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to investigate the Efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture: Randomized Controlled Trial
Forward head posture (FHP) is nowadays the most common postural problem. In FHP, the head protrudes forward from the sagittal plane and appears to be positioned in front of the body, and this condition is considered the most common postural deformity. The prevalence of anterior head translation in neck pain patients was found to be 37%, out of which 58% were females and 42%were males. FHP is among the most common abnormal postures in upper quarter. 85% of patients with myofascial pain syndrome have FHP. Even more alarming is how frequently these problems are seen in younger populations since it's suggested that problems at a young age may lead to more serious consequences later in life. Pilate's method is a physical fitness system that was developed during the First World War in the early 20th century by Joseph Hubertus Pilates. Direction Control and Range Control exercises are two key types of specific exercises that should be used when specific uncontrolled movements are found. Pilates is a mind-body exercise that focuses on strength, core stability, flexibility, muscle control, posture and breathing. Exercises can be mat-based or involve use of specialized equipment. Six major components of Pilates as: Centering, Concentration, Control, Precision, Flow and Breathing.
pilates exercise and postural correction play a major role in restoring the normal posture in patients with forward head posture so this trial will be conducted to investigate efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pilates and postural correction exercise | Experimental | pilates and postural correction exercise will be received three times a week for 10 weeks |
|
| Pilates exercises | Active Comparator | pilates exercise will be received three times a week for 10 weeks |
|
| postural correction exercises | Active Comparator | postural corrections exercise will be received three times a week for 10 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pilates and postural correction exercise | Other | ten exercises will be performed:
1-Strengthening deep cervical flexors 2-Stretching cervical extensors 3- Strengthen shoulder retractors 4-Unilateral and bilateral pectoralis stretch |
| Measure | Description | Time Frame |
|---|---|---|
| nerve root function | nerve root function in the form of somatosensory evoked potential will be measure by electromyograph. | up to ten weeks |
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | pain intensity will be measure by visual analogue scale. | up to ten weeks |
| neck disability | neck disability will be measure by Arabic neck disability index |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al Shaymaa Shaaban Abd El Azeim | Giza | 12511 | Egypt |
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this trial has three groups; one experimental and two groups control.
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opaque sealed envelop
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| Pilates exercises | Other | ten exercises will be performed:
|
|
| postural correction exercises | Other | postural correction exercise in the form of :
|
|
| up to ten weeks |
| flexion and extension endurance test | the endurance will be measured by stop watch | up to ten weeks |
| muscle amplitude | electromyography will be used to measure the muscle amplitude in the form of root mean square | up to ten weeks |
| craniovertebral angle | craniovertebrel angle will be measured by surgimap program | up to ten weeks |
| ID | Term |
|---|---|
| D026241 | Exercise Movement Techniques |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
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