Pilates Mat Versus Cervical Stabilization Exercises on Balance in Young Adults With Forward Head Posture (FHP)

Cairo University (CU)

Status: Completed

Conditions: Musculoskeletal Diseases

Treatments: Other: cervical stabilization exercises; Other: Pilates mat exercises; Other: conventional physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05068817

P.T.REC/012/003348

Details and patient eligibility

About

see if there will be no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on dynamic balance in young adults with forward head posture.

Full description

In modernized time, extended use of mobile phone and computers has increased anterior weight bearing of cervical spine leading to a variety of musculoskeletal disorders related to the neck by changing the biomechanical stress of cervical spine. Additionally, forward head posture (FHP) alters the center of gravity (COG) of the body that lead to mechanical modifications related to postural control in the torso and every joint. The body attempts to adapt to these changes by altering its balance control mechanisms; these adaptations decrease balance ability while performing different activities and increase the risk of falling and musculoskeletal injury.

Enrollment: 60 patients

Sex: All

Ages: 18 to 25 years old

Volunteers: No 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 the 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 (18- 24.9).

Exclusion criteria

• Subjects with any spinal problems.
• Temporo-mandibular disease.
• Subjects with experience in Pilates and who will not sedentary were 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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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60 participants in 3 patient groups

Pilates mat exercises

Experimental group

Description:

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

Treatment:

Other: Pilates mat exercises

Other: conventional physiotherapy

cervical stabilization exercises

Experimental group

Description:

training of deep cervical flexor muscles with pressure biofeedback unit

Treatment:

Other: conventional physiotherapy

Other: cervical stabilization exercises

conventional physiotherapy

Active Comparator group

Description:

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

Treatment:

Other: conventional physiotherapy