Strengthening and Stretching Exercise to Improve Forward Head Posture and Rounded Shoulders
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04216862 |
Recruitment Status :
Completed
First Posted : January 3, 2020
Last Update Posted : October 27, 2020
|
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Forward Head Posture | Other: Exercise | Not Applicable |
Forward head posture and Rounded Shoulder are related to muscle imbalance, which disturbs length tension relationship of muscles. Weak and lengthened muscles in Forward head posture and rounded shoulders are deep neck flexors which include longus capitis and longus coli and weak scapular stabilizers and retractors which include Rhomboids and middle, lower trapezius, Teres Minor and Infraspinatus. The overactive and shortened muscles participating in Forward head posture and Rounded shoulders are Deep upper cervical extensors which include longissimus capitis, Splenius Capitis, Cervical Multifidus, Upper Trapezius and Shoulder protractors and elevators which include Pectoralis minor, Pectoralis major and Levator Scapula. Previous researches suggests that weakened postural muscles should be strengthened and shortened muscles should be lengthened in order to improve postural alignment and alleviate Forward head posture and restoring the normal muscle balance between opposing muscle groups (agonists and antagonists). The majority of treatments have focused on the deep neck flexors, as they play a major role in stabilizing the alignment of the cervical spine. Exercise improved the forward head and Rounded Shoulder significantly.
The selection of 50º as a reference angle for forward head posture was guided by previous studies, with the latter reporting 55.02 ± 2.86 as a normal range. As is well known, subjects with forward head posture have a significantly smaller cervical angle when compared with normal subjects. In the present study, the investigators considered 52º as the reference angle based on a previous study which evaluated 310 participants in a standing position and reported 2.6º±15.3 as a normal range, and Brink et al, who evaluated 15 to 17 year-olds and reported a mean shoulder angle value of 51.35º ± 17.2º, and based on the premise that subjects with protracted shoulder have a significantly smaller shoulder angle when compared with normal subjects. Individual will be considered to have rounded shoulder if the angle will be less than 52º.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 30 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Effect of Strengthening and Stretching Exercise of Deep Neck Muscles Group to Improve Forward Head Posture and Rounded Shoulders in Normal Healthy Adults |
Actual Study Start Date : | September 1, 2019 |
Actual Primary Completion Date : | February 20, 2020 |
Actual Study Completion Date : | March 1, 2020 |
Arm | Intervention/treatment |
---|---|
Experimental: Strengthening exercise treatment
This exercise targets the deep flexor muscles of the upper cervical region the longus capitis and longus colli muscles.
|
Other: Exercise
Different type of exercises for treatment of Forward Head Posture |
Active Comparator: Stretching exercise treatment
The subject's forearm is stabilized by a vertical plane before the trunk is rotated in the opposite direction. Therefore the arm on the involved side is externally rotated and abducted to 90.
|
Other: Exercise
Different type of exercises for treatment of Forward Head Posture |
- Craniovertebral angle [ Time Frame: 3 Months ]The angle between the line from the external auditory meatus to the seventh cervical vertebra and a horizontal line at the level of the seventh cervical vertebra using photogrammetry
- Scapular Index [ Time Frame: 3 Months ]Its the ratio of the length of the scapula to its breadth multiplied by 100 and will be measured using Posture Assessment Software
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 22 Years to 40 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Individuals having Craniovertebral Angle (CVA) less than 50 degree
- Individuals having Shoulder Angle (SA) less than 52 degree.
- Those who had not under any regular exercise for last 6 months
- Those who use a smart phone or computer for at least 4 hours or more per day on average.
Exclusion Criteria:
- Individuals will be excluded if they had visual deficits, diagnosed balance disorders, musculoskeletal pathologies (e.g. history of shoulder surgery, cervical or thoracic fracture, Osteosarcoma, Myeloma), non-ambulatory, displayed functional or structural scoliosis, or had excessive thoracic kyphosis.
- Individuals having symptoms of Vertebral Artery Insufficiency.
- Individuals not willing to participate or to follow up treatment plan.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04216862
Pakistan | |
Riphah International University | |
Lahore, Pakistan, 54000 |
Principal Investigator: | Danish Hassan, PhD* | Riphah International University |
Responsible Party: | Riphah International University |
ClinicalTrials.gov Identifier: | NCT04216862 |
Other Study ID Numbers: |
RiphahIU Tehmina Irfan |
First Posted: | January 3, 2020 Key Record Dates |
Last Update Posted: | October 27, 2020 |
Last Verified: | October 2020 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Forward Head Rounded Shoulder Neck Pain |