Skip to main content
OpenTrials
Active, Not Recruiting

NCT Number: NCT07726303

Forward Head Posture Differences in Tension Headaches

it evaluates forward head posture (craniovertebral angle), resting scapular alignment (upward rotation, anterior tilt, protraction, depression), and dynamic scapular kinematics (upward rotation, anterior-posterior tilt) between tension-type headache and controls.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Conditions

Tension-type Headache Brain Diseases Central Nervous System Diseases Headache Disorders Headache Disorders, Primary Nervous System Diseases

Age range

20 year–40 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Cairo University

Giza, Egypt

About this study

This study was conducted at the outpatient clinic, faculty of physical therapy, Sinai University, it evaluates forward head posture (craniovertebral angle), resting scapular alignment (upward rotation, anterior tilt, protraction, depression), and dynamic scapular kinematics (upward rotation, anterior-posterior tilt) between tension-type headache and controls.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Inclusion Criteria for TTH group:
  • Patients will be included if they meet the diagnostic criteria of the International Headache Society for Tension-Type Headache
  • Score of 8 in screening questionnaire of TTH
  • Patients' age ranges from 20 to 40 years
  • BMI will range from 18.5- 29.9 kg/m2
  • Chronic and frequent episodic Tension-Type Headache as duration of patient's symptoms is more than three months
  • Inclusion Criteria for the control group Asymptomatic tension-type headaches will be included if they are matched in age, gender, and BMI

Exclusion criteria

  • Abnormal neurological symptoms (cervical radiculopathy-motor manifestation)
  • Vertebrobasilar Insufficiency
  • Systemic diseases e.g., Multiple sclerosis
  • Diabetes and hypertension
  • History of head trauma
  • History of epileptic fits
  • History of previous head or neck surgery
  • History of Shoulder

Treatment and study plan

forward head posture , resting scapular alignment and dynamic scapular kinematics

Diagnostic Test

forward head posture using the Smartphone application AI Posture Evaluation and Correction System (APECS), resting scapular alignment using a modified digital inclinometer and dynamic scapular kinematics using The digital inclinometer

Primary outcomes

  1. forward head posture (craniovertebral angle)

    Time frame: at baseline

    forward head posture (craniovertebral angle) Using the Smartphone application AI Posture Evaluation and Correction System (APECS), CVA will be measured. Patients or subjects will stand on the right lateral view, while an adjustable tripod will hold the mobile phone (iPhone 11) camera at shoulder height, positioned 1.5 meters from the patient for standardization.

    craniovertebral angle (CVA) is measured in degrees (°).

  2. resting scapular alignment

    Time frame: at baseline

    resting scapular alignment (upward rotation, anterior tilt, protraction, depression) is assessed using a modified digital inclinometer and recorded in degrees (°). The subject's resting scapular alignment of protraction, upward rotation, anterior tilt, and depression in a standing posture. Markers will be positioned on the inferior angle of the scapula, the posterolateral side of the acromion, and the scapular spine's root before scapular position measurements

  3. Dynamic scapular kinematics

    Time frame: at baseline

    Dynamic scapular kinematics is assessed using digital inclinometer and recorded in degrees (°). The subject's scapular position will be measured during upward rotation, anterior tilt, and posterior tilt in a standing posture. Before the test, the landmarks will be determined before the measurement (scapula inferior angle, posterior lateral of the acromion, and scapula spine) and markers will be attached

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Scapular Kinematics and Forward Head Posture Differences in Tension Headaches

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 24, 2026
Registry last updated
Jul 24, 2026

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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.