Clinical trial NCT04959942: Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on on Forward Head Posture
Official title: Efficacy of Adding Scapular Stabilization Exercises to Postural Correctional Exercises on Endurance of Cervical Flexor and Extensor Muscles on Asymptomatic Forward Head Posture; Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Forward Head Posture
Keywords: scapular stabilization exercise
postural correction exercises
forward head posture
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2021-07-13
Enrollment: 60
Sex: ALL
Minimum age (years): 20
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: scapular stabilization and postural correction exercise
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate efficacy of adding Scapular Stabilization Exercises to postural correctional exercises on Endurance of cervical flexor and extensor muscles on Asymptomatic forward head posture.

Detailed description: Forward head posture (FHP) is the most common deviation from ideal head posture and is characterized by the head projecting forward into the sagittal plane such that it is anterior to the trunk. Individuals with neck pain frequently demonstrate FHP, when compared to age-matched controls.

Asymmetric posture is a chronic stressor and the origin of most noxious stimuli that could alleviate 70-90 % of chronic pain. It is reported that FHP is a common postural abnormality, with a conservative estimate being 66 % of the patient population. It causes vertebral displacement patterns, abnormal stresses, and strain on the spinal cord. FHP has adverse mechanical tension on neural and vascular elements.

It is theorized that when muscle performance is impaired, the balance between the stabilizers on the posterior aspect of the neck and the DNFs will be disrupted, resulting in loss of proper alignment and posture, which is then likely to contribute to cervical Impairment (loss of range of motion, or decreased strength including, but not limited to, the sternocleidomastoid (SCM), trapezius, and deep neck flexor (DNF) muscles endurance of the neck musculature.

Assessment of DNF muscle performance properties is arguably important given the relationship between DNF muscle torque and endurance deficits and patient complaints of head and neck pain. sixty subjects with forward head posture assigned randomly to three groups. experimental group 1 will receive scapular stabilization plus postural correction exercise and advice, experimental group 2 will receive postural correction exercise plus advice and finally control group will receive advice.

Eligibility criteria: Inclusion Criteria:

1. If asymptomatic subjects with CVA equal or less than 50.
2. shoulder flexion at least 130 degrees or more, they involved in this research.

Exclusion Criteria:

1. If they had a history of cervical spine sur¬gery
2. Cervical spondylosis
3. Cervical or shoulder neurological movement disorder, Temporo-mandibular surgery, Pathologic trauma.

Primary outcomes:
measure: craniovertebral angle
timeFrame: up to ten weeks
measure: cervical range of motion
timeFrame: up to ten weeks
Secondary outcomes:
measure: flexion endurance
timeFrame: up to ten weeks
measure: extension endurance
timeFrame: up to ten weeks
measure: muscle activity during rest and activity
timeFrame: up to ten weeks
Other outcomes:
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