FHP: Efficacy of Adding Pilates to Postural Correction Exercise on Nerve Root Function and Electromyography Activity in Symptomatic Forward Head Posture: Randomized Controlled Trial

• Sponsor: Cairo University (Other)
• Overall Status: Completed
• CT.gov ID: NCT05170776
• Collaborator: (none)
• Enrollment: 120
• Location: 1
• Arms: 3
• Actual Duration (Months): 5
• Patients Per Site Per Month: 24.2

Study Details

Study Description

Brief Summary

to investigate the Efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture: Randomized Controlled Trial

Condition or Disease	Intervention/Treatment	Phase
Forward Head Posture	Other: Pilates and postural correction exercise; Other: Pilates exercises; Other: postural correction exercises	N/A

Detailed Description

Forward head posture (FHP) is nowadays the most common postural problem. In FHP, the head protrudes forward from the sagittal plane and appears to be positioned in front of the body, and this condition is considered the most common postural deformity. The prevalence of anterior head translation in neck pain patients was found to be 37%, out of which 58% were females and 42%were males. FHP is among the most common abnormal postures in upper quarter. 85% of patients with myofascial pain syndrome have FHP. Even more alarming is how frequently these problems are seen in younger populations since it's suggested that problems at a young age may lead to more serious consequences later in life. Pilate's method is a physical fitness system that was developed during the First World War in the early 20th century by Joseph Hubertus Pilates. Direction Control and Range Control exercises are two key types of specific exercises that should be used when specific uncontrolled movements are found. Pilates is a mind-body exercise that focuses on strength, core stability, flexibility, muscle control, posture and breathing. Exercises can be mat-based or involve use of specialized equipment. Six major components of Pilates as: Centering, Concentration, Control, Precision, Flow and Breathing.

pilates exercise and postural correction play a major role in restoring the normal posture in patients with forward head posture so this trial will be conducted to investigate efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture.

Study Design

• Study Type: Interventional
• Actual Enrollment: 120 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: this trial has three groups; one experimental and two groups control.this trial has three groups; one experimental and two groups control.
• Masking: Double (Investigator, Outcomes Assessor)
• Masking Description: opaque sealed envelop
• Primary Purpose: Treatment
• Official Title: Efficacy of Adding Pilates to Postural Correction Exercise on Nerve Root Function and Electromyography Activity in Symptomatic Forward Head Posture: Randomized Controlled Trial
• Actual Study Start Date: Jan 1, 2022
• Actual Primary Completion Date: Jun 1, 2022
• Actual Study Completion Date: Jun 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Pilates and postural correction exercise pilates and postural correction exercise will be received three times a week for 10 weeks	Other: Pilates and postural correction exercise; ten exercises will be performed: Hip Twist Level 1 Double leg stretch Level 1 Double leg stretch Level 2 One leg stretch Level 1 Clam Level 1 Scissors Level 1 Arm openings Level 1 Breast stroke prep Level 1t Hip Twist Level 1. Breast stroke prep Level 2 as for level 1 postural correction exercise 1-Strengthening deep cervical flexors 2-Stretching cervical extensors 3- Strengthen shoulder retractors 4-Unilateral and bilateral pectoralis stretch
Active Comparator: Pilates exercises pilates exercise will be received three times a week for 10 weeks	Other: Pilates exercises; ten exercises will be performed: Hip Twist Level 1 Double leg stretch Level 1 Double leg stretch Level 2 One leg stretch Level 1 Clam Level 1 Scissors Level 1 Arm openings Level 1 Breast stroke prep Level 1t Hip Twist Level 1. Breast stroke prep Level 2 as for level 1
Active Comparator: postural correction exercises postural corrections exercise will be received three times a week for 10 weeks	Other: postural correction exercises; postural correction exercise in the form of : Strengthening deep cervical flexors through chin tucks, Stretching cervical extensors through a chin drop Strengthen shoulder retractors Unilateral and bilateral pectoralis stretch alternating each two-week period.

Outcome Measures

Primary Outcome Measures

1. nerve root function [up to ten weeks]

   nerve root function in the form of somatosensory evoked potential will be measure by electromyograph.

Secondary Outcome Measures

1. pain intensity [up to ten weeks]

   pain intensity will be measure by visual analogue scale.

2. neck disability [up to ten weeks]

   neck disability will be measure by Arabic neck disability index

3. flexion and extension endurance test [up to ten weeks]

   the endurance will be measured by stop watch

4. muscle amplitude [up to ten weeks]

   electromyography will be used to measure the muscle amplitude in the form of root mean square

5. craniovertebral angle [up to ten weeks]

   craniovertebrel angle will be measured by surgimap program

Eligibility Criteria

Criteria

• Ages Eligible for Study: 20 Years to 45 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Ages from 20-45 years old with symptomatic forward head posture will be included in this study

• Participants have FHP if CVA ≤ 50 Non- athletes

• Normal body mass index (BMI) (18- 24.9). (BMI = body mass in kg divided by subject height in meters).

Exclusion Criteria:

• any spinal problems

• Temporomandibular disease

• Participants with experience in pilates and who will not be sedentary were excluded from the study

• Previous surgery in the neck and shoulder

• 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 mylopathy

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Al Shaymaa Shaaban Abd El Azeim	Giza		Egypt	12511

Sponsors and Collaborators

• Cairo University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Al Shaymaa Shaaban Abd El Azeim, lecturer, Cairo University
• ClinicalTrials.gov Identifier: NCT05170776
• Other Study ID Numbers: p.t.REC/012/003411
• First Posted: Dec 28, 2021
• Last Update Posted: Aug 9, 2022
• Last Verified: Aug 1, 2022

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Al Shaymaa Shaaban Abd El Azeim, lecturer, Cairo University: forward head psture; Pilates exercise; postural correction exercise; nerve root function

Study Results

No Results Posted as of Aug 9, 2022