Clinical trial NCT06151951: Comparative Effects of Visual and Pressure Biofeedback in Symptomatic Forward Head Posture.
Official title: Comparative Effects of Visual and Pressure Biofeedback on Pain, Range of Motion and Disability in Symptomatic Forward Head Posture.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Forward Head Posture
Keywords: FHP
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-11-30
Enrollment: 28
Sex: ALL
Minimum age (years): 20
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study aims to determined the comparative effect of visual and pressure biofeedback on Pain,Disability and Range of Motion in young and middle aged adults diagnosed with forward head posture.

Detailed description: Forward head posture describes the shifting of the head forward with the chin poking out. It is caused by increased flexion of the lower cervical spine and upper thoracic.

Forward head posture is the most frequently observed postural deviations and is said to be associated with shortening of posterior cervical extensors and weakening of the anterior deep cervical flexors. In this randomized control trial participants showing forward head posture will be randomly assigned into two intervention groups. 28 subjects were divided equally into two groups 14 each containing both genders. Group A (Experimental group) will be given isometric strengthening and stretching training guided pressure biofeedback.

Group B (Experimental group) will be given isometric strengthening and stretching training of deep cervical flexor (DCF) muscle guided through visual biofeedback .

Each participant will be receive a total of twelve treatment sessions over a four-week period. The efficacy of the interventions will be assessed at the beginning (first session) and conclusion (last session) of the treatment period. The assessment will encompass various outcome measures. Pain intensity will be evaluated using the Numeric Pain Rating Scale (NPRS), while disability levels will be measured using the Neck Disability Index (NDI). The cervical active range of motions (CAROMs) will be assessed by goniometry. Finally, the visual feedback referred as indicator of measuring forward head posture by evaluating these outcome measures insights will be gained into the impact of the interventions on the participants' symptoms and postural alignment through light. The randomized design of the trial provide valuable information to healthcare professionals on how to manage symptomatic forward head posture and may contribute to the development of future research in this area.

Eligibility criteria: Inclusion Criteria:

1. Participants would be complaining of neck pain as a primary complain and age of 20- 35 year was recruited in the study .

2 . Male and female both gender are included in the study.

3. patient with Craniovertebral angle (CVA)\<53 degree were included in the study .

4. Score more than 3 on NPRS and more than 10 on NDI.

Exclusion Criteria:

Participant failing to fall in this category would be excluded of the study.

1. Neurogenic findings like cervical trauma, myopathy, vestibular pathology, dizziness, visual problem, spinal Fracture, dislocation and hypertension will not include in the study.
2. History of sever metabolic diseases.
3. History of recurrent surgery in upper thoracic and lumber vertebrae
4. History of recent fractures in shoulder and neck region.
5. History of tumor. -

Primary outcomes:
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: 4 weeks
measure: Neck Disability Index (NDI)
timeFrame: 4 weeks
measure: Pressure Biofeedback (Simple Sphygmomanometer)
timeFrame: 4 weeks
Secondary outcomes:
measure: Visual Biofeedback (LED Headband light)
timeFrame: 4 weeks
measure: goniometry
timeFrame: 4 weeks
Other outcomes:
Locations:
city: Bahawalpur
country: Pakistan
facility: Bahawal Victoria Hospital QAMC Bahawalpur
state: Punjab
city: Bahāwalpur
country: Pakistan
facility: Bahawal Victoria Hospital QAMC Bahawalpur
state: Punjab
Study officials:
affiliation: Riphah International University
name: Ali Raza
role: PRINCIPAL_INVESTIGATOR
affiliation: Riphah International University
name: Nusrat Prveen
role: PRINCIPAL_INVESTIGATOR
References: