Clinical trial NCT05068817: Pilates Mat Versus Cervical Stabilization Exercises on Balance in Young Adults With Forward Head Posture
Official title: Pilates Mat Versus Cervical Stabilization Exercises on Craniovertebral Angle, Pain, Function of Daily Life, Cervical Range of Motion, Dynamic Balance in Young Adults With Forward Head Posture: Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Musculoskeletal Diseases
Keywords: Balance
Craniovertebral angle
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2021-10-06
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 25
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: OTHER

Brief summary: see if there will be no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on dynamic balance in young adults with forward head posture.

Detailed description: In modernized time, extended use of mobile phone and computers has increased anterior weight bearing of cervical spine leading to a variety of musculoskeletal disorders related to the neck by changing the biomechanical stress of cervical spine. Additionally, forward head posture (FHP) alters the center of gravity (COG) of the body that lead to mechanical modifications related to postural control in the torso and every joint. The body attempts to adapt to these changes by altering its balance control mechanisms; these adaptations decrease balance ability while performing different activities and increase the risk of falling and musculoskeletal injury.

Eligibility criteria: Inclusion Criteria:

* Subjects of both genders aged 18-25 years old with forward head posture will be included in this study.
* Subjects have forward head posture if the craniovertebral angle ≤ 50.
* Subjects complain non- specific neck pain for at least 3 months or at least two episodes of non-specific neck pain during the last three months.
* Normal body mass index (18- 24.9).

Exclusion Criteria:

* Subjects with any spinal problems.
* Temporo-mandibular disease.
* Subjects with experience in Pilates and who will not sedentary were excluded from the study.
* Previous surgery in the neck and shoulder regions
* Current participation in a structured exercises program
* Neurological symptoms of the upper extremities during screening tests (e.g., Spurling test and upper limb tension tests)
* Red flags suggesting of cancer, infection, vascular insufficiency.
* Cervical radiculopathy or myelopathy

Primary outcomes:
measure: Dynamic balance
timeFrame: up to twelve weeks
measure: Craniovertebral angle
timeFrame: up to twelve weeks
Secondary outcomes:
measure: pain intensity
timeFrame: up to twelve weeks
measure: cervical range of motion
timeFrame: up to twelve weeks
measure: Function of daily life
timeFrame: up to twelve weeks
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: Faculty of Physical Therapy-Cairo University
Study officials:
affiliation: professor of physical therapy- cairo university
name: Haytham M Elhafez, Professor
role: STUDY_DIRECTOR
References: