Craniovertebral Angle and Fibromyalgia Severity

NCT06957873 | Recruiting

• 1 other identifier: AnkaraTRH-FTR-NK-06
• Study Type: observational
• Target: 134
• Locations: 1 country
• Sites: 3

Brief Summary

Forward Head Posture Frequency in Fibromyalgia Patients Assessed by Craniovertebral Angle: Association with Symptom Severity. Forward head posture is more common in patients with fibromyalgia and is a factor that increases symptom severity.

Conditions

Craniovertebral Angle; Fibromyalgia Syndrome

Keywords

Fibromyalgia Syndrome; craniovertebral angle

Outcome Measures

Primary Outcomes (1)

• The craniovertebral angle

  During the same visit, permission will be obtained from patients for photography, and it will be explained that the photograph will be used solely for scientific research. One lateral photograph will be taken from consenting patients. For this purpose, the patient will be instructed to assume a standing posture and then relax. After the photographs taken with the camera placed at shoulder level are printed, the craniovertebral angle representing the forward head posture will be measured. The craniovertebral angle is the angle between the horizontal line passing through the 7th cervical vertebra and the line connecting the tragus of the ear to the C7 spinous process. The craniovertebral angle value will be calculated as the average value measured 5 times.

  up to 12 weeks

Secondary Outcomes (1)

• Fibromyalgia Impact Questionnaire

  up to 12 weeks

Study Arms (2)

Fibromyalgia Group

Fibromyalgia (FM) is a chronic pain syndrome characterized by widespread musculoskeletal pain, muscle stiffness, joint stiffness, insomnia, fatigue, mood disorders, cognitive dysfunction, anxiety, depression, and general sensitivity. Female and male patients between the ages of 18-55 who are diagnosed with FM according to the ACR 2010 diagnostic criteria will constitute the case group.

Control Group

The control group, matching similar age and gender distribution, will be selected from patients presenting with mechanical knee pain complaints and without neck complaints. Considering the increased likelihood of degenerative changes in the cervical region with advancing age, the investigators limited the upper age limit to 55.

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Our research will be conducted as a prospective study. The case group will consist of male and female patients aged 18-55 years who present to the Physical Medicine and Rehabilitation clinic with widespread pain complaints and are diagnosed with Fibromyalgia (FM) according to ACR 2010 diagnostic criteria. The control group, matched for age and gender distribution, will be selected from patients presenting with mechanical knee pain complaints and no cervical symptoms. Considering the increased likelihood of degenerative changes in the cervical region with advancing age, the investigators limited the upper age limit to 55 years. Demographic data will be collected through face-to-face interviews during examination. During this time, patients will complete the Fibromyalgia Impact Questionnaire (FIQ). The FIQ is a 10-item questionnaire that evaluates the severity of fibromyalgia symptoms.

You may qualify if:

• Aged 18-55 years
• Diagnosed with Fibromyalgia (FM) according to The American College of Rheumatology (ACR) 2010 Diagnostic Criteria for Fibromyalgia

You may not qualify if:

• History of past or current pathology in the cervical spine, thoracic spine, or upper extremities
• History of paraspinal or thoracic surgery involving the head, spine, or shoulders within the last six months
• Structural spinal malformation
• History of surgical or neurological disorders
• Cervical trauma or pain treatment within the last 6 months
• Temporomandibular surgery
• Psychiatric disorders (e.g., dementia, amnesia, or delirium)
• Systemic inflammatory rheumatic diseases

Sponsors & Collaborators

• Ankara Training and Research Hospital: lead

Study Sites (3)

Ankara Training and Research Hospital Ankara, Altindag, Turkey, 06230

Ankara, Altindag, 06230, Turkey (Türkiye)

RECRUITING

Department of Physical Therapy and Rehabilitation, University of Health Sciences, Ankara Training and Research Hospital

Ankara, Altindag, 06230, Turkey (Türkiye)

COMPLETED

University of Health Sciences, Ankara Training and Research Hospital

Ankara, Altindag, 06230, Turkey (Türkiye)

ENROLLING BY INVITATION

Related Publications (14)

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  PMID: 33194189 BACKGROUND

• Caponnetto V, Deodato M, Robotti M, Koutsokera M, Pozzilli V, Galati C, Nocera G, De Matteis E, De Vanna G, Fellini E, Halili G, Martinelli D, Nalli G, Serratore S, Tramacere I, Martelletti P, Raggi A; European Headache Federation School of Advanced Studies (EHF-SAS). Comorbidities of primary headache disorders: a literature review with meta-analysis. J Headache Pain. 2021 Jul 14;22(1):71. doi: 10.1186/s10194-021-01281-z.

  PMID: 34261435 BACKGROUND

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  PMID: 38395498 BACKGROUND

MeSH Terms

Conditions

Fibromyalgia

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Nadide Koca, M.D.

  Ankara Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nadide Koca, M.D.

CONTACT

+905376843434; nadide.koca@gmail.com

Hakan Genç, PROF. M.D.

CONTACT

00905359780666; nadide.koca@gmail.com

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical Medicine & Rehabilitation Specialist

Study Record Dates

• First Submitted: April 27, 2025
• First Posted: May 5, 2025
• Study Start: April 1, 2025
• Primary Completion (Estimated): August 1, 2026
• Study Completion (Estimated): August 1, 2026
• Last Updated: April 17, 2026

Record last verified: 2026-04

Locations

TU (3)