Postural Rehabilitation for Visual Dysfunction in Forward Head Posture

NCT07484555 | Not Yet Recruiting DMC

• 1 other identifier: RiphahIU Aisha Razzaq
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

This assessor-blinded randomized controlled trial aims to compare the effects of motor control training, sensor-based biofeedback training using a wearable inertial measurement unit (IMU), and standardized postural correction exercises on mild visual dysfunction in university students with forward head posture (FHP). The trial seeks to establish whether targeted postural rehabilitation can produce measurable improvements in validated visual and sensorimotor outcomes.

Conditions

Forward Head Posture

Keywords

Balance; posture; Motor control training; Muscle endurance; Sensors; Visual impairment

Outcome Measures

Primary Outcomes (5)

• visual impairment

  The mild visual impairment will be measured by LogMar chart. the smallest line that person can read will be recorded as reading of visual impairment. the score is generally in form of fractions.

  baseline to 8th week

• oculomotor function

  this will be measured by the near point convergence test. the point at which blurring stated by participant will be measured in cms.

  baseline to 8th week

• visual reaction time

  this will be measured on visual reaction time app on phone. the person has to click the screen when the stimulus arrives on screen. The average of 3 readings will be recorded as the visual reaction time

  baseline to 8th week

• visual fatigue

  The visual fatigue will be measured by 17 item asthenopia questionnaire (ASQ-17). the score will be marked on 5 point likert scale with greater score shows more severity

  baseline to 8th week

• craniovertebral angle

  this will be measured by mobile app specified for said purpose. sideways picture will be taken and CVA will be noted from the app.

  baseline to 8th week

Secondary Outcomes (5)

• flexor muscle endurance

  baseline to 8th week

• extensor muscle endurance

  baseline to 8th weeks

• pelvic tilt

  baseline to 8th week

• static balance

  baseline to 8th week

• dynamic balance

  baseline to 8th week

Study Arms (4)

motor control training group

EXPERIMENTAL

the motor control training is done in the stationary and in motion conditions with and without inertia and with and without object manipulations for the forward head posture participants.

Other: motor control training

Sensor biofeedback training group

EXPERIMENTAL

Real time biofeedback training is being done through the sensor being applied to cervical spine during normal day activities.

Device: Sensor development training group

conventional postural training

EXPERIMENTAL

this program consists on strengthening of deep cervical flexors and scapular retractors and stretching of cervical extensors and pectoralis major muscles

Other: conventional posture training

control group

NO INTERVENTION

postural education about proper ergonomics is being shared to the participants

Interventions

motor control training OTHER

the intervention will be a progressive training starting from the stationary, no inertia and no object manipulation to in motion with inertia and with object manipulation taking help of sitting standing and stepping stairs like activities keep the head in normal position with the help of a laser gun. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.

motor control training group

Sensor development training group DEVICE

the sensor will be being placed at C7 measuring current craniovertebral angle with the threshold being set at 50 degrees. the real time feedback will be shown on the mobile app. and the data will be recorded for whole intervention time. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.

Sensor biofeedback training group

conventional posture training OTHER

the strengthening of deep neck flexors and retractors and stretching of pectoralis major and cervical extensors will be done using intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.

conventional postural training

Eligibility Criteria

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

You may qualify if:

• years Both genders BMI 17.5-27.99 CVA \<50° Mild visual impairment log Mar 0.1-0.5

You may not qualify if:

• Head and neck trauma or surgical history, Neurological disorders
• Vestibular disorders, Benign paroxysmal positional vertigo (BPPV)
• Congenital head and neck postural abnormality
• Diagnosed oculomotor pathology (strabismus, nystagmus)
• Diagnosed congenital ocular defects (corneal dystrophies)
• Diagnosed glaucoma, cataract, uncorrected refractive errors
• Diagnosed diabetes

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Post-graduate research Lab, Riphah international university, gulberg greens campus, islamabad

Islamabad, Capital, 46000, Pakistan

Location

MeSH Terms

Conditions

Vision Disorders

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Eye Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Qamar Mehmood, PHD

  Riphah internatioal university

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Qamar Mehmood, PHD

CONTACT

03335151063; qamar.mehmood@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2026
• First Posted: March 20, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): November 30, 2026
• Study Completion (Estimated): February 25, 2027
• Last Updated: March 20, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)