FHP: Pilates Mat Versus Cervical Stabilization Exercises on Myoelectric Activity of Cervical Muscles in Forward Head Posture

Sponsor

Cairo University (Other)

Overall Status

Completed

CT.gov ID

NCT05069181

Collaborator

(none)

Enrollment

Location

Arms

Actual Duration (Months)

11.1

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

see if there is no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on myoelectric activity of cervical muscles in young adults with forward head posture.

Condition or Disease	Intervention/Treatment	Phase
Musculoskeletal Diseases	Other: Pilates mat exercises Other: cervical stabilization exercises Other: conventional physiotherapy	N/A

Detailed Description

Forward head posture (FHP) increases extension of the atlanto-occipital joint and the upper cervical vertebrae as well as flexion of the lower cervical and upper thoracic vertebrae. Furthermore, this posture causes persistent and abnormal contraction of the suboccipital, neck, and shoulder muscles. Additionally, the muscles around the head and shoulders, including the trapezius, sternocleidomastoid, suboccipital, and temporal, are affected by FHP, which further worsens postural deformity. 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. Head in forward posture can add up to thirty pounds of abnormal leverage on the cervical spine, which pull the entire spine out of alignment, in addition, loss of the physiological lordosis could be a possible cause of pain due to muscular imbalance.

Study Design

Study Type:

Interventional

Actual Enrollment :

45 participants

Allocation:

Randomized

Intervention Model:

Factorial Assignment

Masking:

None (Open Label)

Primary Purpose:

Other

Official Title:

Pilates Mat Versus Cervical Stabilization Exercises on Myoelectric Activity of Cervical Muscles, Craniovertebral Angle, Pain, Function and Cervical Range of Motion in Young Adults With Forward Head Posture: Randomized Controlled Trial

Actual Study Start Date :

Oct 1, 2021

Actual Primary Completion Date :

Dec 30, 2021

Actual Study Completion Date :

Feb 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Pilates mat exercises one hour Pilates exercises with 10 min warm up and 5-10 min cooling down	Other: Pilates mat exercises Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction). Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises. Other: conventional physiotherapy 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks
Experimental: cervical stabilization exercises training of deep cervical flexor muscles with pressure biofeedback unit	Other: cervical stabilization exercises training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks. Other: conventional physiotherapy 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks
Active Comparator: conventional physiotherapy 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program	Other: conventional physiotherapy 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Arm

Intervention/Treatment

Experimental: Pilates mat exercises

one hour Pilates exercises with 10 min warm up and 5-10 min cooling down

Other: Pilates mat exercises

Pilates mat exercises: Each Pilates session will last for one hour and commence with a 10 minute warm up and finish with a 10 min cool down. The subjects will be taught the 5 key elements of Pilates (lateral costal breathing, centring which is a neutral position of the lumbar spine with activation of the core muscles, ribcage placement, shoulder blade placement and neutral position of the cervical spine with slight upper cervical flexion at the cranio-cervical junction). Pilates exercise program will consist of warm up exercises, main treatment program (10 level) and cooling down exercises.

Other: conventional physiotherapy

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Experimental: cervical stabilization exercises

training of deep cervical flexor muscles with pressure biofeedback unit

Other: cervical stabilization exercises

training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks.

Other: conventional physiotherapy

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Active Comparator: conventional physiotherapy

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program

Other: conventional physiotherapy

10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program 3 days/week for 12 weeks

Outcome Measures

Primary Outcome Measures

Myoelectric activity of cervical muscles [up to twelve weeks]
by surface electromyography (EMG)
Craniocervical angle [up to twelve weeks]
by photogrammetric method.

Secondary Outcome Measures

Pain intensity of neck area [up to twelve weeks]
by visual analogue scale 10 cm line with 2 ends, 0 and 10 ends 0 end means no pain 10 end means the worst pain
function of daily life [up to twelve weeks]
by neck disability index

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 25 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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 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

Exclusion Criteria:

Subjects with any spinal problems
Subjects with experience in Pilates exercises through the last 3 months of the start of intervention will be 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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Faculty of Physical Therapy-Cairo University	Giza		Egypt	12511

Sponsors and Collaborators

Cairo University

Investigators

Study Director: Haytham M Elhafez, Professor, professor of physical therapy- cairo university

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Al Shaymaa Shaaban Abd El Azeim, Doctor of physical therapy, Cairo University

ClinicalTrials.gov Identifier:

NCT05069181

Other Study ID Numbers:

P.T.REC/012/003349

First Posted:

Oct 6, 2021

Last Update Posted:

Jun 30, 2022

Last Verified:

Jun 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Yes

Plan to Share IPD:

Yes

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Al Shaymaa Shaaban Abd El Azeim, Doctor of physical therapy, Cairo University

Forward head posture

Craniovertebral angle

Pilates mat exercises

Additional relevant MeSH terms:

Musculoskeletal Diseases

Study Results

No Results Posted as of Jun 30, 2022