Clinical Pilates Exercises On Posture In Patients With Shoulder-Neck Posture Problem

Study Overview
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Brief Summary
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This study was designed to investigate the effect of clinic pilates exercise in adult patients whith shoulder- neck posture problem. 51 patients with forward head posture(FHP) and rounded shoulder posture(RSP) were included in this study and they were randomly divided into two groups as clinical pilates (group 1, n=26) and classical posture exercises (group 2, n=25). Patients' demographics were recorded. Deep neck fleksor muscle(DNFM) endurance was evaluated by pressure biofeedback unit (PBU). Head, neck and shoulder posture were evaluated with wall- tragus, wall-acromion, tragus-acromion and chin-sternal notch distance. Flexibility for shoulder region was evaluated with back scratch test. The patients were evaluated both before the study and 6 weeks later.

Detailed Description
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Fifty-one individuals aged between 20-55 years whose FHP and RSP problems were determined by lateral posture analysis were included in the study. However, a total of 12 individuals, 6 from each of the 2 groups, were excluded from the study because they could not complete the treatment sessions. The study was completed with 39 participants.Individuals aged between 20-60 years, whose FHP and RSP problems were determined by lateral posture analysis, were included in the study. Those with severe pain in the neck and shoulder girdle, scoliosis and neurological problems and those who had undergone any surgery in the relevant regions were not included in the study. The individuals included in the study were randomized by lot and divided into 2 groups. Group 1 was given clinical pilates exercises, and Group 2 was given a program consisting of classical posture exercises. The exercise programs of both groups were performed by the same physiotherapist, and pre- and post-exercise evaluations were made by a different physiotherapist.

Official Title
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The Effect Of Clinical Pilates Exercises On Posture In The Adult Patients With Shoulder-Neck Posture Problem: A Single-blind Randomized Controlled Trial

Conditions
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Posture, Exercise

Intervention / Treatment
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* Other: Clinical Pilates Exercises
* Other: Classic Posture exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: FHP and RSP problems were determined by lateral posture analysis Exclusion Criteria: skoliosis

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: clinical pilates exercises<br>clinical pilates exercises applied to 1st group,for 3 days / week for 6 weeks. | Other: Clinical Pilates Exercises<br>* clinical pilates exercises methods applied to the 1st group, classical posture exercises methods to the 2nd group for 3 days / week for 6 weeks.<br>|
| Other: classical posture exercises<br>classical postural exercises applied to 2 nd group,for 3 days / week for 6 weeks. | Other: Classic Posture exercise<br>* clinical pilates exercises methods applied to the 1st group, classical posture exercises methods to the 2nd group for 3 days / week for 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Distance Measurements | The right-left tragus-wall distance, right-left tragus-acromion distance, right-left wall-acromion distance, and chin-sternal notch distance were measured with the help of a tape measure. | 6 week | 
| The DNFM endurance | The DNFM endurance of the cases was measured using a pressurized biofeedback unit (PBU | 6 week | 
| Shoulder Region Flexibility | Back Scratch Test | 6 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Posture, Head and Shoulder, Pilates Based Exercises