Muscle Energy Technique of Lower Limb Muscles in Forward Head Posture

NCT06325124 | Recruiting DMC

• 1 other identifier: REC/01805 MARIA NAWAZ
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized controlled trial is to find the effect of muscle energy technique of muscles involved in lower limb superficial backline (hamstring and Gastro-soleus) on improving craniovertebral angle and cervical proprioception and minimizing pain among patients with forward head posture

Conditions

Forward Head Posture

Keywords

Muscle energy technique; Conventional physical therapy; Superficial backline MUSCLES

Outcome Measures

Primary Outcomes (2)

• Neck disability index (NDI)

  The NDI is a Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. The NDI is composed of 10 items. Each item consists of different statements which describe how much neck pain interferes with certain activity. Patient choses one option which describes his pain most precisely.

  4 weeks

• Numeric Pain Rating Scale NPRS

  The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.

  4 weeks

Secondary Outcomes (3)

• Bubble inclinometer

  4 weeks

• FHP Mobile Application (To measure Craniovertebral angle)

  4 weeks

• Cervical Joint Position Error

  4 weeks

Study Arms (2)

Muscle Energy Technique of Calf and hamstrings

ACTIVE COMPARATOR

Muscle Energy Technique of Calf and hamstrings (soft tissue technique)

Other: Muscle energy technique

Conventional PT

OTHER

Cervical isometric exercises Hot pack

Other: Conventional PT

Interventions

Muscle energy technique OTHER

They would be receiving treatment as follow: Muscle energy technique of hamstring and gastro-soleus. Frequency: 10 reps 3 times/week for 4 consecutive weeks Intensity starting from 20% to 50% resistance across barrier provided by Physical therapist Conventional PT including 1-cervical isometric exercises 2-Transcutaneous Electrical Nerve Stimulation (TENS) for 1o minutes 3-hot pack for 10 minutes 4-Stretching exercise for suboccipitals, sternocleidomastoid 5-gentle stretching of calf and hamstrings.

Muscle Energy Technique of Calf and hamstrings

Conventional PT OTHER

They would be receiving treatment as follow: Conventional PT including 1-cervical isometric exercises 2-Transcutaneous Electrical Nerve Stimulation (TENS) for 1o minutes 3-hot pack for 10 minutes 4-Stretching exercise for suboccipitals, sternocleidomastoid 5-gentle stretching of calf and hamstrings.

Conventional PT

Eligibility Criteria

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

You may qualify if:

• Age between 20 and 35 years
• Both Genders
• Craniovertebral angle \<49.9 degrees
• History of neck pain \>3 months
• Patients with hamstring tightness(Inability to achieve greater than 160° of knee extension with hip at 90° of flexion)
• Patients with calf muscle tightness(The Taloche Sign (Maestro) If a patient with a tight gastrocnemius tries to stand on an inclined plane, it is immediately evident that it is impossible for the patient to be stable in this position)

You may not qualify if:

• Patient with recent injuries or surgeries in and around the neck region
• Vertigo
• radiating pain in upper limb
• spinal deformities
• malignancy in and around the neck region
• cervical instabilities
• fibromyalgia
• patients with any lower limb or lower back pathology(e.g arthritis)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

We Care Physical Therapy Clinic street 13 phase 4A, Ghouri town Islamabad

Islamabad, Punjab Province, Pakistan

RECRUITING

Study Officials

• KINZA ANWAR, MS-OMPT

  RIPHAH INTERNATIONAL UNIVERSITY,ISLAMABAD,PAKISTAN

  PRINCIPAL INVESTIGATOR

Central Study Contacts

KINZA ANWAR, MS-OMPT

CONTACT

+92-3239735427; kinza.anwar@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: March 17, 2024
• First Posted: March 22, 2024
• Study Start: March 26, 2024
• Primary Completion: March 20, 2025
• Study Completion: April 20, 2025
• Last Updated: April 3, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)