Comparative Analysis of Artificial Intelligence-Generated and Studio-Based Reformer Pilates Interventions for Forward Head Posture

NCT ID: NCT07205835

Last Updated: 2025-10-03

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

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-01

Study Completion Date

2025-01-10

Brief Summary

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Posture is the alignment of body segments. While ideal posture places minimal stress on the joints, poor posture increases joint stress. Forward head posture (FHP) is a common postural abnormality characterized by the anterior displacement of the head in the sagittal plane. This condition may lead to muscle imbalances, pain, reduced cervical range of motion (ROM), decreased quality of life, and spinal degeneration.

The most common method for evaluating FHP is the craniovertebral angle (CVA). Causes of FHP include excessive smartphone and computer use, mouth breathing, carrying heavy bags, and rounded shoulders. Cervical stabilization exercises and holistic approaches are recommended for prevention and treatment.

Pilates, developed by Joseph Pilates, especially in its clinical form, has been shown to improve posture, strengthen core muscles, and enhance quality of life. Literature indicates that stretching- and strengthening-based exercise programs targeting FHP positively affect CVA, neck pain, and ROM.

In recent years, artificial intelligence (AI) has gained importance in physiotherapy as a diagnostic and therapeutic support tool. Its potential in generating exercise prescriptions is being explored, though whether AI can replace physiotherapists remains debated.

The aim of this study is to compare the effectiveness of an AI-generated reformer Pilates protocol and a studio-based reformer Pilates protocol in individuals with FHP. Hypotheses:

H0: The studio-based reformer Pilates protocol has no effect on CVA, ROM, pain, muscle endurance, or quality of life in individuals with FHP.

H1: The studio-based reformer Pilates protocol has a positive effect on these parameters.

Detailed Description

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Conditions

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Posture Neck Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study population consisted of a total of 40 male and female volunteers aged between 18 and 50 years with a craniovertebral angle of less than 54 degrees. Participants were randomized into two groups: the Clinical Pilates group and the ChatGPT group. The Clinical Pilates group (n=20) performed clinical Pilates exercises under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session. The ChatGPT group (n=20) followed an exercise program generated by ChatGPT under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Clinical Pilates Group

Participants in this group will perform clinical Pilates exercises under the supervision of a physiotherapist, twice a week for 6 weeks. Each session will last 50 minutes and will include core stabilization, postural correction, and flexibility exercises.

Group Type EXPERIMENTAL

Clinical Pilates Group

Intervention Type BEHAVIORAL

Participants in this arm will perform supervised clinical Pilates exercises twice weekly for 6 weeks. Each session will last 50 minutes and include core stabilization, postural correction, and flexibility exercises.

ChatGPT Exercise Group

Participants in this group will perform an exercise program generated by ChatGPT and supervised by a physiotherapist, twice a week for 6 weeks. Each session will last 50 minutes and will include exercises designed to improve posture, flexibility, and musculoskeletal function.

Group Type ACTIVE_COMPARATOR

ChatGPT Exercise Group

Intervention Type BEHAVIORAL

Participants in the ChatGPT group will follow an exercise program generated by ChatGPT and supervised by a physiotherapist. The program will be delivered twice weekly for 6 weeks, with each 50-minute session including exercises designed to improve posture, flexibility, and musculoskeletal function.

Interventions

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ChatGPT Exercise Group

Participants in the ChatGPT group will follow an exercise program generated by ChatGPT and supervised by a physiotherapist. The program will be delivered twice weekly for 6 weeks, with each 50-minute session including exercises designed to improve posture, flexibility, and musculoskeletal function.

Intervention Type BEHAVIORAL

Clinical Pilates Group

Participants in this arm will perform supervised clinical Pilates exercises twice weekly for 6 weeks. Each session will last 50 minutes and include core stabilization, postural correction, and flexibility exercises.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Volunteers aged between 18-50 years

Craniovertebral angle less than 54°

Ability to participate in exercise sessions twice a week for 6 weeks

Willingness to provide informed consent

Exclusion Criteria

History of musculoskeletal, neurological, or cardiovascular disorders

Previous surgery affecting posture or spine

Current participation in another structured exercise program

Pregnancy

\-
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Uskudar University

OTHER

Sponsor Role lead

Responsible Party

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Dr. Öğr. Üyesi Muhammed Fatih Kavak

Asst. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Üsküdar Üniversitesi NP Sağlık Yerleşkesi

Istanbul, Ümraniye, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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FZT2024/37

Identifier Type: -

Identifier Source: org_study_id

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