Efficacy of Adding Pilates to Postural Correction Exercise on Nerve Root Function and Electromyography Activity in Symptomatic Forward Head Posture: Randomized Controlled Trial
Condition: Forward Head Posture
Study type: Interventional

Summary: 
      to investigate the Efficacy of adding Pilates to postural correction exercise on nerve root
      function and electromyography activity in symptomatic forward head posture: Randomized
      Controlled Trial
    

Detailed description: 
      Forward head posture (FHP) is nowadays the most common postural problem. In FHP, the head
      protrudes forward from the sagittal plane and appears to be positioned in front of the body,
      and this condition is considered the most common postural deformity. The prevalence of
      anterior head translation in neck pain patients was found to be 37%, out of which 58% were
      females and 42%were males. FHP is among the most common abnormal postures in upper quarter.
      85% of patients with myofascial pain syndrome have FHP. Even more alarming is how frequently
      these problems are seen in younger populations since it's suggested that problems at a young
      age may lead to more serious consequences later in life. Pilate's method is a physical
      fitness system that was developed during the First World War in the early 20th century by
      Joseph Hubertus Pilates. Direction Control and Range Control exercises are two key types of
      specific exercises that should be used when specific uncontrolled movements are found.
      Pilates is a mind-body exercise that focuses on strength, core stability, flexibility, muscle
      control, posture and breathing. Exercises can be mat-based or involve use of specialized
      equipment. Six major components of Pilates as: Centering, Concentration, Control, Precision,
      Flow and Breathing.

      pilates exercise and postural correction play a major role in restoring the normal posture in
      patients with forward head posture so this trial will be conducted to investigate efficacy of
      adding Pilates to postural correction exercise on nerve root function and electromyography
      activity in symptomatic forward head posture.
    

Intervention name(s): Pilates and postural correction exercise; Pilates exercises; postural correction exercises
Intervention type(s): Other; Other; Other
Intervention description(s): ten exercises will be performed:
Hip Twist Level 1
Double leg stretch Level 1
Double leg stretch Level 2
One leg stretch Level 1
Clam Level 1
Scissors Level 1
Arm openings Level 1
Breast stroke prep Level 1t
Hip Twist Level 1.
Breast stroke prep Level 2 as for level 1 postural correction exercise
1-Strengthening deep cervical flexors 2-Stretching cervical extensors 3- Strengthen shoulder retractors 4-Unilateral and bilateral pectoralis stretch; ten exercises will be performed:
Hip Twist Level 1
Double leg stretch Level 1
Double leg stretch Level 2
One leg stretch Level 1
Clam Level 1
Scissors Level 1
Arm openings Level 1
Breast stroke prep Level 1t
Hip Twist Level 1.
Breast stroke prep Level 2 as for level 1; postural correction exercise in the form of :
Strengthening deep cervical flexors through chin tucks,
Stretching cervical extensors through a chin drop
Strengthen shoulder retractors
Unilateral and bilateral pectoralis stretch alternating each two-week period.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: this trial has three groups; one experimental and two groups control.
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: forward head psture; Pilates exercise; postural correction exercise; nerve root function