Clinical trial NCT05533853: Different Methods of Forward Head Posture Correction
Official title: Different Methods of Forward Head Posture Correction: Does it Matter? A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Forward Head Posture
Keywords: Forward head posture
Elderly
Randomized controlled trial
Lead sponsor: University of Sharjah
Sponsor class: OTHER
First posted: 2022-09-09
Enrollment: 80
Sex: ALL
Minimum age (years): 60
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A prospective, double blinded, parallel-group, randomized clinical trial was conducted at one of our university's research departments,
Primary purpose: TREATMENT

Brief summary: The goal of the study is to compare various methods of correcting forward head posture in elderly subjects. In particular, we will contrast two methods: the conventional program, which aims to restore muscle balance, and the Chiropractic BioPhysics (CBP) rehabilitation program, which relies on stretching the viscous and plastic elements of the longitudinal ligament and intervertebral disc in addition to effectively stretching the soft tissue throughout the entire body.

Detailed description: Forward head posture has been shown to be a common postural displacement, with a conservative estimate being 66% of the whole population. It is generally believed that this abnormal posture is associated with the development and persistence of many disorders. There are many strategies to treat forward head posture; the commonly used is traditional exercise program, which aims to restore muscle balance by stretching the short muscles and strengthening the weak ones. The second treatment method is Chiropractic BioPhysics (CBP) rehabilitation program which depend on stretching of the viscous and plastic elements of the longitudinal ligament and intervertebral disc, in addition to effectively stretching the soft tissue through the entire neck area in the direction of the normal head and neck postures as seen with Denneroll traction in addition to mirror image exercise. Up to our knowledge, there is no available studies evaluating the difference between the two forward head correcting methods regarding the amount of head posture correction and the impact of different correction methods on balance. Most important, in the majority of the previous studies which investigated the efficacy of the different posture correction techniques, the subjects were young people. Therefore, the results might not be applicable to all age groups, particularly to the elderly, due to age-related musculoskeletal and physiological changes. Accordingly, the aim of this study is to compare between traditional exercise program and chiropractic biophysics approach in elderly subject .

Eligibility criteria: Inclusion Criteria:

* craniovertebral angle (CVA) is less than 50°

Exclusion Criteria:

* any signs or symptoms of medical "red flags" were present: tumor, fracture, rheumatoid arthritis, severe osteoporosis, and prolonged steroid use.
* Subjects with previous spine surgery
* Neurological diseases
* Vascular disorders

Primary outcomes:
measure: The change in craniovertebral angle
timeFrame: will be measured at two intervals ;pre-treatment and immediately after treatment
Secondary outcomes:
measure: The change in pain intensity
timeFrame: will be measured at two intervals ;pre-treatment and immediately after treatment
measure: The change in Neck Disability Index
timeFrame: will be measured at two intervals ;pre-treatment and immediately after treatment
measure: Changes in Cervical joint position sense testing
timeFrame: will be measured at two intervals ;pre-treatment and immediately after treatment
Other outcomes:
Locations:
city: Sharjah
country: United Arab Emirates
facility: Ibrahim Moustafa
state: United Arab Emirate
Study officials:
References: