Different Methods of Forward Head Posture Correction

NCT05533853 | Unknown DMC

• 1 other identifier: Cairo192022
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of the study is to compare various methods of correcting forward head posture in elderly subjects. In particular, we will contrast two methods: the conventional program, which aims to restore muscle balance, and the Chiropractic BioPhysics (CBP) rehabilitation program, which relies on stretching the viscous and plastic elements of the longitudinal ligament and intervertebral disc in addition to effectively stretching the soft tissue throughout the entire body.

Conditions

Forward Head Posture

Keywords

Forward head posture; Elderly; Randomized controlled trial

Outcome Measures

Primary Outcomes (1)

• The change in craniovertebral angle

  The craniovertebral angle will be measured by taking a lateral photograph. The participants will be asked to sit on a chair as usual and a lateral photograph will be taken. Adhesive markers will be fixed on the tragus of the ear and the spinous processes of the seventh cervical vertebra. The head forward angle will be measured as an angle between a line drawn from the tragus of the ear to the seventh cervical vertebra and horizontal line

  will be measured at two intervals ;pre-treatment and immediately after treatment

Secondary Outcomes (3)

• The change in pain intensity

  will be measured at two intervals ;pre-treatment and immediately after treatment

• The change in Neck Disability Index

  will be measured at two intervals ;pre-treatment and immediately after treatment

• Changes in Cervical joint position sense testing

  will be measured at two intervals ;pre-treatment and immediately after treatment

Study Arms (2)

Traditional exercise

ACTIVE COMPARATOR

The exercise group will receive a posture corrective exercise program in the form of two strengthening(deep cervical flexors and shoulder retractors)and two stretching (cervical extensors and pectoral muscles) exercises. The exercise program will be done according to Harman et al.'s protocol and based on Kendall et al.'s approach.

Other: Posture corrective exercises

Denneroll extension traction

EXPERIMENTAL

Denneroll extension traction. Participants in the intervention group will receive the Denneroll cervical orthotic . In the current study, Denneroll cervical traction will be used to restore the normal cervical alignment. . We will follow previously published protocols and procedures for application of this orthotic. The Denneroll orthotic will be performed in the physiotherapy clinic setting. The participants will be instructed to lie supine on the floor, in a straightened position, with their arms gently folded across their stomach.

Other: Denneroll extension traction

Interventions

Posture corrective exercises OTHER

The exercises are of two types strengthening exercises and starching exercise ,). The strengthening exercises are to be done for 15 repetitions in 2 sets, Progression will be by increasing to 3 sets and adding 1 Kilogram of resistance in dumbbells exercises, the targeted muscles are teres minor, infraspinatus, medial and lower trapezius, rhomboids, and cervical flexor muscles. On the other hand, stretching exercises are to be hold for 30 seconds for 2 sets then progressed to 3 sets, the targeted muscles are pectoralis minor, sternocleidomastoid and levator scapulae.

Traditional exercise

Denneroll extension traction OTHER

The participants will be instructed to lie supine and keep their legs extended. Based on the apex of each participant's cervical curvature on the initial radiograph, the therapist will position the apex of the denneroll in one of two regions (mid cervical placement or lower cervical placement). The duration of the traction session will start at 2-3 min and increased 1 min per session until reaching the goal of 20 min, the traction will repeated three times per week for 6 weeks

Denneroll extension traction

Eligibility Criteria

• Age: 60 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• craniovertebral angle (CVA) is less than 50°

You may not qualify if:

• any signs or symptoms of medical "red flags" were present: tumor, fracture, rheumatoid arthritis, severe osteoporosis, and prolonged steroid use.
• Subjects with previous spine surgery
• Neurological diseases
• Vascular disorders

Sponsors & Collaborators

• University of Sharjah: lead

Study Sites (1)

Ibrahim Moustafa

Sharjah city, United Arab Emirate, 27272, United Arab Emirates

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The treating therapist, for both the control and intervention groups, was unblinded to the treatment method but the assessor who conducted the measurements were blinded. Assessor blinding was obtained through an independent research assist; not knowing the study design and not specifically involved in any aspect of the trial
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor-chair of Physiotherapy Department

Model Details: A prospective, double blinded, parallel-group, randomized clinical trial was conducted at one of our university's research departments,

Study Record Dates

• First Submitted: September 5, 2022
• First Posted: September 9, 2022
• Study Start: September 10, 2022
• Primary Completion: October 30, 2022
• Study Completion: October 30, 2022
• Last Updated: September 9, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

AE (1)