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Completed

NCT Number: NCT04723511

Effects of Global Postural Reeducation on Forward Head Posture

This study aims at investigating the effects of application of twelve sessions of Global Postural Re-education Technique (GPR) and Kendall Exercises (KE) on Craniovertebral angle (CVA), Gaze Angle (GA), Shoulders Angle (SA), Pain, functional abilities, Range of Motion, stability of sense of position, cervical muscle strength and endurance, Spinal mobility, and Chest Expansion.

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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

Horus University

Damietta, 34518, Egypt

About this study

A sample of 43 participants with a CVA less than 50 degrees will be randomly assigned to one of the two groups either receiving global postural reeducation added to traditional Kendall exercises or a group that receives Kendall Exercises only. Treatment sessions will be continued for a total of 12 sessions with a rate of 3 sessions per week. The effect of these two treatments will be assessed by various variables including: forward head angle, Gaze Angle and Shoulder angle via photogrammetry and Kinovea App, Pain intensity (VAS), functional abilities via neck disability index (NDI), cervical Range of motion and sense of position stability by Cervical Range of Motion instrument (CROM), Spinal mobility and chest expansion by tape measurement.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Patients suffering from forward head Posture (CVA less than 50 degrees)
  • All subjects are medically stable and do not suffer from any other diseases which might affect the trial results.
  • BMI (18-24)
  • Patients willing and able to participate in this treatment program.
  • At least a moderate user of English.

Exclusion criteria

  • History of whiplash injury.
  • Patients who have undergone spinal surgeries or spinal fixations.
  • Patients with a neurologic deficit in their upper limbs, such as hypertonia, hypotonia, hyporeflexia, absence of reflex, and vertebral instability.

The patient underwent other physical therapy programs in the last three months.

  • Excessive use of smart technology

Treatment and study plan

Global Postural Re-Education

Other

treatment techniques include corrective exercises both local and global to correct forward head posture.

first session will be to educate participants on the treatment sequence. This will be a session of Kendall's exercises as described below. This will followed be by performing GPR techniques of Anterior Chain stretch in the supine frog-like position for 20 minutes followed by posterior chain stretch against the wall for another 20 minutes. This is repeated in the first 6 sessions. Starting from the seventh session the time of holding each position is decreased to 15 minutes and a third position (standing against the wall) is introduced and performed for 15 minutes. Starting from the eighth session fourth position of sitting on the floor position is introduced and performed for another 15 minutes. total of a session will then take about 90 minutes.

Pre-treatment diaphragmatic release and deep breathing exercises are applied at the beginning of each session

Kendall exercises

Other

exercises that correct upper crossed syndrome:

The treatment sequence will be:

a) Strengthen deep Cervical Flexors via Chin tucks. Repetition will be repeated 10 times for 5 sets.

(b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times.

(c) Strengthening shoulder retraction. Repetition will be repeated 10 times for 5 sets.

(d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times.

Exercises will be progressed as the sessions develop.

Primary outcomes

  1. craniovertebral angle

    Time frame: before and after 12 sessions

    the angle formed between a horizontal line and a line extending from ear meatus and C7

Secondary outcomes

  1. Gaze Angle

    Time frame: before and after 12 sessions

    the angle formed between the line extending from the tragus of the ear to the canthus of the eye.

  2. Shoulder Angle

    Time frame: before and after 12 sessions

    the angle formed between the line extending from C7 to acromion with horizontal line

  3. Proprioceptive stability test

    Time frame: before and after 12 sessions

    By utilizing CROM testing the patients' sense of location precision

  4. Spinal mobility

    Time frame: before and after 12 sessions

    Fingers to floor test using a tape measurement

  5. Chest expansion

    Time frame: before and after 12 sessions

    Axillary and Xyphoid chest expansion by the tape measurement

  6. Cervical muscle strength and endurance

    Time frame: before and after 12 sessions

    Biofeedback stabiliser is used to measure the maximum time the muscles could hold in addition to time the contraction of 50% maximum muscle contractionis maintained.

  7. Neck disability index

    Time frame: before and after 12 sessions

    a scale that tests the effect of treatment on functional abilities of patients.

  8. Pain intensity

    Time frame: before and after 12 sessions

    Visual analogue scale is given to participants to select their pain scale level.

Sponsors and collaborators

Lead sponsor

Horus University

Other

Collaborators

  • Cairo University

Registry information

Official study title

Effect of Global Postural Reeducation on Functional Abilities, Stability of Sense of Position, Cognitive Abilities and Treatment Satisfaction in Patients With Forward Head Posture

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Jan 25, 2021
Registry last updated
Aug 7, 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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