Effects of Global Postural Reeducation on Forward Head Posture

NCT04723511 | Completed

• 1 other identifier: P.T.REC/012/002671
• Study Type: interventional
• Target: 43
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Forward Head Posture

Keywords

Forward Head Posture; Global Postural Re-education; Kendall Exercises; Rounded Shoulders; Postural Correction; Myofascial chains

Outcome Measures

Primary Outcomes (1)

• craniovertebral angle

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

  before and after 12 sessions

Secondary Outcomes (8)

• Gaze Angle

  before and after 12 sessions

• Shoulder Angle

  before and after 12 sessions

• Proprioceptive stability test

  before and after 12 sessions

• Spinal mobility

  before and after 12 sessions

• Chest expansion

  before and after 12 sessions

Study Arms (2)

GPR

EXPERIMENTAL

participants in this group receive global postural reeducation technique+ Kendall exercises

Other: Global Postural Re-education; Other: Kendall exercises

Kendall

ACTIVE COMPARATOR

Kendall exercises

Other: Kendall exercises

Interventions

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

GPR

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.

GPR; Kendall

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• 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.

You may not qualify if:

• 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

Sponsors & Collaborators

• Horus University: lead
• Cairo University: collaborator

Study Sites (1)

Horus University

Damietta, 34518, Egypt

Location

Study Officials

• Walaa Abu-Taleb, MSc

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The enrolled participants will be masked (single blind study) and randomly assigned into two groups without being informed whether they are in the control or the study(experimental) group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: January 15, 2021
• First Posted: January 25, 2021
• Study Start: February 6, 2021
• Primary Completion: October 4, 2021
• Study Completion: October 14, 2021
• Last Updated: August 7, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)