Comparative Effects of Visual and Pressure Biofeedback in Symptomatic Forward Head Posture.

NCT06151951 | Unknown

• 1 other identifier: REC/RCR&AHS/23/0154
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 2

Brief Summary

This study aims to determined the comparative effect of visual and pressure biofeedback on Pain,Disability and Range of Motion in young and middle aged adults diagnosed with forward head posture.

Conditions

Forward Head Posture

Keywords

FHP

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS)

  The NPRS is a subjective pain rating scale using an 11-point scale from 0 to 10, where 0 means 'no pain' and 10 means 'intolerable pain'. Participants select the whole number that best represents their level of pain. The reliability is \>0.95 with ICC values 0.86- 0.95

  4 weeks

• Neck Disability Index (NDI)

  NDI is a self-reported questionnaire which is formulated to assess pain that restricts the activities of daily living (ADL); it also helps to determine self-assessed disability. NDI has 10 domains covering pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Scores range from 0 to 50, with 50 being the greatest levels of dysfunction. It is a valid and reliable tool with ICC=0.98

  4 weeks

• Pressure Biofeedback (Simple Sphygmomanometer)

  It is used to measure the neck muscle strength. It was consisting of 3 chamber air filled pressure bag, a catheter \& sphygmomanometer gauze. To measure the strength, cuff is placed under occipital in supine position for Neck flexor and under forehead in prone position for neck extensor muscle. After setting pressure with the baseline Pressure of 100 mmHg, patient was asked to put maximum effort on cuff by giving 6 seconds hold for 3 repetitions. After taking the mean value, it is compared with the normal extensor flexor.

  4 weeks

Secondary Outcomes (2)

• Visual Biofeedback (LED Headband light)

  4 weeks

• goniometry

  4 weeks

Study Arms (2)

Group A

EXPERIMENTAL

Movement control training of Neck flexor muscles with Pressure Biofeedback along with baseline treatment

Other: Cervical Stabilization; Device: Pressure Biofeedback

Group B

EXPERIMENTAL

Movement control training of Neck flexor muscles with Visual Biofeedback along with baseline treatment

Other: Cervical Stabilization; Device: Visual Biofeedback

Interventions

Cervical Stabilization OTHER

Isometric stretching and strengthening exercises of Neck flexor muscle including suboccipitalis, levator scapulae,scalnae anterior and upper trapezius. Each exercise hold for 6 second and then release and repeated 10 times respectively 3 times in a week for 4 weeks. Therefore, the total exercise time will be 5-10 mints.

Group A; Group B

Pressure Biofeedback DEVICE

In this method patients in supine position. Sphygmomanometer is used and 100 mmHg pressure will be maintained before the treatment start then cuff will be placed under the occiopit of spine and patient will be asked to press the cuff against the occiopit until gauze show target pressure then hold this position for 6 second and release. Repeated this pressure to 10 times, 3 times in a week for 4 weeks. Therefore, the total exercise time will be 5-10 mints. Baseline Treatment Before starting the session participants received moist heat pack and soft tissue massage on cervical for 10 to 15 mints followed by movement control training.

Group A

Visual Biofeedback DEVICE

In this method Led Head Band light will be used as a visual feedback. Patients in sitting or standing position with neck straight with the alignment of front wall marking followed by control movement training. Patient will be asked to follow the marking through head band light while performing motion control training. Each exercise hold for 6 second and then release and repeated 10 times respectively 3 times in a week for 4 weeks. Therefore, the total exercise time will be 5-10 mints. Baseline Treatment Before starting the session participants received moist heat pack and soft tissue massage on cervical for 10 to 15 mints followed by movement control training.

Group B

Eligibility Criteria

• Age: 20 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \. Participants would be complaining of neck pain as a primary complain and age of 20- 35 year was recruited in the study .
• Male and female both gender are included in the study.
• \. patient with Craniovertebral angle (CVA)\<53 degree were included in the study .
• \. Score more than 3 on NPRS and more than 10 on NDI.

You may not qualify if:

• Participant failing to fall in this category would be excluded of the study.
• Neurogenic findings like cervical trauma, myopathy, vestibular pathology, dizziness, visual problem, spinal Fracture, dislocation and hypertension will not include in the study.
• History of sever metabolic diseases.
• History of recurrent surgery in upper thoracic and lumber vertebrae
• History of recent fractures in shoulder and neck region.
• History of tumor. -

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Bahawal Victoria Hospital QAMC Bahawalpur

Bahawalpur, Punjab Province, 63100, Pakistan

RECRUITING

Bahawal Victoria Hospital QAMC Bahawalpur

Chak Four Hundred Fifty-four, Punjab Province, 63100, Pakistan

RECRUITING

Study Officials

• Ali Raza

  Riphah International University

  PRINCIPAL INVESTIGATOR

• Nusrat Prveen

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjid, PHD

CONTACT

+923324390125; imran.amlid@riphah.edu.pk

Imran amjid, PHD

CONTACT

051-5481826; imran.amlid@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 22, 2023
• First Posted: November 30, 2023
• Study Start: May 10, 2023
• Primary Completion: December 10, 2023
• Study Completion: January 10, 2024
• Last Updated: November 30, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)