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Completed

NCT Number: NCT06160245

Core Stabilization Exercises in Forward Head Posture

Based on the reviewed literature, Core Stabilization Exercises (CSEs) have been shown to have positive effects on patients with low back pain. To our knowledge, very few studies have examined the impact of CSEs on neck pain, particularly in patients with forward head posture (FHP), despite that several authors suggested that FHP may be caused by lumbopelvic malalignment.

Therefore, the purpose of the study is to assess how CSEs may affect the cervical sagittal balance parameters (CSB) in patient with FHP.

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Key information

Conditions

Forward Head Posture

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of physical therapy, Cairo University & AXA One-Health clinics Korba branch

Giza, Egypt

About this study

After the patient fills the consent form, the Craniovertebral angle will be measured by taking a photograph, then this photograph will be analysed by the KINOVEA software.

If the CVA is less than 50 degrees, he/she will have a lateral x-ray on the cervical spine to measure the radiographic variables of the CSB parameters. These variables will be assessed and quantified by Image J software.

The patients will be classified randomly into 2 groups, the intervention and control groups. The intervention will receive CSEs program and Postural Correction Exercises (PCEs) program, but control group will receive only PCEs program.

Both programs will be implemented for 6 weeks 3 times/ week and after 6 weeks, patients will be reassessed again to determine the difference.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • CVA less than 50 degrees/ neck pain for about 4 weeks

Exclusion criteria

  • Vertebrobasilar insufficiency/ cervical surgery/ cervical or TMJ fracture

Treatment and study plan

Exercise therapy

Other

core stabilization exercises

Primary outcomes

  1. cervical sagittal vertical alignment

    Time frame: baseline, week 6

    calculated by measuring the horizontal distance between the posterosuperior corner of the C7 vertebral body and a plumb line drawn from the centroid of C2

  2. T1 slope angle

    Time frame: baseline, week 6

    he angle formed by drawing a line along the superior endplate of T1 and horizontal reference line at the median sagittal cervical vertebra from the CT radiographs

  3. craniovertebral angle

    Time frame: baseline, week 6

    the intersection of a horizontal line passing through the C7 spinous process and a line joining the midpoint of the tragus of the ear to the skin overlying the C7 spinous process.

Secondary outcomes

  1. numerical pain rating scale

    Time frame: baseline, week 6

    patients are asked to circle the number between 0 and 10, 0 and 20 or 0 and 100 that fits best to their pain intensity [1]. Zero usually represents 'no pain at all' whereas the upper limit represents 'the worst pain ever possible

  2. neck disability index

    Time frame: baseline, week 6

    a standard instrument for measuring self-rated disability due to neck pain

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Effect of Core Stabilization Exercises on Cervical Sagittal Balance Parameters in Forward Head Posture

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Dec 7, 2023
Registry last updated
Aug 21, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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