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| ID | Type | Description | Link |
|---|---|---|---|
| P.T.REC/012/005173 | Registry Identifier | research ethical committee |
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The study aims are:
Forward head posture (FHP) is commonly defined as the protrusion of the head in the sagittal plane so that the head is placed anterior to the trunk. It can occur because of anterior translation of the head, and it is claimed to be associated with an increase in upper cervical extension, lower cervical flexion, or both.
Patients with FHP often experience neck pain and disability, it is associated with shortening of the upper trapezius, the posterior cervical extensor muscles, the sternocleidomastoid muscle, and levator scapulae muscle. Thus, FHP may contribute to neck and shoulder pain.
The prolonged uses of mobile phones and computers have led to a variety of musculoskeletal disorders, especially related to the neck as: Forward Head Posture (FHP), rounded shoulders (RS), upper cross syndrome, mechanical neck pain etc. FHP is one in which the upper cervical convexity is increased and the lower cervical convexity is decreased causing anterior weight bearing of the cervical spine. It is also known as Scholar's neck or Reading neck.
Electrical muscle stimulation (EMS) has been used as a complementary training method, applied either locally or to the whole body. It activates muscles artificially through various electrical current forms, which are delivered through electrodes on the target muscles.
Interferential current (IFC) is an established therapy which is used to treat pain and also effective for providing relaxation of muscles. The application of IFC at the medium frequency which suggests higher penetration of the electrical stimulation in the tissue by reducing tissue impedance
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intervention group | Active Comparator | study group (interferential current ) |
|
| physical therapy exercises group | Placebo Comparator | control group (exercise group) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| electrical muscle stimulation device (EMS gymna) | Device | muscle stimulant device |
| |
| Measure | Description | Time Frame |
|---|---|---|
| shoulder angle (SA) | To measure Shoulder Angle (SA) of rounded shoulder, a line from anterolateral aspect of acromion to C7 will be taken and a horizontal line from anterolateral aspect of acromion , it will be considered as forward shoulder when the angle is 52 degree or less. | From enrollment to the end of treatment at 8 weeks |
| craniovertebral angle (CVA) | To measure Craniovertebral Angle (CVA) of forward head posture, a line from C7 to tragus of the ear will be taken and a horizontal line from C7 (the normal CVA more than 50 degree). | From enrollment to the end of treatment at 8 weeks |
| head tilt angle (HTA) | To measure head tilt angle (HTA) or cranial angle (CA) the angle of the line between the canthus of the eye and horizontal line from the tragus, the head tilt angles is 17.74 ± 4.9 degrees in people with normal head posture. | From enrollment to the end of treatment at 8 weeks |
| head position angle (HPA) | To measure head position angle (HPA) angle between the tragus manubrium line and the line extending from the center point of chin to the tragus, the angle is 38.1 ± 4.9 degrees in people with normal head posture. | From enrollment to the end of treatment at 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Pain sensation | pain will be measured by visual analogue scale (VAS) , it is a numeric scale where 0 means no pain and 10 mean maximum pain. | From enrollment to the end of treatment at 8 weeks |
| cervical range of motion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| yosra MM Ali | Contact | +201013697310 | +201285604994 | yosra.mostafa27@gmail.com |
| Eman I Alhadidy | Contact | +201223375282 | +201001457239 | emanalhadedy@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| asmaa O SAYED | Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy | Dokki | Giza Governorate | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38780139 | Background | Elgendy MH, Ghaffar MAA, Sabbahi SAE, Abutaleb EES, Elsayed SEB. Efficacy of head postural correction program on craniovertebral angle, scapular position, and dominant hand grip strength in forward head posture subjects: A randomized controlled trial. Physiother Res Int. 2024 Jul;29(3):e2093. doi: 10.1002/pri.2093. | |
| 35172275 | Background |
| Label | URL |
|---|---|
| effect of electrical muscle stimulation | View source |
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| physical therapy program |
| Other |
neck exercises |
|
cervical rang of motion will be measured by goniometer, where the normal angles for each movement are Flexion 60 degree , Hyperextension 75 degree, Lateral Flexion 45 degree, Rotation 80 degree.
| From enrollment to the end of treatment at 8 weeks |
| neck muscles strength | neck muscles strength will be measured by hand held dynamometer, strength is measured in units of force per unit area. The unit is kilogram (force) per square cm (kg/cm^2) | From enrollment to the end of treatment at 8 weeks |
| Titcomb DA, Melton BF, Miyashita T, Bland HW. Evidence-Based Corrective Exercise Intervention for Forward Head Posture in Adolescents and Young Adults Without Musculoskeletal Pathology: A Critically Appraised Topic. J Sport Rehabil. 2022 Feb 16;31(5):640-644. doi: 10.1123/jsr.2021-0381. Print 2022 Jul 1. |
| image of angles needed to be measured in this study | View source |