Effect Of Kinetic Control Training On Pain And Craniovertebral Angle In Symptomatic Forward Head Posture (CairoU)

Cairo University (CU)

Status: Not yet enrolling

Conditions: Symptomatic Forwardhead Posture

Treatments: Other: kinitic control training

Study type: Interventional

Funder types: Other

Identifiers

NCT06586463

P.T.REC/012/005328

Details and patient eligibility

About

The goal of this clinical trial is to investigate the effect of adding kinetic control training of cervical and shoulder joints on pain, neck function, neuromuscular control of the deep cervical flexors, and craniovertebral angle in symptomatic forward head posture.

Full description

Forward head posture (FHP) is one of the most common postural deformity, which affects 66% of the patient population with high prevalence among university students due to prolonged usage of computer, smartphones and faulty posture during lectures with lack of awareness about proper posture among them.Participants with FHP exhibited abnormal sensorimotor control and autonomic nervous system dysfunction compared to those with normal head alignment .

Identifying and classifying movement faults is fast becoming the key of recent neuromusculoskeletal rehabilitation. Uncontrolled movement (UCM), contributing to neck pain symptoms, can cause compression or impingement on one side of joints while developing tensile strain on the other side. If UCM is not managed, and the related tissue stress and strain are sustained or repeated beyond the limits of tissue tolerance, multiple tissue pathology may develop eventually and a combination of symptoms may occur . As seen in symptomatic forward head posture.

Along with the identification of site and direction of the faults, direction-movement control intervention(kinetic control) retrains the control of the movement faults. The suggestion is that uncontrolled movement links to the pattern of movement during everyday activities and relates to neck pain. This maneuver can reduce symptoms of neck pain.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 1. 50 Subjects of both genders aged 18-40 years old with symptomatic forward head posture (FHP) and Body Mass Index (BMI) less than 30 kg/m2 .

  2. Subjects have FHP if CVA ≤ 50° for assessing FHP 3) Pain between three and eight using numerical pain rating scale NPRS 4) Subjects have non-specific neck pain for at least 3 months

Exclusion criteria

• The patients were excluded if they had:

  1. Experienced a history of neck injuries, neck and shoulder surgery
  2. Shoulder trauma, tendinitis, thoracic surgery
  3. Neurological disorders such as cervical spondylosis, spondylolisthesis.
  4. Disc prolapse
  5. Rheumatic disease, fibromyalgia

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

conventional treatment

Active Comparator group

Description:

(Control group) receives conventional therapy (cervical, and scapular stabilization exercises, stretching exercises for the pectoralis minor, sternocleidomastoid, scalene muscles and hot pack )

Treatment:

Other: kinitic control training

kinetic control training

Experimental group

Description:

takes the same as the control group plus kinetic control. Correction of Low cervical flexion UCM Initially, position the lower and upper cervical spine in neutral with the head supported. the person is trained to perform independent upper cervical flexion (nodding). The upper cervical spine can flex only so far as there is no low cervical flexion. As the ability to control upper cervical extension gets easier and the pattern of dissociation feels less unnatural the exercise can be progressed. Correction of scapula and glenohumeral ( UCM) the arm flexion is performed unsupported through the partial range that can be controlled well. This is eventually progressed throughout the full benchmark range with the elbow straight. With visual, auditory and kinaesthetic cues the person becomes familiar with the task of flexing the glenohumeral joint to 90° without scapula movement or glenohumeral translation.

Treatment:

Other: kinitic control training