Effects of Corrective Exercises and Postural Education on Forward Head Posture

NCT05894941 | Completed

• 1 other identifier: Forward Head Posture
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Forward head posture is one of the most common postural problems that we face today. Sitting for long periods in poor posture and the excessive use of electronic devices has become a high risk for this postural abnormality. The goal of this \[interventional study\] is to \[provide the participants with simple and easy corrective exercises for this abnormal posture which they can do anywhere at any time and to provide postural education and awareness on the matter.

Conditions

Musculoskeletal Deformity

Keywords

Forward head Posture; Corrective Exercises; Postural Education; Craniovertebral and Shoulder angles; Posture; Musculoskeletal

Outcome Measures

Primary Outcomes (2)

• Craniovertebral Angle

  The CVA is obtained by measuring the angle formed by the intersection of two lines drawn through particular anatomical landmarks and can be obtained using an image of the sagittal view of a person's head and neck. The first line is drawn from the tragus of the ear to the spinous process of the C7 vertebrae, and the second line is drawn through the spinous process of the C7 vertebrae horizontally. Although, there is no clear cut-off point threshold, identifying FHP for craniovertebral angle, in general, subjects with smaller craniovertebral angle i.e. less than 50 degrees have more Forward head posture

  6 weeks

• Shoulder Angle

  It is considered as the angle between a horizontal line through the spinous process of the C7 vertebra and a line passes from the midpoint of the shoulder joint through the spinous process of the seventh cervical vertebra.

  6 weeks

Secondary Outcomes (2)

• Short Survey 36 Questionnaire

  6 weeks

• Numeric Pain Rating Scale

  6 weeks

Study Arms (3)

Corrective Exercises Group

ACTIVE COMPARATOR

The researcher will teach a total of 6 evidence-based corrective exercises and stretches. The participants will perform this for the prescribed time for a minimum of 3 and 5 times a week for a total of 6 weeks of the trial.

Other: Corrective Exercises

Postural Education Group

ACTIVE COMPARATOR

Postural guidelines for doing daily activity especially sitting for prolonged periods and using electronic devices like computers and other electronic devices.

Other: Postural Education

Control Group

NO INTERVENTION

This group will not receive either of the above mentioned treatments.

Interventions

Corrective Exercises OTHER

A total of 6 evidence-based exercises and stretches namely; Upper trapezius stretch, Sternocleidomastoid stretch, pectoral stretch; Chin tuck exercise, YTWL exercise, and resisted/isometric neck extension exercise will be prescribed to the exercise group while the postural education group will follow the guidelines provided by National Institutes of Health (NIH) for using computers and other sources. The control group will receive no intervention.

Corrective Exercises Group

Postural Education OTHER

Postural guidelines for doing daily activity especially sitting for prolonged periods and using electronic devices like computers and other electronic devices.

Postural Education Group

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Consent to participate in the study.
• Young \& Middle-aged Adults between the ages of 20-40 years
• Craniovertebral angle less than or equal to 50°
• Shoulder Angle less than or equal to 52°

You may not qualify if:

• History of Trauma
• Acute Neck Injuries e.g., Whiplash
• Surgical history

Sponsors & Collaborators

• Yeditepe University: lead

Study Sites (1)

Yeditepe University

Istanbul, Atasehir, Turkey (Türkiye)

Location

Related Publications (3)

• Sheikhhoseini R, Shahrbanian S, Sayyadi P, O'Sullivan K. Effectiveness of Therapeutic Exercise on Forward Head Posture: A Systematic Review and Meta-analysis. J Manipulative Physiol Ther. 2018 Jul-Aug;41(6):530-539. doi: 10.1016/j.jmpt.2018.02.002. Epub 2018 Aug 11.

  PMID: 30107937 BACKGROUND

• Ruivo RM, Pezarat-Correia P, Carita AI. Effects of a Resistance and Stretching Training Program on Forward Head and Protracted Shoulder Posture in Adolescents. J Manipulative Physiol Ther. 2017 Jan;40(1):1-10. doi: 10.1016/j.jmpt.2016.10.005. Epub 2016 Nov 11.

  PMID: 27842938 BACKGROUND

• Heydari Z, Sheikhhoseini R, Shahrbanian S, Piri H. Establishing minimal clinically important difference for effectiveness of corrective exercises on craniovertebral and shoulder angles among students with forward head posture: a clinical trial study. BMC Pediatr. 2022 Apr 27;22(1):230. doi: 10.1186/s12887-022-03300-7.

  PMID: 35477430 BACKGROUND

Study Officials

• Ebru Akbuga

  Assistant Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: All the participants will be randomly organized into 3 different groups by the researcher.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The participants in each group will receive the same treatment throughout the trial

Study Record Dates

• First Submitted: May 11, 2023
• First Posted: June 8, 2023
• Study Start: May 12, 2023
• Primary Completion: June 30, 2023
• Study Completion: July 10, 2023
• Last Updated: August 1, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)