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Completed

NCT Number: NCT05068817

Pilates Mat Versus Cervical Stabilization Exercises on Balance in Young Adults With Forward Head Posture

see if there will be no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on dynamic balance in young adults with forward head posture.

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Key information

Conditions

Musculoskeletal Diseases

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Physical Therapy-Cairo University

Giza, 12511, Egypt

About this study

In modernized time, extended use of mobile phone and computers has increased anterior weight bearing of cervical spine leading to a variety of musculoskeletal disorders related to the neck by changing the biomechanical stress of cervical spine. Additionally, forward head posture (FHP) alters the center of gravity (COG) of the body that lead to mechanical modifications related to postural control in the torso and every joint. The body attempts to adapt to these changes by altering its balance control mechanisms; these adaptations decrease balance ability while performing different activities and increase the risk of falling and musculoskeletal injury.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Subjects of both genders aged 18-25 years old with forward head posture will be included in this study.
  • Subjects have forward head posture if the craniovertebral angle ≤ 50.
  • Subjects complain non- specific neck pain for at least 3 months or at least two episodes of non-specific neck pain during the last three months.
  • Normal body mass index (18- 24.9).

Exclusion criteria

  • Subjects with any spinal problems.
  • Temporo-mandibular disease.
  • Subjects with experience in Pilates and who will not sedentary were excluded from the study.
  • Previous surgery in the neck and shoulder regions
  • Current participation in a structured exercises program
  • Neurological symptoms of the upper extremities during screening tests (e.g., Spurling test and upper limb tension tests)
  • Red flags suggesting of cancer, infection, vascular insufficiency.
  • Cervical radiculopathy or myelopathy

Treatment and study plan

Pilates mat exercises

Other

Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction).

Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises.

cervical stabilization exercises

Other

training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks.

Conventional Physiotherapy

Other

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Primary outcomes

  1. Dynamic balance

    Time frame: up to twelve weeks

    will be measured by Biodex balance system

  2. Craniovertebral angle

    Time frame: up to twelve weeks

    will be measured by photogrammetric method

Secondary outcomes

  1. pain intensity

    Time frame: up to twelve weeks

    by visual analogue scale (VAS) 10 cm line with 2 ends, 0 and 10 ends 0 end means no pain 10 end means the worst pain

  2. cervical range of motion

    Time frame: up to twelve weeks

    by cervical range of motion device (CROM)

  3. Function of daily life

    Time frame: up to twelve weeks

    by Arabic version of neck disability index

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Pilates Mat Versus Cervical Stabilization Exercises on Craniovertebral Angle, Pain, Function of Daily Life, Cervical Range of Motion, Dynamic Balance in Young Adults With Forward Head Posture: Randomized Controlled Trial

Acronym: FHP

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Oct 6, 2021
Registry last updated
Jul 27, 2022

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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