Comparison of Oculomotor Exercises Versus Suboccipital METs on Visual Fatigue Among FHP

NCT06707766 | Completed

• 1 other identifier: REC/02020 Amna Rashid.
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 3

Brief Summary

The aim of this research is to compare the effect of Oculomotor Exercises and Muscle energy technique on visual fatigue, proprioception, Craniovertebral angle among patients having Forward head posture.. It will raise awareness about the link between posture and visual health, encouraging early identification of visual symptoms associated with FHP, enhance recovery outcomes, improve functional performance, and promote a holistic treatment approach, ultimately provide benefit to population.

Conditions

Forward Head Posture; Visual Fatigue

Keywords

forward head posture; visual fatigue; Craniovertebral angle; proprioception; suboccipital muscles; , oculomotor exercises; muscle energy technique (PIR; VOR(vestibulo- ocular reflex); cervical spine.

Outcome Measures

Primary Outcomes (3)

• visual fatigue

  ; Visul fatigue can be assessed by using Asthenopia Survey Questionnaire (ASQ-17). Responses are marked using four-point Likert scale with total score 51. Score range from 0-13 indicates no asthenopia, whereas the score range between 13-51 indicate asthenopia and need medical attention

  4 weeks

• propioception

  cervical proprioception can be assed Cervical Joint Position Error (JPE) Test. Values \> 4.5 degree indicate proprioception deficit

  4 weeks

• Craniovertebral Angle

  Craniovertebral Angle can be measured by usng ON PROTRACTOR google App. Craniovertebral angle (CVA) values for individuals with moderate-severe forward head posture ranged from 40.7° to 43.2°, and for those with mild FHP, values ranged from 46.9° to 49.1 FHP. However, angle between 50- 57 degree is consider as normal.

  4 weeks

Study Arms (2)

oculomotor exercises along with conventional therapy

EXPERIMENTAL

oculomotor exercises along with conventional therapy

Other: Oculomotor Exercise along with conventional Therapy

sub-occipital muscle energy technique along with Conventional Therapy

EXPERIMENTAL

Sub-occipital muscle energy technique (PIR) 3 reps \* 1 set conventional therapy: Hot pack 20 minutes Kendall exercises were performed as follows: strengthening exercise: 12 repetitions\* 3 sets, 2-8 sec hold stretching exercise was: 3 reps\* 30 seconds' hold 1. Strengthening the deep cervical flexors 2. Stretching the cervical extensors 3. Strengthening shoulder retraction 4. Stretching of the pectoralis major muscle

Other: sub-occipital muscle energy technique along with Conventional Therapy

Interventions

Oculomotor Exercise along with conventional Therapy OTHER

Oculomotor Exercises: Saccadic eye movement, Smooth pursuit, Adaptation X1, Adaptation X2. Time duration will be 2 minutes for each exercise. conventional therapy: hot pack 20 mins Kendall exercises: Strengthening the deep cervical flexor, Stretching the cervical extensors, Strengthening shoulder retraction, Stretching of the pectoralis major muscle strengthening exercise: 12 repetitions\* 3 sets, 2-8 sec hold stretching exercise was: 3 reps\* 30 seconds' hold Total duration of treatment would be 4 weeks, 3 days a week with total 12 sessions.

oculomotor exercises along with conventional therapy

sub-occipital muscle energy technique along with Conventional Therapy OTHER

Sub-occipital muscle energy technique (PIR) 3 rep \* 1 set with 20 sec hold conventional therapy: hot pack 20 mins Kendall exercises: Strengthening the deep cervical flexor, Stretching the cervical extensors, Strengthening shoulder retraction, Stretching of the pectoralis major muscle strengthening exercise: 12 repetitions\* 3 sets, 2-8 sec hold stretching exercise was: 3 reps\* 30 seconds' hold Total duration of treatment would be 4 weeks, 3 days a week with total 12 sessions.

sub-occipital muscle energy technique along with Conventional Therapy

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age 20-50 years
• Both Male and Female
• Diagnosed patients of Forward head posture, Craniovertebral Angle less than 50 degree.
• Patients having Asthenopia survey questionnaire (ASQ-17) score of 13 or higher.

You may not qualify if:

• Participant failing to fall in this category would be excluded of the study.
• Pre-existing medical conditions that cause visual issues such as conjunctivitis, cataract, Strabismus anomaly, glaucoma and those undergoing any eye treatment.
• Any previous neck and Eye surgery.
• Cervical conditions such as cervical radiculopathy, non-specific neck pain, and TMJ dysfunction that cause visual disturbances.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (3)

Capital Diagnostic Center Islamabad

Islamabad, 44000, Pakistan

Location

Care plus Medical Center

Islamabad, 44000, Pakistan

Location

National Institute of Rehabilitation

Islamabad, 44000, Pakistan

Location

MeSH Terms

Conditions

Asthenopia

Condition Hierarchy (Ancestors)

Eye Diseases

Study Officials

• Dr Aneela Zia, ms-ompt

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: November 25, 2024
• First Posted: November 27, 2024
• Study Start: November 11, 2024
• Primary Completion: August 28, 2025
• Study Completion: August 29, 2025
• Last Updated: September 3, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (3)