Strengthening and Stretching Exercise to Improve Forward Head Posture and Rounded Shoulders

NCT04216862 | Completed

• 1 other identifier: RiphahIU Tehmina Irfan
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Forward head posture (FHP) and Rounded shoulders (RS) are defined as protrusion of the head and shoulders in the sagittal plane. Forward head posture is defined as the anterior positioning of the cervical spine. Rounded shoulders also called protracted shoulder (PS) is a protrusion of the acromion of the shoulder joint relative to the centerline of gravity of the body, causing stooped posture along with elevation, protraction, and downward rotation of the scapula, and an increased angle between the lower neck bone and upper spine. Many Physical therapy treatment options are available to correct forward head posture and rounded shoulders which focused to correct the muscle imbalance and restore the normal posture of Cervical spine and shoulder. The objective of this study is to compare the outcomes of Strengthening exercise with the outcomes of stretching exercise on the targeted muscle group to correct forward head posture and rounded shoulders. The study will determine effective management plan for correction of forward head posture and rounded shoulders. It will be Experimental Randomized Controlled Trial. 26 Patients will be included through consecutive sampling, with 13 patients in each of 2 groups. Subjects will be equally distributed to two groups with use of dice roll method of randomization. From the two groups, one receiving strengthening exercise treatment and other receiving stretching exercise treatment. Statistical Package for Social Sciences (SPSS) V 25.will be used for Data analysis. Results will be extracted. Conclusion will be made after comparing the pre and post treatment results of both treatment approaches.

Conditions

Forward Head Posture

Keywords

Forward Head; Rounded Shoulder; Neck Pain

Outcome Measures

Primary Outcomes (2)

• Craniovertebral angle

  The angle between the line from the external auditory meatus to the seventh cervical vertebra and a horizontal line at the level of the seventh cervical vertebra using photogrammetry

  3 Months

• Scapular Index

  Its the ratio of the length of the scapula to its breadth multiplied by 100 and will be measured using Posture Assessment Software

  3 Months

Study Arms (2)

Strengthening exercise treatment

EXPERIMENTAL

This exercise targets the deep flexor muscles of the upper cervical region the longus capitis and longus colli muscles.

Other: Exercise

Stretching exercise treatment

ACTIVE COMPARATOR

The subject's forearm is stabilized by a vertical plane before the trunk is rotated in the opposite direction. Therefore the arm on the involved side is externally rotated and abducted to 90.

Other: Exercise

Interventions

Exercise OTHER

Different type of exercises for treatment of Forward Head Posture

Strengthening exercise treatment; Stretching exercise treatment

Eligibility Criteria

• Age: 22 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals having Craniovertebral Angle (CVA) less than 50 degree
• Individuals having Shoulder Angle (SA) less than 52 degree.
• Those who had not under any regular exercise for last 6 months
• Those who use a smart phone or computer for at least 4 hours or more per day on average.

You may not qualify if:

• Individuals will be excluded if they had visual deficits, diagnosed balance disorders, musculoskeletal pathologies (e.g. history of shoulder surgery, cervical or thoracic fracture, Osteosarcoma, Myeloma), non-ambulatory, displayed functional or structural scoliosis, or had excessive thoracic kyphosis.
• Individuals having symptoms of Vertebral Artery Insufficiency.
• Individuals not willing to participate or to follow up treatment plan.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, 54000, Pakistan

Location

Related Publications (5)

• Lynch SS, Thigpen CA, Mihalik JP, Prentice WE, Padua D. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. Br J Sports Med. 2010 Apr;44(5):376-81. doi: 10.1136/bjsm.2009.066837.

  PMID: 20371564 BACKGROUND

• Lee MH, Park SJ, Kim JS. Effects of neck exercise on high-school students' neck-shoulder posture. J Phys Ther Sci. 2013 May;25(5):571-4. doi: 10.1589/jpts.25.571. Epub 2013 Jun 29.

  PMID: 24259804 BACKGROUND

• Lee DY, Nam CW, Sung YB, Kim K, Lee HY. Changes in rounded shoulder posture and forward head posture according to exercise methods. J Phys Ther Sci. 2017 Oct;29(10):1824-1827. doi: 10.1589/jpts.29.1824. Epub 2017 Oct 21.

  PMID: 29184298 BACKGROUND

• Diab AA, Moustafa IM. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clin Rehabil. 2012 Apr;26(4):351-61. doi: 10.1177/0269215511419536. Epub 2011 Sep 21.

  PMID: 21937526 BACKGROUND

• Falla D, Jull G, O'Leary S, Dall'Alba P. Further evaluation of an EMG technique for assessment of the deep cervical flexor muscles. J Electromyogr Kinesiol. 2006 Dec;16(6):621-8. doi: 10.1016/j.jelekin.2005.10.003. Epub 2005 Dec 15.

  PMID: 16359872 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Interventions

Exercise

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Danish Hassan, PhD*

  Riphah International University

  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

Study Record Dates

• First Submitted: December 23, 2019
• First Posted: January 3, 2020
• Study Start: September 1, 2019
• Primary Completion: February 20, 2020
• Study Completion: March 1, 2020
• Last Updated: October 27, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)