Virtual Reality Exercises Versus Motor Control Training in Symptomatic Forward Head Posture

NCT07193537 | Not Yet Recruiting

• 1 other identifier: exercises on symptomatic FHP
• Study Type: interventional
• Target: 93
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study will be conducted to Compare between virtual reality exercises versus motor control training on cervical proprioception in symptomatic forward head posture

Conditions

Symptomatic Forward Head Posture

Keywords

pain

Outcome Measures

Primary Outcomes (2)

• cervical propioception

  Cervical proprioception will be assessed using CROM .

  up to four weeks

• Craniovertebral angle (CVA)

  Photogrammetric method will be used to assess CVA

  up to four weeks

Secondary Outcomes (3)

• pain intensity

  up to four weeks

• Neck function

  up to four weeks

• Deep neck flexors endurance

  up to four weeks

Study Arms (3)

Virtual reality exercises

EXPERIMENTAL

Thirty one subjects will receive virtual reality exercises by VR Training using Xbox Kinect for four weeks .

Other: Virtual reality exercises

Motor control training

EXPERIMENTAL

Motor control training for four weeks

Other: Motor control training

conventional treatment

ACTIVE COMPARATOR

conventional treatment for four weeks in form of posture correction and stretching exercises

Other: conventional treatment

Interventions

Virtual reality exercises OTHER

Thirty one subjects will receive virtual reality exercises by VR Training using Xbox Kinect. The Kinect sensor is an infrared camera that can recognize the positions and motions of the player without the need for special controller. The console controls the various games .For the VR training, the Xbox Kinect, console, and monitor will set up in a dedicated space. The patient will placed 1.5-2 m away from the Kinect sensor. Before the start of the training session, the research assistant adjusted the position of the sensor while the patient is sitting to ensure optimal position and motion capture, and loaded games into the system. After the setup is completed, the research assistant demonstrated games included in the Kinect adventure

Virtual reality exercises

Motor control training OTHER

Thirty one subjects will receive motor control training two times a week for eight weeks in form of deep cervical flexors strengthening using pressure biofeedback unit (craniocervical flexor exercise) :Pressure biofeedback unit will be used to perform Cranio-cervical flexor muscle training. Through which an endurance and isometric exercise for DNFs in progressive range positions will be performed each session, the PBU's air bag will be positioned below the occiput, and the inflatable cuff pressure sensor will be inflated to a baseline of 20 mmHg. Participants will instruct to target five pressure levels between 22 and 30 mmHg by nodding. scapular exercises .With patient in prone position, pillow under the chest and upper limb in varying degree of shoulder abduction, the participant lifts the hand toward the ceiling while retracting the scapula

Motor control training

conventional treatment OTHER

Thirty one subjects will receive conventional treatment for 3 times per week for 4 weeks. Conventional treatment will include the following: 1-Posture correction (chin tuck exercise) Stand with the upper back against the wall, with the feet shoulder-width apart. Tuck the chin in and hold for 5 seconds 10 repetitions .Return to the starting position and repeat a number of times. This can help stretch the muscles in the upper neck 2. Stretching exercise: Self-stretching exercise for most common tight muscles. These muscles include upper trapezius (by contralateral side bending), levator scapulae (flexion, contralateral side bending and rotation) and sternocleidomastoid muscle (slight flexion with ipsilateral side bending and rotation). Each position should be maintained for 30 seconds and repeated for 3 times.

conventional treatment

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Ninety three subjects from both sexes will participate in the study with CVA less than 50º.
• Subject's age ranged from 18-30 years old, with Body Mass Index (BMI) less than 30Kg/m2. .
• Subjects having neck pain more than 6 weeks .
• Neck disability index (NDI) value less than 24 (mild to moderate disability scores on NDI)

You may not qualify if:

• Individuals with a recent history of neck or back surgery. 2- Individuals with recent history of trauma or fracture. 3- Individuals with congenital disorders 4- Individuals with any psychiatric diseases

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Pain

Interventions

Exergaming

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Central Study Contacts

Shaimaa N Shaimaa N Abdelmageed, master

CONTACT

01221792786; shaimaafayedg33@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle investigator

Model Details: Virtual reality systems have been used in assessments and treatments in the field of rehabilitation . Motor control training motor control training of deep neck flexors with pressure biofeedback is an effective intervention for improving pain intensity and disability in patients with neck pain and preferable to strength-endurance training of cervical muscles . Scapular stabilization exercise can help improve the head posture and pain in the patients with neck pain and forward head posture. conventional treatment in form of Posture correction (chin tuck exercise) and Stretching exercises

Study Record Dates

• First Submitted: September 24, 2025
• First Posted: September 26, 2025
• Study Start: October 1, 2025
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: September 26, 2025

Record last verified: 2025-09