Exercise Program Based on Motor Learning and Forward Head Posture Correction

NCT03006497 | Completed

• 1 other identifier: PHYSMSC1
• Study Type: interventional
• Target: 52
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to investigate the efficiency of an exercise program based on principles of motor learning in correction of Forward Head Position (FHP) in asymptomatic patients.

Conditions

Musculoskeletal Abnormalities; Deformity

Keywords

neck; motor control; motor learning

Outcome Measures

Primary Outcomes (2)

• Change in Static Forward Head Posture (sFHP)

  The sFHP will be assessed by calculating the craniovertebral angle through lateral photographs in standing. The craniovertebral angle is the angle between the line extending from the tragus of the ear to the 7th cervical vertebra (C7) spinous process and the horizontal line through C7. The calculation of the angle on the photographs will be carried out using AutoCAD software. A performance curve will be developed using the measurements during the 4 weeks practice and 2 weeks after the end of protocol (retension test).

  Change from Baseline sFHP at 4 weeks and Change from Baseline sFHP at 6 weeks

• Change of Dynamic Forward Head Posture (dFHP)

  The dFHP will be assessed by calculating the craniovertebral angle through video motion during walking. The craniovertebral angle is the angle between the line extending from the tragus of the ear to the 7th cervical vertebra (C7) spinous process and the horizontal line through C7. The calculation of the angle The calculation of the angle will be carried out using Kinovea and AutoCAD softwares. dFHP will be regarded as a transfer test. Transfer tests are tests involving some novel situation, so that people must adapt the skill they have been practicing to the characteristics of this new situation.

  Change from Baseline dFHP t at 4 weeks and Change from Baseline dFHP at 6 weeks

Secondary Outcomes (12)

• Overall self-esteem

  Baseline; week 4; week 6

• Mood

  Baseline; week 4; week 6

• Overall physical fatigue

  Baseline; week 4; week 6

• Overall mental fatigue

  Baseline; week 4; week 6

• Attention-concentration

  Baseline; week 4; week 6

Study Arms (2)

Control

NO INTERVENTION

The control group will not participate in any exercise program. However, at the end, home based exercises and special advice will be given to the participants.

Intervention

EXPERIMENTAL

The intervention group will participate in an exercise program based on motor learning principles for 4 weeks/3 sessions per week, for a total of 12 sessions of 30-45 minutes each.

Other: Exercise program based on motor learning principles

Interventions

Exercise program based on motor learning principles OTHER

The exercise program will include simple activities exposing volunteers in various environmental conditions with a view to adjust their head posture in such conditions. The progressiveness of exercises will be based on the two-dimensional classification system of Gentile (1987). Furthermore, external attentional focus will be used.

Intervention

Eligibility Criteria

• Age: 18 Years - 26 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Students at Technological Educational Institute of Sterea Ellada,
• Aged 18-26 years old
• Males and females
• Craniocervical angle \< 50 degrees (statical Forward Head Posture in standing position)

You may not qualify if:

• Injury or surgery in cervical spine
• Accompanying neurologic, musculoskeletal or mental problems
• Any medical administration
• Intense continuous or intermittent neck pain
• BMI \>25
• Participation in any rehabilitation or physiotherapy sessions considering neck dysfunction the last 6 months
• Change in physical activities during the research period of 6 weeks

Sponsors & Collaborators

• Eleni Kapreli: lead

Related Publications (10)

• Christakou A, Zervas Y, Psychountaki M, Stavrou NA. Development and validation of the attention questionnaire of rehabilitated athletes returning to competition. Psychol Health Med. 2012;17(4):499-510. doi: 10.1080/13548506.2011.630402. Epub 2011 Nov 25.

  PMID: 22114988 BACKGROUND

• Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Respiratory weakness in patients with chronic neck pain. Man Ther. 2013 Jun;18(3):248-53. doi: 10.1016/j.math.2012.10.014. Epub 2012 Nov 28.

  PMID: 23199797 BACKGROUND

• Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Reliability of the chin tuck neck flexion test for assessing endurance of short neck flexors in healthy individuals. Physiother Theory Pract. 2015 May;31(4):299-302. doi: 10.3109/09593985.2014.1002874. Epub 2015 Jan 14.

  PMID: 25585517 BACKGROUND

• Han J, Park S, Kim Y, Choi Y, Lyu H. Effects of forward head posture on forced vital capacity and respiratory muscles activity. J Phys Ther Sci. 2016 Jan;28(1):128-31. doi: 10.1589/jpts.28.128. Epub 2016 Jan 30.

  PMID: 26957743 BACKGROUND

• Kang JH, Park RY, Lee SJ, Kim JY, Yoon SR, Jung KI. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012 Feb;36(1):98-104. doi: 10.5535/arm.2012.36.1.98. Epub 2012 Feb 29.

  PMID: 22506241 BACKGROUND

• Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses. 2008;70(5):1009-13. doi: 10.1016/j.mehy.2007.07.050. Epub 2007 Oct 23.

  PMID: 17959320 BACKGROUND

• Rosario JL, Diogenes MS, Mattei R, Leite JR. Can sadness alter posture? J Bodyw Mov Ther. 2013 Jul;17(3):328-31. doi: 10.1016/j.jbmt.2012.12.001. Epub 2012 Dec 23.

  PMID: 23768277 BACKGROUND

• Ruivo RM, Carita AI, Pezarat-Correia P. The effects of training and detraining after an 8 month resistance and stretching training program on forward head and protracted shoulder postures in adolescents: Randomised controlled study. Man Ther. 2016 Feb;21:76-82. doi: 10.1016/j.math.2015.05.001. Epub 2015 May 13.

  PMID: 26028408 BACKGROUND

• Silva AG, Johnson MI. Does forward head posture affect postural control in human healthy volunteers? Gait Posture. 2013 Jun;38(2):352-3. doi: 10.1016/j.gaitpost.2012.11.014. Epub 2012 Dec 7.

  PMID: 23219786 BACKGROUND

• Wulf G, Mercer J, McNevin N, Guadagnoli MA. Reciprocal influences of attentional focus on postural and suprapostural task performance. J Mot Behav. 2004 Jun;36(2):189-99. doi: 10.3200/JMBR.36.2.189-199.

  PMID: 15130869 BACKGROUND

MeSH Terms

Conditions

Musculoskeletal Abnormalities; Congenital Abnormalities

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

• Eleni V Kapreli, MSc, PhD

  Technological Educational Institute of Sterea Ellada

  STUDY CHAIR

• Stefani Argyrou, BSc

  Technological Educational Institute of Sterea Ellada

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Associate Professor, Physiotherapy Department

Study Record Dates

• First Submitted: December 3, 2016
• First Posted: December 30, 2016
• Study Start: January 1, 2017
• Primary Completion: May 1, 2017
• Study Completion: December 30, 2017
• Last Updated: January 9, 2019

Record last verified: 2019-01