will be repeated 4 times per week for 10 weeks, and each session lasted for 30 minutes.

Intervention Type OTHER

General Exercise

The program will consist of regular general postural exercises such as postural awareness exercises as well as general strengthening exercises such as range of motion exercises for the upper quadrant. The program will also be repeated 4 times per week for 10 weeks, with each session lasting 30 minutes

Intervention Type OTHER

Other Intervention Names

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Forward head correction

Eligibility Criteria

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Inclusion Criteria

* Men and women
* Age between 18-40
* Patient with forward head posture, CVA less than 48-50.
* Patient suffer from temporomandibular joint disorder
* No other treatment, such as medication, physical therapy, and joint injection, in the past 2 weeks

Exclusion Criteria

* Previous history of TMG subluxation or dislocation that may interfere with the opening of the mouth
* Neck pain which may affect the head and neck posture;
* Head or neck trauma
* Class II or III malocclusion
* Posture disorder caused by abnormal curvature of spine; rheumatic disease; haemorrhagic disease, etc.; and
* Lateral deviation of mandible
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Beirut Arab University

OTHER

Sponsor Role lead

Responsible Party

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Rami Abbas

Associate Prof of Physical Therapy Assistant Dean Faculty of Health Sciences

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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ahmed el melhat, professor

Role: STUDY_DIRECTOR

Beirut Arab University

Locations

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Physical therapy outpatient clinic

Beirut, , Lebanon

Site Status RECRUITING

Countries

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Lebanon

Central Contacts

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Ahmed M .elsayed, PhD

Role: CONTACT

00201027943622

Ahmed ElMelhat

Role: CONTACT

0096181437072

Facility Contacts

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Ahmed ElMelhat

Role: primary

01112595022

References

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Shaghayegh Fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016 Nov;25(11):3577-3582. doi: 10.1007/s00586-015-4254-x. Epub 2015 Oct 17.

Reference Type BACKGROUND
PMID: 26476717 (View on PubMed)

Zabihhosseinian M, Holmes MW, Ferguson B, Murphy B. Neck muscle fatigue alters the cervical flexion relaxation ratio in sub-clinical neck pain patients. Clin Biomech (Bristol). 2015 Jun;30(5):397-404. doi: 10.1016/j.clinbiomech.2015.03.020. Epub 2015 Mar 27.

Reference Type BACKGROUND
PMID: 25843481 (View on PubMed)

Lee KJ, Han HY, Cheon SH, Park SH, Yong MS. The effect of forward head posture on muscle activity during neck protraction and retraction. J Phys Ther Sci. 2015 Mar;27(3):977-9. doi: 10.1589/jpts.27.977. Epub 2015 Mar 31.

Reference Type BACKGROUND
PMID: 25931773 (View on PubMed)

Quek J, Pua YH, Clark RA, Bryant AL. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther. 2013 Feb;18(1):65-71. doi: 10.1016/j.math.2012.07.005. Epub 2012 Sep 5.

Reference Type BACKGROUND
PMID: 22959228 (View on PubMed)

Lee SM, Lee CH, O'Sullivan D, Jung JH, Park JJ. Clinical effectiveness of a Pilates treatment for forward head posture. J Phys Ther Sci. 2016 Jul;28(7):2009-13. doi: 10.1589/jpts.28.2009. Epub 2016 Jul 29.

Reference Type BACKGROUND
PMID: 27512253 (View on PubMed)

Kim SD. Effects of yoga exercises for headaches: a systematic review of randomized controlled trials. J Phys Ther Sci. 2015 Jul;27(7):2377-80. doi: 10.1589/jpts.27.2377. Epub 2015 Jul 22.

Reference Type BACKGROUND
PMID: 26311986 (View on PubMed)

Other Identifiers

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Forward Head Posture

Identifier Type: -

Identifier Source: org_study_id

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