Effects of Feldenkrais Approach in Cases With Forward Head Posture

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-25

Study Completion Date

2026-06-29

Brief Summary

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It is thought that adding approaches that increase posture awareness to corrective exercise programs will contribute to the treatment. The aim of the study is to evaluate the effect of adding the Feldenkrais method to the corrective exercise program applied to individuals with forward head posture on cervical joint position sense, muscle strength, joint range of motion and posture parameters.

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Detailed Description

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The combination of the Feldenkrais method with corrective exercises stands out as an innovative approach to the problem of forward head posture. This approach aims to not only eliminate physical alignment errors but also increase individuals' internal awareness of posture and movement patterns by integrating traditional postural correction techniques with Feldenkrais' movement efficiency and awareness-oriented principles. In this way, it may be possible for the postural improvements obtained to be more sustainable. It is reported that the Feldenkrais method supports neuromuscular control by increasing body awareness and contributes to movement quality. In light of this information, it is predicted that the addition of the Feldenkrais method to the corrective exercise program applied to individuals with forward head posture will provide additional improvement in cervical joint position sense, muscle strength, range of motion and posture parameters.

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

DOUBLE

Investigators Outcome Assessors

This study will employ assessor and statistician blinding. The physiotherapists performing baseline and post-intervention assessments will be blinded to group allocation to minimize bias. Additionally, statistical analyses will be conducted by a researcher blinded to group assignments. Participants and therapists delivering the intervention will not be blinded due to the nature of the exercise-based intervention.

Study Groups

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Group A

Participants in Group A will receive a combined program of corrective exercises and the Feldenkrais method. The program includes posture-focused Feldenkrais movements and stretching/strengthening exercises for postural muscles (e.g., pectorals, cervical extensors, deep neck flexors, and scapular retractors). The intervention will be delivered twice weekly over 8 weeks, totaling 16supervised 45-minute sessions by a physiotherapist.

Group Type EXPERIMENTAL

Strength and Feldenkrais Exercise

Intervention Type OTHER

This is a behavioral, non-drug and non-device-based intervention combining somatic awareness through Feldenkrais principles with neuromuscular re-education. Movements emphasize minimal effort, reduced muscle tension, and improved self-perception of posture. The approach supports individualized progression and complements conventional physiotherapy without the use of pharmacological agents or medical equipment.

Group B

Participants in Group B will receive a program combining corrective and breathing exercises. Corrective exercises will be performed at the same sets and repetitions as Group A, adjusted to individual tolerance. Breathing exercises include diaphragmatic breathing and thoracic expansion, performed in 2-3 sets of 7 repetitions. The intervention will be delivered twice weekly over 8 weeks, totaling 16supervised 45-minute sessions by a physiotherapist.

Group Type ACTIVE_COMPARATOR

Strength Exercise

Intervention Type OTHER

This is a non-drug, non-device corrective exercise program tailored for adults with forward head posture. It includes postural muscle strengthening and stretching, such as deep neck flexor activation, scapular retraction, and pectoral stretching. Additionally, participants perform diaphragmatic and thoracic breathing exercises.

Interventions

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Strength and Feldenkrais Exercise

This is a behavioral, non-drug and non-device-based intervention combining somatic awareness through Feldenkrais principles with neuromuscular re-education. Movements emphasize minimal effort, reduced muscle tension, and improved self-perception of posture. The approach supports individualized progression and complements conventional physiotherapy without the use of pharmacological agents or medical equipment.

Intervention Type OTHER

Strength Exercise

This is a non-drug, non-device corrective exercise program tailored for adults with forward head posture. It includes postural muscle strengthening and stretching, such as deep neck flexor activation, scapular retraction, and pectoral stretching. Additionally, participants perform diaphragmatic and thoracic breathing exercises.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being between 18-65 years of age
* CVA (cervicovertebral angle) ≤50° (16,17)
* Spending at least 4 hours of daily desk time 5 days a week

Exclusion Criteria

* Having temporomandibular dysfunction
* Having any spinal deformity
* Having cervical trauma or pain treatment within the last 6 months
* Having previously participated in a corrective exercise program
* History of neurological disorder
* History of spinal or thoracic surgery
* Having hearing impairment
* Use of analgesics/muscle relaxants

Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No