Core Stabilization Exercises in Forward Head Posture

NCT06160245 | Completed

• 1 other identifier: CSEs in FHP
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Based on the reviewed literature, Core Stabilization Exercises (CSEs) have been shown to have positive effects on patients with low back pain. To our knowledge, very few studies have examined the impact of CSEs on neck pain, particularly in patients with forward head posture (FHP), despite that several authors suggested that FHP may be caused by lumbopelvic malalignment. Therefore, the purpose of the study is to assess how CSEs may affect the cervical sagittal balance parameters (CSB) in patient with FHP.

Conditions

Forward Head Posture

Outcome Measures

Primary Outcomes (3)

• cervical sagittal vertical alignment

  calculated by measuring the horizontal distance between the posterosuperior corner of the C7 vertebral body and a plumb line drawn from the centroid of C2

  baseline, week 6

• T1 slope angle

  he angle formed by drawing a line along the superior endplate of T1 and horizontal reference line at the median sagittal cervical vertebra from the CT radiographs

  baseline, week 6

• craniovertebral angle

  the intersection of a horizontal line passing through the C7 spinous process and a line joining the midpoint of the tragus of the ear to the skin overlying the C7 spinous process.

  baseline, week 6

Secondary Outcomes (2)

• numerical pain rating scale

  baseline, week 6

• neck disability index

  baseline, week 6

Study Arms (2)

core stability exercise

EXPERIMENTAL

This group will receive core stabilization exercises ( MCGILL 2008), in addition to postural correction exercises described by (HARMAN 2005)

Other: exercise therapy

traditional exercise

ACTIVE COMPARATOR

This group will receive only postural correction exercises described by (HARMAN 2005)

Other: exercise therapy

Interventions

exercise therapy OTHER

core stabilization exercises

core stability exercise; traditional exercise

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• CVA less than 50 degrees/ neck pain for about 4 weeks

You may not qualify if:

• Vertebrobasilar insufficiency/ cervical surgery/ cervical or TMJ fracture

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of physical therapy, Cairo University & AXA One-Health clinics Korba branch

Giza, Egypt

Location

Related Publications (2)

• Shabana AMM, Ashour RS, Yamany AS, Hanafy AF. Radiographic and clinical effects of core stabilization on cervical pain and sagittal balance in forward head posture: a randomized controlled trial. Asian Spine J. 2026 Jan 6. doi: 10.31616/asj.2025.0297. Online ahead of print.

  PMID: 41490718 DERIVED

• Shabana AMM, Hanafy AF, Yamany AS, Ashour RS. Effect of core stabilization exercises on cervical sagittal balance parameters in patients with forward head posture: a randomized controlled trial in Egypt. Asian Spine J. 2025 Feb;19(1):85-93. doi: 10.31616/asj.2024.0328. Epub 2025 Jan 20.

  PMID: 39829179 DERIVED

MeSH Terms

Interventions

Exercise Therapy

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Demonstrator

Study Record Dates

• First Submitted: November 29, 2023
• First Posted: December 7, 2023
• Study Start: December 1, 2023
• Primary Completion: April 1, 2024
• Study Completion: April 1, 2024
• Last Updated: August 21, 2024

Record last verified: 2024-08

Locations

EG (1)