EFFECTS OF BODY-BLADE EXERCISES ON NECK POSTURE, FUNCTION, AND MUSCLE STRENGTH IN FORWARD HEAD POSTURE

Study Overview
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Brief Summary
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This study will be conducted to determine the effect of adding Body-blade exercises to traditional treatment on posture, scapular muscles strength, neck pain, and function in individuals with forward head posture

Detailed Description
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Many studies have proposed that the Body-blade may be a more effective tool for activating the muscles employed during the training and rehabilitation of the shoulder and trunk than traditional interventions such as cuff weights and Therabands. There is few literature which studied the effect of Body-blade exercises on neck problems. So there is insufficient evidence for their effectiveness on improving forward head posture.

Official Title
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EFFECTS OF BODY-BLADE EXERCISES ON NECK POSTURE, FUNCTION, AND MUSCLE STRENGTH IN FORWARD HEAD POSTURE

Conditions
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Forward Head Posture

Intervention / Treatment
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* Other: hot pack and exercises
* Device: body blade(BB)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria : Participants with FHP of both genders Age range from 20-40 years craniovertebral angle (CVA) less than 52 degrees Exclusion Criteria : Patients with a previous diagnosis of a musculoskeletal system disease over the last 6 months, severely unstable spine osteoporosis vascular disease cervical or shoulder neurological movement disorder

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 40 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
Interventional Model Description: Double-Blinded Randomized Controlled Trial (one investigator to make the assessment,and another investigator for application of the treatment procedures)
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: physical therapy inervention<br>hot pack Three active exercises | Other: hot pack and exercises<br>* 20-minute hot pack,and three active exercises: (a) chin tucks in supine lying with the head in contact with the floor, (b) active Standing Shoulder pull back , and (c) scapular plane shoulder elevation. (3 sets of 10 repetitions for all the 3 exercises)<br>|
| Experimental: Body-blade exercises in addition to physical therapy intervention<br>Three Body-blade exercises will be performed in random order (Two sets of, 3-minute exercise and 5-minute break, for each exercise ) hot pack Three active exercises | Other: hot pack and exercises<br>* 20-minute hot pack,and three active exercises: (a) chin tucks in supine lying with the head in contact with the floor, (b) active Standing Shoulder pull back , and (c) scapular plane shoulder elevation. (3 sets of 10 repetitions for all the 3 exercises)<br>Device: body blade(BB)<br>* The Body-blade (Classic, Mad Dogg Athletics, USA), an elastic pole exercise tool with 122 cm in length, 0.68 kg, 4.3 cm in width,based on oscillatory/vibration motions that have been used in training or rehabilitation.The body blade works by rapidly changing directions at a low-frequency rhythm of approximately 4.5 Hz (cycles per second )<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| cranio vertebral angle using the Autocad | It is defined as the angle formed from a horizontal line passing through the C7 spinous process and a line passing through the tragus of the ear | 5 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain using visual Analogue Scale (VAS) | VAS is a self-reported scale consisting of a horizontal or vertical line, usually 10 centimeters long (100 mm) anchored at the extremes by two verbal descriptors referring to the pain status | 5 minutes | 
| Neck function using the Neck Disability Index | The participants will be informed with the questionnaire10-items: pain intensity, personal care, lifting, work, headaches, concentration, sleeping, driving, reading, and recreation. and will be asked to fill the response to each item which is rated on a 6-point scale from 0 (no disability) to 5 (complete disability).The higher the final score the more severe the functional disability. Scores were divided into 0- 4 points for no disability, 5-14 points for mild disability, 15-24 points for moderate disability, 25-34 points for severe disability, and 35 or higher for complete disability | 5 minutes | 
| Scapular muscles strength using Hand Held Dynamometer | the participants will be positioned in different positions according to the muscle to be measured . | 10 minutes |