Effect of Cervical Stability Training on Somatosensory Evoked Potential and Cervical Spine in Forward Head Posture

Study Overview
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Brief Summary
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to investigate the effect of cervical stability training on somatosensory evoked potential and cervical spine in forward head posture

Detailed Description
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The use of electronic tools is increasing in worldwide varieties and the attractiveness of these tools lead to variety of groups of people, especially teenagers, using them for prolonged period of time leading to increased musculoskeletal problems. Excessive use of smartphones for long period of time can lead to decreased postural control and forward head postur (FHP) as phone users maintain an abnormal alignment of the head and neck. The habit of repetitive use of computers, TV, mobile phones, and video games and even back packs forces the body to exhibit bad posture. The overall prevalence of FHP was reported to be 66% in computer based workers. cervical stability training play a major role in treatment of forward head posture so this study will be conducted to investigate its role on craniovertebral angle, cervical range of motion, pain intensity level, functional disability, neck flexor and extensor muscles endurance, lordotic cervical curvature, somatosensory evoked potential in forward head patient.

Official Title
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Effect of Cervical Stability Training on Somatosensory Evoked Potential and Cervical Spine in Forward Head Posture

Conditions
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Forward Head Posture

Intervention / Treatment
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* Other: cervical stability training
* Other: traditional treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult participant (18-to-40years old) with forward head posture, BMI 20-to-25 kg/m², The area of mechanical neck pain will defined to the cervical region, possibly with referred pain into the occipit, nuchal muscles, and shoulders, All patients will have chronic neck pain for more than 3 months, Craniovertebral angle of ˂ 49. Exclusion Criteria: Signs of serious pathology (e.g., rheumatoid diseases, ankylosing spondylitis), History of cervical spine surgery, History of trauma or fractures in cervical spine, Signs of cervical radiculopathy or myelopathy, Vascular syndrome such as vertebrobasilar insufficiency.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 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
Interventional Model Description: this trial has two groups, one experimental and one control
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: cervical stability training<br>cervical stability training will be received three times a week for eight weeks | Other: cervical stability training<br>* cervical stability training will be contain three phases, each phase has six positions ( supine, forearms, sidelying, four point kneeling, sitting and standing position)<br>Other: traditional treatment<br>* TENS, hot packs, stretching exercise of superficial neck muscles, and postural advice.<br>|
| Active Comparator: traditional treatment<br>traditional treatment will be received three times a week for eight weeks | Other: traditional treatment<br>* TENS, hot packs, stretching exercise of superficial neck muscles, and postural advice.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| somatosensory evoked potential | somatosensory evoked potential will be measured by electromyograph device | up to eight weeks | 
| craniovertebral angle | craniovertebral angle will be measured photographically by surgimap program | up to eight weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain intensity level | pain will be measured by visual analogue scale | up to eight weeks | 
| functional disability | disability will be measured by arabic neck disability index | up to eight weeks | 
| cervical range of motion | Phone application (clinometer) will used to measure cervical range of motion using smartphone (Infinix Note 5) | up to eight weeks | 
| endurance test | flexion and extension endurance will be measured using pressure biofeedback unit | up to eight weeks | 
| cervical curvature | digital x ray will be used to measure cervical curvature | up to eight weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cervical stability, somatosensory evoked potential, forward head posture