Effectiveness of a Telerehabilitation Program Based on Specific Neck Exercises in Patients With Forward Head Posture.

NCT06407089 | Completed

• 1 other identifier: C.I. PI24/164
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of a 12-session telerehabilitation program based on Specific Neck Exercises (SNE) with Spinertial to a control group on range of motion, cervical proprioception, and posture in subjects with forward head posture, post-intervention, after one month of follow-up, and after two months of follow-up.

Conditions

Forward Head Posture; Neck Pain

Keywords

telerrehabilitation; deep cervical muscles; neck muscles; exercise therapy; specific neck exercises

Outcome Measures

Primary Outcomes (3)

• Mean Change in Craniovertebral angle (CVA) from baseline

  The examiners assess the cranio-vertebral angle (CVA), reflecting the forward head posture position, is the acute anglecreated between the horizontal plane and the line from the tip of the C7 spinous process to the tragion. Head postureis measure as the acute angle between the horizontal plane and the line from the corner of the eye to the tragion(ETH).

  Baseline and 6 weeks, 10 weeks, 14 weeks

• Mean Change in Cervical Spine Range of Motion (ROM) from Baseline.

  Mean change from baseline in Lower and Upper Cervical Spine Range of Movement (ROM) in the sagittal, frontal and transverse planes after 6 weeks, 10 weeks, and 14 weeks. The examiners assess cervical ROM using CROM (Cervical Range-of-Motion Instrument). Cervical flexion, extension, right/left side bending, and right/left rotation will be evaluated in the sagittal, frontal, and transverse planes. The examiners assess cervical ROM using CROM (Cervical Range-of-Motion Instrument). Upper cervical flexion, upper cervical extension, and flexion rotation test will be evaluated in the frontal and transverse planes. The flexion rotation test is used to assess the movement of the upper cervical spine and is the most commonly used test in the literature. It is considered positive when there is a decrease of 10 degrees or more in cervical rotation with maximum flexion, in comparison to the contralateral side, or when there is hypomobility of segment C1 with mobility less than 32.

  Baseline and 6 weeks, 10 weeks, 14 weeks

• Mean Change in Joint Position error from baseline

  Joint Position Error (JPE): The examiners assess the subject's ability (while blindfolded) to relocate the natural head posture (NHP) following the movements of left and right rotation, flexion and extension, upper flexion and upper extension. The relocation error (joint position error, JPE) is the difference between the starting position and the NHP after movement.

  Baseline and 6 weeks, 10 weeks, 14 weeks

Study Arms (2)

Spinertial Group (SG)

EXPERIMENTAL

Endurance training program of deep cervical flexors and deep cervical extensors with Spinertial device for treatment. Endurance training program of deep cervical flexors and deep cervical flexors with Spinertial device for treatment.

Other: Spinertial Group

Control Group (CG)

NO INTERVENTION

The subject continues activities of daily living without intervention.

Interventions

Spinertial Group OTHER

Endurance training program of deep cervical flexors and deep cervical extensors with Spinertial device for treatment. Endurance training program of deep cervical flexors and deep cervical flexors with Spinertial device for treatment.

Spinertial Group (SG)

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Forward head posture (craniovertebral angle less than 50º).
• Deep flexor strength deficit in craniocervical flexion test.
• Deep extensor strength deficit in neck extensor muscle endurance.
• ≤ 14 score in Neck Disability Index.

You may not qualify if:

• Have received cervical treatment during the last six months.
• Presence of any red flag, neurological, or cognitive impairment (inability to - - understand the questionnaires or examination).
• Have received cervical manual therapy treatment during the last six months.
• History of cervical trauma or surgery during the last year.
• Chronic neck pain occurring during the last six months (intensity: visual analogue scale \>3/10, frequency \>2 days/week, duration \>3 hours/day).

Sponsors & Collaborators

• Universitat Internacional de Catalunya: lead
• Universidad de Zaragoza: collaborator

Study Sites (1)

Élite Fisioterapia, María Montessori 2.

Zaragoza, Zaragoza, 50018, Spain

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Pilar Pardos-Aguilella

  Universidad de Zaragoza

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor of Physical Therapy

Study Record Dates

• First Submitted: May 6, 2024
• First Posted: May 9, 2024
• Study Start: May 20, 2024
• Primary Completion: September 20, 2024
• Study Completion: November 20, 2024
• Last Updated: March 17, 2025

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)