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see if there is no statistical significant difference between the effects of Pilates mat versus cervical stabilization exercises on myoelectric activity of cervical muscles in young adults with forward head posture.
Forward head posture (FHP) increases extension of the atlanto-occipital joint and the upper cervical vertebrae as well as flexion of the lower cervical and upper thoracic vertebrae. Furthermore, this posture causes persistent and abnormal contraction of the suboccipital, neck, and shoulder muscles. Additionally, the muscles around the head and shoulders, including the trapezius, sternocleidomastoid, suboccipital, and temporal, are affected by FHP, which further worsens postural deformity. FHP is the most common deviation from ideal head posture and is characterized by the head projecting forward into the sagittal plane such that it is anterior to the trunk. Head in forward posture can add up to thirty pounds of abnormal leverage on the cervical spine, which pull the entire spine out of alignment, in addition, loss of the physiological lordosis could be a possible cause of pain due to muscular imbalance.
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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 |
|---|---|---|
| Myoelectric activity of cervical muscles | by surface electromyography (EMG) | up to twelve weeks |
| Craniocervical angle | by photogrammetric method. | up to twelve weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity of neck area | by visual analogue scale 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 |
| function of daily life | by neck disability index |
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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-myoelevtric activity of cervical muscles 3-pain of neck area 4-function and neck disability
one year
the criteria will be accessed by the publication of trials in international journal
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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 |
| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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