Global Postural Reeducation Exercises Versus Deep Neck Flexor Activation on Non Specific Neck Pain With Forward Head Posture

NCT06711497 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005365
• Study Type: interventional
• Target: 44
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to compare between global postural reeducation (GPR) and deep neck flexors (DNF) activation in patients with chronic nonspecific neck pain (NSNP) on pain, disability, forward head posture and deep neck flexors endurance

Conditions

Non Specific Neck Pain; Forward Head Posture

Keywords

global postural reeducation; deep neck flexor activation; chronic non specific neck pain; forward head posture

Outcome Measures

Primary Outcomes (1)

• neck disability

  neck disability will be measured by the Arabic version of neck disability index. NDI is a self-reported questionnaire that consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50. However, the NDI is frequently normalized to 100 and reported as percent Because the questionnaire is straightforward, most of the patients need approximately 5 minutes to complete it

  up to four weeks

Secondary Outcomes (3)

• pain intensity

  up to four weeks

• Craniovertebral Angle

  up to four weeks

• deep neck flexors endurance

  up to four weeks

Study Arms (2)

global postural reeducation exercise

EXPERIMENTAL

the patients will receive global postural reeducation and active neck flexor exercises twice a week for four weeks

Other: global postural reeducation exercises

deep neck flexor activation exercise

EXPERIMENTAL

the patients will receive deep neck flexor activation with active neck exercises

Other: deep neck flexor activation exercise

Interventions

global postural reeducation exercises OTHER

Subjects will be trained on global postural reeducation exercises (GPR) and active neck exercises. At each session, they will maintain two different lying postures to stretch anterior and posterior muscle chain and one standing posture to integrate the postural correction into activity of daily living (ADL.Initially, without gravity load, a lying posture was applied to the anterior muscle chain for approximately 15 min, then another lying posture to the posterior muscle chain for other 15 min, and finally the patients worked in a standing posture for postural integration under a gravity load for 5 min.

global postural reeducation exercise

deep neck flexor activation exercise OTHER

Subjects will be trained on deep neck flexor activation using pressure biofeedback and active neck exercises . The pressure sensor will be put under the neck and will be asked to de gentle nod as if saying "yes" so that the pressure sensor measures 2mmHg above baseline (20mmHg), then 4mmHg, followed by 6mmHg,8mmHg, and 10 mmHg without rests in between. the pressure sensor should read 30mmHg at the end of the movement sequence. Patient will hold each increment for 2 seconds, 10 seconds total after all 5 increments. Highest level achieved will be repeated with the correct form until a total of 10 reps with 10-second holds will be achieved in three series with 30 seconds of interval between the series plus active neck flexor exercise

deep neck flexor activation exercise

Eligibility Criteria

• Age: 18 Years - 24 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Adult physiotherapists with mechanical neck pain and base line score of at least 3 out of 10 pain intensity on VAS .
• Adult physiotherapists with FHP and CVA less than 50 as a reference angle
• Adult physiotherapists aged from 18 to 24.

You may not qualify if:

• Specific cause of neck pain as (rheumatic ,sytemic ,neuromuscular diseases ).
• Cognitive impairment .
• Cervical radiculopathy .
• Cervical spondylolisthesis

Sponsors & Collaborators

• October 6 University: lead

Central Study Contacts

Esraa Ahmed Mohamed

CONTACT

+20 1142203892; esraaaln9ar@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: esraa ahmed mohamed ahmed

Model Details: global postural reeducation and deep neck flexor activation exercises

Study Record Dates

• First Submitted: November 27, 2024
• First Posted: December 2, 2024
• Study Start: December 1, 2024
• Primary Completion: February 15, 2025
• Study Completion: February 27, 2025
• Last Updated: December 2, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share