Effect of Electrical Stimulation on Forward Head Posture

NCT06745960 | Not Yet Recruiting DMC

• 2 other identifiers: forward head postureP.T.REC/012/005173
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims are:

1. 1.To investigate the effect of electrical stimulation (interferential current) on forward head posture and protracted shoulder in adolescents.
2. 2.To investigate the effect of electrical stimulation on cervical pain, cervical ROM, neck muscle strength, and quality of life in adolescents with forward head posture and protracted shoulder.

Conditions

Forward Head Posture; Rounded Shoulder Posture

Keywords

electrical stimulation; interferential current; adolescence

Outcome Measures

Primary Outcomes (4)

• shoulder angle (SA)

  To measure Shoulder Angle (SA) of rounded shoulder, a line from anterolateral aspect of acromion to C7 will be taken and a horizontal line from anterolateral aspect of acromion , it will be considered as forward shoulder when the angle is 52 degree or less.

  From enrollment to the end of treatment at 8 weeks

• craniovertebral angle (CVA)

  To measure Craniovertebral Angle (CVA) of forward head posture, a line from C7 to tragus of the ear will be taken and a horizontal line from C7 (the normal CVA more than 50 degree).

  From enrollment to the end of treatment at 8 weeks

• head tilt angle (HTA)

  To measure head tilt angle (HTA) or cranial angle (CA) the angle of the line between the canthus of the eye and horizontal line from the tragus, the head tilt angles is 17.74 ± 4.9 degrees in people with normal head posture.

  From enrollment to the end of treatment at 8 weeks

• head position angle (HPA)

  To measure head position angle (HPA) angle between the tragus manubrium line and the line extending from the center point of chin to the tragus, the angle is 38.1 ± 4.9 degrees in people with normal head posture.

  From enrollment to the end of treatment at 8 weeks

Secondary Outcomes (3)

• Pain sensation

  From enrollment to the end of treatment at 8 weeks

• cervical range of motion

  From enrollment to the end of treatment at 8 weeks

• neck muscles strength

  From enrollment to the end of treatment at 8 weeks

Study Arms (2)

intervention group

ACTIVE COMPARATOR

study group (interferential current )

Device: electrical muscle stimulation device (EMS gymna); Other: physical therapy program

physical therapy exercises group

PLACEBO COMPARATOR

control group (exercise group)

Other: physical therapy program

Interventions

electrical muscle stimulation device (EMS gymna) DEVICE

muscle stimulant device

intervention group

physical therapy program OTHER

neck exercises

intervention group; physical therapy exercises group

Eligibility Criteria

• Age: 15 Years - 18 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Girls aged between (15-18) years old.
• Normal weight with BMI ranging from (16-25).
• Adolescents with mild and moderate forward head posture(FHP).
• Adolescents with mild and moderate neck pain.
• Adolescents with protracted shoulder.

You may not qualify if:

• Cervical disc.
• Previous Shoulder trauma within last 6months.
• Shoulder surgery.
• Cervical fracture.
• Congenital posture deformity.
• Inflammatory disease, spinal tumor, spinal compression, spinal cord infection.
• Taking any medication for pain

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy

Dokki, Giza Governorate, Egypt

Location

Related Publications (2)

• Elgendy MH, Ghaffar MAA, Sabbahi SAE, Abutaleb EES, Elsayed SEB. Efficacy of head postural correction program on craniovertebral angle, scapular position, and dominant hand grip strength in forward head posture subjects: A randomized controlled trial. Physiother Res Int. 2024 Jul;29(3):e2093. doi: 10.1002/pri.2093.

  PMID: 38780139 BACKGROUND

• Titcomb DA, Melton BF, Miyashita T, Bland HW. Evidence-Based Corrective Exercise Intervention for Forward Head Posture in Adolescents and Young Adults Without Musculoskeletal Pathology: A Critically Appraised Topic. J Sport Rehabil. 2022 Feb 16;31(5):640-644. doi: 10.1123/jsr.2021-0381. Print 2022 Jul 1.

  PMID: 35172275 BACKGROUND

Related Links

• effect of electrical muscle stimulation
• image of angles needed to be measured in this study

Study Officials

• asmaa O SAYED

  Cairo University

  STUDY DIRECTOR

Central Study Contacts

yosra MM Ali

CONTACT

+201013697310; yosra.mostafa27@gmail.com

Eman I Alhadidy

CONTACT

+201223375282; emanalhadedy@gmail.com

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: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Study Record Dates

• First Submitted: December 9, 2024
• First Posted: December 24, 2024
• Study Start: January 1, 2025
• Primary Completion: April 1, 2025
• Study Completion: May 1, 2025
• Last Updated: December 24, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)