Effect of Extracorporeal Shockwave Therapy Before Postural Correction Exercise in Adults With Forward Head Posture
Condition: Neck Pain; Extracorporeal Shock Waves Therapy; Exercise Program
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      Currently, as digital leisure activities increase, more time is spent at home. According to
      these social trends, it is necessary to establish a program that can safely and effectively
      perform exercise at home.Therefore, this study assumed that if the trigger point and tension
      of the upper trapezius are resolved by applying ESWT before implementing the exercise
      program, it will have a significant effect on pain, functional aspects, and posture
      improvement. On this account, investigator would like to study the effect of applying ESWT
      before conducting the exercise program on the muscle activity ratio, craniovertebral angle,
      pressure pain threshold, and Neck disability index in adults with FHP.
    

Detailed description: 
      Experimental participants who meet the criteria of the study subjects will be selected, and
      the experiment will be conducted by coordinating the schedules of the subjects. The
      experiment will be conducted in an independent space, and the general characteristics of the
      subjects will be investigated collectively before the experiment. Subjects will take a side
      photograph from a distance of 265 cm to check the CVA. In addition, the basic value will be
      obtained by measuring the activity of the UT, MT, LT and SA when the arm is lifted in the
      direction of the scapula plane, and the pressure pain threshold of the UT Trigger point will
      be measured using a pain threshold will be measured. In addition, NDI will be self-measured
      to evaluate neck pain and function. The experiment will be divided into groups that conduct
      in ESWT and posture correction exercise programs together and groups that conduct only
      posture correction exercise programs, and the subjects will be randomly assigned to the two
      groups. After the experiment is completed, the muscle activity, head spine angle, pressure
      pain threshold, and ranch index measured in advance will be measured again.

      ESWT: Radial shock waves will be applied to the main muscles with Trigger points, the Upper
      trapezius and Levator scapulae muscles. This is conducted twice a week, with 1000impulses,
      60mJ/m (2), and 5Hz frequency for a total of four weeks.

      Posture Correction Exercise Program: Muscles such as weakened deep neck flexors, middle
      trapezius, lower trapezius, and serratus anterior muscles will undergo strengthening
      exercises, while muscles such as shortened and overactive upper trapezius, Levator scapulae,
      and sternocleidomastoid muscle will apply relaxation stretching. This will be conducted
      privately at home by providing exercise leaflets, and will be conducted for a total of four
      weeks with a 30-minute program three times a week.
    

Intervention name(s): Extracorporeal shock waves; Posture Correction Exercise Program
Intervention type(s): Device; Behavioral
Intervention description(s): Extracorporeal shock waves are non-invasive and simple treatments that are easy to apply to a wide surface and have fewer side effects with low intensity. In addition, there is an advantage of improving blood circulation through an increase in reactive blood flow and creation of new blood vessels.; The exercise program mainly consists of stretching and muscle strengthening exercises, which have shown improvement effects in terms of head vertebrae and pain. In order to optimize the muscle activity between pairs due to FHP, the selected exercise should focus on providing an appropriate proportion of muscle activity for each other as well as muscle strength.
Other intervention name(s): ESWT; PCEP
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Forward head posture; Extracorporeal shock waves; Posture Corrective Exercise Program; Trigger point; Upper trapezius; Serratus anterior; Middle trapezius; lower trapezius; Musculoskeletal Pain