Effect of Electrical Stimulation on Forward Head Posture

NCT ID: NCT06745960

Last Updated: 2024-12-24

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-01-31

Study Completion Date

2025-05-31

Brief Summary

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The study aims are:

1. To investigate the effect of electrical stimulation (interferential current) on forward head posture and protracted shoulder in adolescents.
2. To investigate the effect of electrical stimulation on cervical pain, cervical ROM, neck muscle strength, and quality of life in adolescents with forward head posture and protracted shoulder.

Detailed Description

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Forward head posture (FHP) is commonly defined as the protrusion of the head in the sagittal plane so that the head is placed anterior to the trunk. It can occur because of anterior translation of the head, and it is claimed to be associated with an increase in upper cervical extension, lower cervical flexion, or both.

Patients with FHP often experience neck pain and disability, it is associated with shortening of the upper trapezius, the posterior cervical extensor muscles, the sternocleidomastoid muscle, and levator scapulae muscle. Thus, FHP may contribute to neck and shoulder pain.

The prolonged uses of mobile phones and computers have led to a variety of musculoskeletal disorders, especially related to the neck as: Forward Head Posture (FHP), rounded shoulders (RS), upper cross syndrome, mechanical neck pain etc. FHP is one in which the upper cervical convexity is increased and the lower cervical convexity is decreased causing anterior weight bearing of the cervical spine. It is also known as Scholar's neck or Reading neck.

Electrical muscle stimulation (EMS) has been used as a complementary training method, applied either locally or to the whole body. It activates muscles artificially through various electrical current forms, which are delivered through electrodes on the target muscles.

Interferential current (IFC) is an established therapy which is used to treat pain and also effective for providing relaxation of muscles. The application of IFC at the medium frequency which suggests higher penetration of the electrical stimulation in the tissue by reducing tissue impedance

Conditions

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Forward Head Posture Rounded Shoulder Posture

Keywords

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electrical stimulation interferential current adolescence

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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intervention group

study group (interferential current )

Group Type ACTIVE_COMPARATOR

electrical muscle stimulation device (EMS gymna)

Intervention Type DEVICE

muscle stimulant device

physical therapy program

Intervention Type OTHER

neck exercises

physical therapy exercises group

control group (exercise group)

Group Type PLACEBO_COMPARATOR

physical therapy program

Intervention Type OTHER

neck exercises

Interventions

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electrical muscle stimulation device (EMS gymna)

muscle stimulant device

Intervention Type DEVICE

physical therapy program

neck exercises

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Girls aged between (15-18) years old.
* Normal weight with BMI ranging from (16-25).
* Adolescents with mild and moderate forward head posture(FHP).
* Adolescents with mild and moderate neck pain.
* Adolescents with protracted shoulder.

Exclusion Criteria

* Cervical disc.
* Previous Shoulder trauma within last 6months.
* Shoulder surgery.
* Cervical fracture.
* Congenital posture deformity.
* Inflammatory disease, spinal tumor, spinal compression, spinal cord infection.
* Taking any medication for pain
Minimum Eligible Age

15 Years

Maximum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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yosra mostafa mohamed ali

assistant lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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asmaa O SAYED

Role: STUDY_DIRECTOR

Cairo University

Locations

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Faculty of Physical Therapy

Dokki, Giza Governorate, Egypt

Site Status

Countries

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Egypt

Central Contacts

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yosra MM Ali

Role: CONTACT

Phone: +201013697310

Email: [email protected]

Eman I Alhadidy

Role: CONTACT

Phone: +201223375282

Email: [email protected]

Facility Contacts

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faculty of physical therapy CU Cairo university

Role: primary

References

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Elgendy MH, Ghaffar MAA, Sabbahi SAE, Abutaleb EES, Elsayed SEB. Efficacy of head postural correction program on craniovertebral angle, scapular position, and dominant hand grip strength in forward head posture subjects: A randomized controlled trial. Physiother Res Int. 2024 Jul;29(3):e2093. doi: 10.1002/pri.2093.

Reference Type BACKGROUND
PMID: 38780139 (View on PubMed)

Titcomb DA, Melton BF, Miyashita T, Bland HW. Evidence-Based Corrective Exercise Intervention for Forward Head Posture in Adolescents and Young Adults Without Musculoskeletal Pathology: A Critically Appraised Topic. J Sport Rehabil. 2022 Feb 16;31(5):640-644. doi: 10.1123/jsr.2021-0381. Print 2022 Jul 1.

Reference Type BACKGROUND
PMID: 35172275 (View on PubMed)

Related Links

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https://images.app.goo.gl/TZyc6FqfEX1GASDm8

image of angles needed to be measured in this study

Other Identifiers

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P.T.REC/012/005173

Identifier Type: REGISTRY

Identifier Source: secondary_id

forward head posture

Identifier Type: -

Identifier Source: org_study_id