Clinical trial NCT06968052: Effects of Feldenkrais Approach in Cases With Forward Head Posture
Official title: Effects of Exercise and Feldenkrais Approaches on Position Sense, Strength, Range of Motion and Posture in Cases With Forward Head Posture
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Forward Head Posture
Keywords: Rehabilitation
Posture
Proprioception
Exercise
Muscle Strength
Spine
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2025-05-13
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: It is thought that adding approaches that increase posture awareness to corrective exercise programs will contribute to the treatment. The aim of the study is to evaluate the effect of adding the Feldenkrais method to the corrective exercise program applied to individuals with forward head posture on cervical joint position sense, muscle strength, joint range of motion and posture parameters.

Detailed description: The combination of the Feldenkrais method with corrective exercises stands out as an innovative approach to the problem of forward head posture. This approach aims to not only eliminate physical alignment errors but also increase individuals' internal awareness of posture and movement patterns by integrating traditional postural correction techniques with Feldenkrais' movement efficiency and awareness-oriented principles. In this way, it may be possible for the postural improvements obtained to be more sustainable. It is reported that the Feldenkrais method supports neuromuscular control by increasing body awareness and contributes to movement quality. In light of this information, it is predicted that the addition of the Feldenkrais method to the corrective exercise program applied to individuals with forward head posture will provide additional improvement in cervical joint position sense, muscle strength, range of motion and posture parameters.

Eligibility criteria: Inclusion Criteria:

* Being between 18-65 years of age
* CVA (cervicovertebral angle) ≤50° (16,17)
* Spending at least 4 hours of daily desk time 5 days a week

Exclusion Criteria:

* Having temporomandibular dysfunction
* Having any spinal deformity
* Having cervical trauma or pain treatment within the last 6 months
* Having previously participated in a corrective exercise program
* History of neurological disorder
* History of spinal or thoracic surgery
* Having hearing impairment
* Use of analgesics/muscle relaxants

Primary outcomes:
measure: Cervical Joint Position Sense
timeFrame: 8 weeks
measure: Cervical Muscle Strength
timeFrame: 8 weeks
measure: Cervical Range of Motion
timeFrame: 8 weeks
measure: Postural Assessment
timeFrame: 8 weeks
Secondary outcomes:
measure: Neck Disability Index (NDI)
timeFrame: 8 weeks
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: 8 weeks
measure: Global Rating of Change (GROC) Scale
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University-Cerrahpaşa
Study officials:
affiliation: Istanbul University - Cerrahpasa
name: Ayşe Zengin Alpözgen, Assoc. Prof.
role: PRINCIPAL_INVESTIGATOR
References: