Effects of Deep Cervical Flexors Training On Forward Head Posture, Neck Pain and Functional Status

King Saud University

Status: Completed

Conditions: Forward Head Posture; Neck Pain

Treatments: Other: Craniocervical flexion training

Study type: Interventional

Funder types: Other

Identifiers

NCT04463199

RRC-2019-08

Details and patient eligibility

About

Using computer for long hours is related to higher risk of computer related muscular disorders like forward head posture and neck pain. Deep cervical flexor muscles are important head-on-neck posture stabilizers thus their training may lead to improvement in forward head posture (FHP) and neck pain (NP).

Full description

In contemporary societies, computer use by children is a necessity and thus highly prevalent. Using computer for long hours is related to higher risk of computer-related muscular disorders like forward head posture and neck pain. Deep cervical flexor muscles are important head-on-neck posture stabilizers thus their training may lead to improvement in forward head posture (FHP) and neck pain (NP). Aim of study was to determine if 4 weeks of deep cervical flexors training is effective in alleviating neck pain and improving forward head posture in adolescent children using computer regularly. A pretest-posttest experimental group design was used. Subjects were randomly assigned into control group (receiving postural advice only) and experimental group (receiving deep cervical flexor training and postural advice). Dependent variables were measured on day 0 (at baseline) and after 4weeks of training. The photographic analysis was used for measuring forward head posture, visual analog scale (VAS) for neck pain intensity and Neck Disability Index (NDI) for functional disability. Experimental group received craniocervical flexion training for 4 weeks and postural advice. Control group received only postural advice.

Enrollment: 30 patients

Sex: All

Ages: 13 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Neck pain with or without headache, of duration more than 3 months and less than 1 year and 6 months, as identified by body discomfort chart and
• Neck disability index value less than 24 (mild to moderate disability scores on NDI)
• Forward head posture as identified by straight line down from external meatus falling anterior to shoulder and mid thorax.
• Using computer for at least 3 hours a day for at least 4 days a week or more.

Exclusion criteria

• Ongoing or previous history of spinal fracture
• Ongoing or previous history of neurological signs
• Ongoing or previous history of inflammatory disease
• Ongoing or previous history of spinal tumor
• Ongoing or previous history of spinal infection
• Ongoing or previous history of spinal cord compression
• Ongoing or previous history of congenital, or acquired postural deformity
• Ongoing or previous history of cervical spinal surgery
• Ongoing or previous history of spinal instability

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Experimental

Experimental group

Description:

Experimental group received craniocervical flexion training for 4 weeks and postural advice

Treatment:

Other: Craniocervical flexion training

Control Group

No Intervention group

Description:

Control group received only postural advice