Efficacy of Deep Cervical Training Combined With Mobilization Techniques on Forward Head Posture

NCT05650346 | Unknown

• 1 other identifier: P.T.REC/012/003524
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

To investigate the efficacy of adding cervical \& thoracic spinal mobilization techniques to deep cervical training compared to deep cervical training alone on Pain, Neck functional ability, Craniovertebral angle.

Conditions

Forward Head Posture

Outcome Measures

Primary Outcomes (2)

• Craniovertebral Angle

  The CVA was formed at the intersection of the horizontal line, which passed through the back and the line, which joined the tragus of the ear and the back. The Patient Will Be In Standing Position and the image will be taken from the lateral view then the image will be inserted to IMAGEJ Software To Measure The Angle

  One Month

• Deep Neck Core Strength

  The the patient in supine crook lying with the neck in a neutral position. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg.The movement will perform gently and slowly as a head nodding action (as if saying "yes"). The Cranio cervical flexion exercise the activation and endurance of the deep cervical flexors in progressive inner range positions as the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task.

  One Month

Study Arms (3)

Control Group ( Deep Cervical Training )

ACTIVE COMPARATOR

Other: Deep Cervical Training

Experimental group I (Deep cervical training + Upper cervical mobilization group)

EXPERIMENTAL

Other: Deep Cervical Training; Other: Deep cervical training + Upper cervical mobilization group

Experimental group II (Deep cervical training + Upper thoracic mobilization group)

EXPERIMENTAL

Other: Deep Cervical Training; Other: Deep cervical training + Upper thoracic mobilization group

Interventions

Deep Cervical Training OTHER

The Cranio cervical flexion exercise will be performed with the patient in supine crook lying with the neck in a neutral position (no pillow) such that the line of the face is horizontal and a line bisecting the neck longitudinally is horizontal to the testing surface. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task.

Control Group ( Deep Cervical Training ); Experimental group I (Deep cervical training + Upper cervical mobilization group); Experimental group II (Deep cervical training + Upper thoracic mobilization group)

Deep cervical training + Upper cervical mobilization group OTHER

1. the patient in supine crook lying with the neck in a neutral position.The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg 2. The therapist will cover the rear of the cervical part of the participant with his right hand for stabilization, and will place his thumb and index fingers on the atlas of the participant. To conduct the atlanto-occipital mobilization, the therapist will place his left hand at the right side of the participant and at the same time will place his fifth finger under the occipital area and will pull the participant's head toward his trunk.

Experimental group I (Deep cervical training + Upper cervical mobilization group)

Deep cervical training + Upper thoracic mobilization group OTHER

1. The Cranio cervical flexion exercise will be performed with the patient in supine crook lying with the neck in a neutral position (no pillow) such that the line of the face is horizontal and a line bisecting the neck longitudinally is horizontal to the testing surface. The uninflated pressure sensor will be placed behind the neck so that it abutted the occiput and is inflated to a stable baseline pressure of 20 mm Hg, a standard pressure sufficient to fill the space between the testing surface and the neck but not push the neck into a lordosis. the patient attempted to sequentially target five, 2-mm Hg progressive pressure increases from the baseline of 20 mm Hg to a maximum of 30 mm Hg as well as to maintain a isometric contraction at the progressive pressures as an endurance task. 2. The participants will be placed in the prone position and the therapist will stand facing the joint where the mobilization will be applied to improve the extension of the upper thoracic spine (T1-2).

Experimental group II (Deep cervical training + Upper thoracic mobilization group)

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The craniovertebral angle is less than 50 degrees.
• Age ranges from 18 to 25 years old.
• Forward head is associated with neck pain.

You may not qualify if:

• A history of any of the following conditions:
• Previous surgery regarding the spine or shoulders.
• Vertebral fractures regarding the cervical spine or the skull.
• Positive neurological signs or evidence of spinal compression
• headaches prior to the onset of neck pain and without cervical origin
• Inner ear or vestibular Problems
• Whiplash Injuries

Sponsors & Collaborators

• Egyptian Chinese University: lead

Study Sites (1)

The Egyptian Chinese University

Cairo, 00202, Egypt

RECRUITING

Central Study Contacts

Ahmed Ma Hamed, M.Sc.

CONTACT

01064123606; ahmedmahmoudbusiness@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer

Study Record Dates

• First Submitted: November 23, 2022
• First Posted: December 14, 2022
• Study Start: January 10, 2023
• Primary Completion: February 20, 2023
• Study Completion: February 20, 2023
• Last Updated: January 10, 2023

Record last verified: 2023-01

Locations

EG (1)