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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pilates mat exercises | Experimental | one hour Pilates exercises with 10 min warm up and 5-10 min cooling down |
|
| cervical stabilization exercises | Experimental | training of deep cervical flexor muscles with pressure biofeedback unit |
|
| conventional physiotherapy | Active Comparator | 10 min hot pack on cervical area range of motion exercises and isometric neck exercises as a home program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pilates mat exercises | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Dynamic balance | will be measured by Biodex balance system | up to twelve weeks |
| Craniovertebral angle | will be measured by photogrammetric method | up to twelve weeks |
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | by visual analogue scale (VAS) 10 cm line with 2 ends, 0 and 10 ends 0 end means no pain 10 end means the worst pain | up to twelve weeks |
| cervical range of motion | by cervical range of motion device (CROM) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Haytham M Elhafez, Professor | professor of physical therapy- cairo university | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy-Cairo University | Giza | 12511 | Egypt |
we will share the results of the trial 1-craniovertebral angle 2-dynamic balance 3-pain level of neck area 4-function of daily life 5-cervical range of motion
one year
the criteria will be accessed by the publication of trials in international journal
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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|
| cervical stabilization exercises | Other | training of deep cervical flexor muscles with pressure biofeedback unit, 20 min/day, 3 days/week for 12 weeks. |
|
| conventional physiotherapy | Other | 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 |
|
| up to twelve weeks |
| Function of daily life | by Arabic version of neck disability index | up to twelve weeks |