Clinical trial NCT06586463: Effect Of Kinetic Control Training On Pain And Craniovertebral Angle In Symptomatic Forward Head Posture
Official title: Effect Of Kinetic Control Training On Pain And Craniovertebral Angle In Symptomatic Forward Head Posture
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Symptomatic Forwardhead Posture
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-09-19
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: kinetic control training
Primary purpose: TREATMENT

Brief summary: The goal of this clinical trial is to investigate the effect of adding kinetic control training of cervical and shoulder joints on pain, neck function, neuromuscular control of the deep cervical flexors, and craniovertebral angle in symptomatic forward head posture.

Detailed description: Forward head posture (FHP) is one of the most common postural deformity, which affects 66% of the patient population with high prevalence among university students due to prolonged usage of computer, smartphones and faulty posture during lectures with lack of awareness about proper posture among them.Participants with FHP exhibited abnormal sensorimotor control and autonomic nervous system dysfunction compared to those with normal head alignment .

Identifying and classifying movement faults is fast becoming the key of recent neuromusculoskeletal rehabilitation. Uncontrolled movement (UCM), contributing to neck pain symptoms, can cause compression or impingement on one side of joints while developing tensile strain on the other side. If UCM is not managed, and the related tissue stress and strain are sustained or repeated beyond the limits of tissue tolerance, multiple tissue pathology may develop eventually and a combination of symptoms may occur . As seen in symptomatic forward head posture.

Along with the identification of site and direction of the faults, direction-movement control intervention(kinetic control) retrains the control of the movement faults. The suggestion is that uncontrolled movement links to the pattern of movement during everyday activities and relates to neck pain. This maneuver can reduce symptoms of neck pain.

Eligibility criteria: Inclusion Criteria:

* 1) 50 Subjects of both genders aged 18-40 years old with symptomatic forward head posture (FHP) and Body Mass Index (BMI) less than 30 kg/m2 .

  2) Subjects have FHP if CVA ≤ 50° for assessing FHP 3) Pain between three and eight using numerical pain rating scale NPRS 4) Subjects have non-specific neck pain for at least 3 months

Exclusion Criteria:

* The patients were excluded if they had:

  1. Experienced a history of neck injuries, neck and shoulder surgery
  2. Shoulder trauma, tendinitis, thoracic surgery
  3. Neurological disorders such as cervical spondylosis, spondylolisthesis.
  4. Disc prolapse
  5. Rheumatic disease, fibromyalgia

Primary outcomes:
measure: craniovertebral angle
timeFrame: up to 4 weeks
Secondary outcomes:
measure: neck pain
timeFrame: up to 4weeks
measure: neck function
timeFrame: up to 4 weeks
measure: neuromuscular control of the deep cervical flexors (activation and endurance)
timeFrame: up to 4 weeks
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: cairo university- Egypt
city: Cairo
country: Egypt
facility: Cairo University
Study officials:
affiliation: professor of physical therapy department of basic science
name: adel rashad ahmed, PhD
role: STUDY_CHAIR
affiliation: professor of physical therapy department of basic science
name: eman ahmed abdelmoez, PhD
role: STUDY_DIRECTOR
affiliation: lecturer of physical therapy department of basic science cairo university
name: asmaa hossam eldien, PhD
role: STUDY_DIRECTOR
References:
citation: Khosrokiani Z, Letafatkar A, Sokhanguei Y. Long-term effect of direction-movement control training on female patients with chronic neck pain. J Bodyw Mov Ther. 2018 Jan;22(1):217-224. doi: 10.1016/j.jbmt.2017.06.004. Epub 2017 Jun 13.
citation: Khosrokiani Z, Letafatkar A, Gladin A. Lumbar motor control training as a complementary treatment for chronic neck pain: A randomized controlled trial. Clin Rehabil. 2022 Jan;36(1):99-112. doi: 10.1177/02692155211038099. Epub 2021 Sep 2.
citation: Cagnie B, Struyf F, Cools A, Castelein B, Danneels L, O'leary S. The relevance of scapular dysfunction in neck pain: a brief commentary. J Orthop Sports Phys Ther. 2014 Jun;44(6):435-9. doi: 10.2519/jospt.2014.5038. Epub 2014 May 10.
citation: Ashfaq R, Riaz H. Effect of Pressure biofeedback training on deep cervical flexors endurance in patients with mechanical neck pain: A randomized controlled trial. Pak J Med Sci. 2021 Mar-Apr;37(2):550-555. doi: 10.12669/pjms.37.2.2343.