Role of Pressure Bio Feedback in Management of Forward Head Posture for Computer Users at BUMDC

Study Overview
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Brief Summary
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Objective: The aim of present study is to explore the effectiveness of pressure bio feedback in treatment of occupational forward head posture on computer users.

Detailed Description
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Material & Methods: This Randomized Control Trial was conducted in Bahria University College of Physical Therapy, Karachi. Ethical approval was prior taken from Institute Review Board. there were 32 participants selected randomly equally in experimental and control group. Both male and female were included with age of 25 to 55 years currently employees of Bahria University (BUMDC) having forward head posture or complaining neck pain were included. Exclusion was age less than 25 years, history of cervical trauma or surgery, any neurological conditions or cervical pathology. Experimental Group was given DCF exercises with Pressure Biofeedback Unit (PBU) and Control Group was given Conventional DCF Exercises. SPSS version 23.0 was used for analysis.

Official Title
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Role of Pressure Bio Feedback in Management of Forward Head Posture for Computer Users at BUMDC

Conditions
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Forward Head Posture

Intervention / Treatment
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* Device: pressure bio feedback


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Both male and female age of 25 to 55 currently employees of Bahria University (BUMDC) having forward head posture complaining neck pain. Exclusion Criteria: Students of Bahria University history of cervical trauma or surgery any neurological conditions or cervical pathology

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: pressure bio feedback<br>Experimental | Device: pressure bio feedback<br>* The pressure biofeedback unit was placed between the plinth and the posterior aspect of the neck just below the occiput and inflated to a baseline of 20 mmHg. A trained physiotherapist was observing and correcting any substitution movements to ensure that all subjects could perform the exercises correctly. All exercise protocols and programs were taken from previously published studies8-10. A conventional DCF exercise protocol was performed three times a week for four weeks in both groups. The duration of the conventional DCF exercise protocol was 20-30 minutes, once a day in the control group, and 15-20 minutes, once a day in the experimental group<br>|
| Experimental: deep cervical exercises<br>comparative | Device: pressure bio feedback<br>* The pressure biofeedback unit was placed between the plinth and the posterior aspect of the neck just below the occiput and inflated to a baseline of 20 mmHg. A trained physiotherapist was observing and correcting any substitution movements to ensure that all subjects could perform the exercises correctly. All exercise protocols and programs were taken from previously published studies8-10. A conventional DCF exercise protocol was performed three times a week for four weeks in both groups. The duration of the conventional DCF exercise protocol was 20-30 minutes, once a day in the control group, and 15-20 minutes, once a day in the experimental group<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in range of cervical flexion | pre and post range of cervical flexion assessed through CROM device | 15 minutes before and after exercises | 
| change in range of right and left lateral rotations | pre and post right and left lateral rotations assessed through CROM device | 15 minutes before and after exercises | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| improvement in capacity of heavy weight lifting | pre and post improvement in capacity of heavy weight lifting assessed through 6 kg dumbless | 4 weeks | 
| change in pain intensity | pain was assesses pre and post using neck disability index (NDI) | 4 weeks before exercise and 4 weeks after exercises | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bio Feedback, Deep Cervical Flexor, Neck pain, Forward head posture, Neck Disability Index