The Recovering Strategy on Forward Head Posture in Chinese Adolescents: Tai Chi and Manual Therapy

NCT05804539 | Completed

• 1 other identifier: CCEE2021
• Study Type: interventional
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

Forward head posture (FHP) is a prevalent deformity that can cause various health issues in adolescents. The programs combining manual therapy (MT) and stability exercises (SE) have shown better effectiveness than stability exercises and home exercises in recovering FHP. However, the effectiveness of the therapy program consisting of Tai Chi and MT for recovering FHP remains unclear. Therefore, this study aimed to investigate the effects of Tai Chi with MT on FHP recovery. Meanwhile, with a particular focus on personalized medicine, we utilized explainable artificial intelligence (XAI) to predict if individuals would reverse to healthy posture based on different interventions.

Conditions

Forward Head Posture

Keywords

forward head posture

Outcome Measures

Primary Outcomes (2)

• Using photogrammetry to calculate the cranial vertebral angle of participants before and after the intervention.

  Participants' cranial vertebral angles before and after the intervention will be measured using photogrammetry to assess the change in cranial vertebral angle at 3 months compared to baseline.

  Month 3

• Using universal goniometer to calculate the cervical range of motion of participants before and after the intervention.

  Participants' cervical range of motion before and after the intervention will be measured using universal goniometer to assess the change in cranial vertebral angle at 3 months compared to baseline.

  Month 3

Study Arms (3)

Manual therapy

EXPERIMENTAL

Each lesson has a duration of 40 minutes, including the first five minutes of warm-up, 30 minutes of manual therapy and the last five minutes of cool-down.

Behavioral: Manual therapy

Tai Chi

EXPERIMENTAL

Each lesson has a duration of 40 minutes, including the first five minutes of warm-up, 30 minutes of Tai Chi and the last five minutes of cool-down.

Behavioral: Tai Chi

Tai Chi and Manual therapy

EXPERIMENTAL

Each lesson has a duration of 40 minutes, including the first five minutes of warm-up, 15-min Tai Chi exercise and 15-min manual therapy, with the order of intervention being Tai Chi exercise first and then manual therapy, and the last five minutes of cool-down.

Behavioral: Tai Chi and Manual therapy

Interventions

Manual therapy BEHAVIORAL

The therapist checks the range of motion of the cervical joints and gives manual treatment to the restricted joints. Throughout the examination, the subject lied in a supine position on a professional rehabilitation bed with the seventh cervical vertebra (C7) on the edge of the bed and the other the body above the C7 were placed off the bed. The therapist held the subject's occipital bone with one hand and the radial aspect of the second metacarpophalangeal joint of the other hand to grip the spinous process of the sixth cervical vertebra and slowly pushed the occiput downward to check the joint mobility of the fifth cervical vertebra and the sixth cervical vertebra. After the examination, the restricted joint was accurately located and treated with targeted manual therapy. For example, stretching was performed with the right side of C4-C5 flexed, closing only the right side of the subject's C4-C5 as much as possible to increase joint mobility on the right side of C4-C5.

Manual therapy

Tai Chi BEHAVIORAL

Based on the characteristics of young people and the need to correct their FHP, the classic Yang's 24 Forms of Tai Chi has been improved. The movements are mostly upper limb movements and the lower limb movements have been simplified to make the movements easy to learn. The modified Tai Chi exercise retains the traditional Tai Chi movements but is simple and easy to learn; at the same time, it increases the movement of the shoulder and neck joints. The subjects performed each exercise session in a group setting at the school gymnasium, with a professional Tai Chi instructor guiding them through a warm-up session, followed by a Tai Chi exercise session.

Tai Chi

Tai Chi and Manual therapy BEHAVIORAL

Intervention content of MSG included 15-min Tai Chi exercise and 15-min manual therapy, with the order of intervention being Tai Chi exercise first and then manual therapy.

Tai Chi and Manual therapy

Eligibility Criteria

• Age: 10 Years - 19 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• who was diagnosed as FHP;
• whose age was between ten to nineteen years old.

You may not qualify if:

• who had nervous system disease or musculoskeletal system disease;
• who had congenital scoliosis or congenital malformation disease;
• who participated in other sports training;
• who participated in other training program in the past of three months before the beginning of the study.

Sponsors & Collaborators

• Northeast Normal University: lead

Study Sites (1)

Chinese Center of Exercise Epidemiology

Changchun, Jilin, 130024, China

Location

MeSH Terms

Interventions

Musculoskeletal Manipulations; Tai Ji

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Mind-Body Therapies; Exercise Movement Techniques

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: BASIC SCIENCE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof.Dr.

Study Record Dates

• First Submitted: March 27, 2023
• First Posted: April 7, 2023
• Study Start: March 1, 2021
• Primary Completion: June 30, 2021
• Study Completion: July 20, 2021
• Last Updated: April 7, 2023

Record last verified: 2023-03

Locations

CN (1)