Forward Head PostureNCT04723511
Effects of Global Postural Reeducation on Forward Head Posture
A study testing Global Postural Re-education and Kendall exercises in people with Forward Head Posture, run by Horus University at 1 site in Egypt.
Trial summary
This study aims at investigating the effects of application of twelve sessions of Global Postural Re-education Technique (GPR) and Kendall Exercises (KE) on Craniovertebral angle (CVA), Gaze Angle (GA), Shoulders Angle (SA), Pain, functional abilities, Range of Motion, stability of sense of position, cervical muscle… Read more about this study
- Who is it for?
- Ages 18 to 30 yearsHealthy volunteers can take part
- Conditions the study is for
- Forward Head Posture
- What is being tested?
- Global Postural Re-education and Kendall exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 43 participants
- Where
- 1 siteEgypt
- Study dates
- 6 Feb 2021to 14 Oct 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 30 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Patients suffering from forward head Posture (CVA less than 50 degrees)
- All subjects are medically stable and do not suffer from any other diseases which might affect the trial results.
- BMI (18-24)
- Patients willing and able to participate in this treatment program.
- At least a moderate user of English.
Who cannot join
- History of whiplash injury.
- Patients who have undergone spinal surgeries or spinal fixations.
- Patients with a neurologic deficit in their upper limbs, such as hypertonia, hypotonia, hyporeflexia, absence of reflex, and vertebral instability.
- The patient underwent other physical therapy programs in the last three months.
- Excessive use of smart technology
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Global Postural Reeducation on Functional Abilities, Stability of Sense of Position, Cognitive Abilities and Treatment Satisfaction in Patients With Forward Head Posture
This study aims at investigating the effects of application of twelve sessions of Global Postural Re-education Technique (GPR) and Kendall Exercises (KE) on Craniovertebral angle (CVA), Gaze Angle (GA), Shoulders Angle (SA), Pain, functional abilities, Range of Motion, stability of sense of position, cervical muscle strength and endurance, Spinal mobility, and Chest Expansion.
Read the detailed description
A sample of 43 participants with a CVA less than 50 degrees will be randomly assigned to one of the two groups either receiving global postural reeducation added to traditional Kendall exercises or a group that receives Kendall Exercises only. Treatment sessions will be continued for a total of 12 sessions with a rate of 3 sessions per week. The effect of these two treatments will be assessed by various variables including: forward head angle, Gaze Angle and Shoulder angle via photogrammetry and Kinovea App, Pain intensity (VAS), functional abilities via neck disability index (NDI), cervical Range of motion and sense of position stability by Cervical Range of Motion instrument (CROM), Spinal mobility and chest expansion by tape measurement.
- Conditions
- Forward Head Posture
- Being tested
- Global Postural Re-education, Kendall exercises
- Keywords
- Forward Head Posture, Global Postural Re-education, Kendall Exercises, Rounded Shoulders, Postural Correction, Myofascial chains
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Global Postural Re-educationOther
treatment techniques include corrective exercises both local and global to correct forward head posture.
first session will be to educate participants on the treatment sequence. This will be a session of Kendall's exercises as described below. This will followed be by performing GPR techniques of Anterior Chain stretch in the supine frog-like position for 20 minutes followed by posterior chain stretch against the wall for another 20 minutes. This is repeated in the first 6 sessions. Starting from the seventh session the time of holding each position is decreased to 15 minutes and a third position (standing against the wall) is introduced and performed for 15 minutes. Starting from the eighth session fourth position of sitting on the floor position is introduced and performed for another 15 minutes. total of a session will then take about 90 minutes.
Pre-treatment diaphragmatic release and deep breathing exercises are applied at the beginning of each session
Kendall exercisesOther
exercises that correct upper crossed syndrome:
The treatment sequence will be:
- Strengthen deep Cervical Flexors via Chin tucks. Repetition will be repeated 10 times for 5 sets. (b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times. (c) Strengthening shoulder retraction. Repetition will be repeated 10 times for 5 sets. (d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times.
Exercises will be progressed as the sessions develop.
| Study group | Role | What they receive |
|---|---|---|
| GPR | Experimental | participants in this group receive global postural reeducation technique+ Kendall exercises Receives: Other: Global Postural Re-education; Other: Kendall exercises |
| Kendall | Active comparator | Kendall exercises Receives: Other: Kendall exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
craniovertebral angle
the angle formed between a horizontal line and a line extending from ear meatus and C7
Measured: before and after 12 sessions
Secondary outcomes (8)
Gaze Angle
the angle formed between the line extending from the tragus of the ear to the canthus of the eye.
Measured: before and after 12 sessions
Shoulder Angle
the angle formed between the line extending from C7 to acromion with horizontal line
Measured: before and after 12 sessions
Proprioceptive stability test
By utilizing CROM testing the patients' sense of location precision
Measured: before and after 12 sessions
Spinal mobility
Fingers to floor test using a tape measurement
Measured: before and after 12 sessions
Chest expansion
Axillary and Xyphoid chest expansion by the tape measurement
Measured: before and after 12 sessions
Cervical muscle strength and endurance
Biofeedback stabiliser is used to measure the maximum time the muscles could hold in addition to time the contraction of 50% maximum muscle contractionis maintained.
Measured: before and after 12 sessions
Neck disability index
a scale that tests the effect of treatment on functional abilities of patients.
Measured: before and after 12 sessions
Pain intensity
Visual analogue scale is given to participants to select their pain scale level.
Measured: before and after 12 sessions
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jan 2021
- Study start6 Feb 2021
- Primary completion4 Oct 2021
- Study completion14 Oct 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Forward Head PostureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 43 participants (actual)
Sponsor and investigators
- Lead sponsor
- Horus University
- Sponsor type
- University, hospital or other
- Collaborators
- Cairo University
- Responsible party
- Principal investigator, Walaa Abu-Taleb, Horus University
- Investigators
- Walaa Abu-Taleb, MSc, Principal investigator, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04723511
- Sponsor's protocol ID
- P.T.REC/012/002671
- Status last verified
- Aug 2024
- First submitted
- 15 Jan 2021
- Last updated
- 7 Aug 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: These data are case sensitive and considered confidential regarding my supervisors' opinion and participants' request , So, upon their request I prefer to not share individual participant data (IPD) with other researchers
Publications
Abu-Taleb W, Yamany AA, Aneis YM, Abu El Kasem ST. Effect of adding global postural reeducation to kendall exercises for treating asymptomatic forward head posture: A single-blinded randomized controlled trial. J Bodyw Mov Ther. 2025 Jun;42:938-947. doi: 10.1016/j.jbmt.2025.01.039. Epub 2025 Feb 6.
PubMed 40325777
Study at a glance
From the registry record, last updated by the sponsor on 7 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Global Postural Reeducation on Functional Abilities, Stability of Sense of Position, Cognitive Abilities and Treatment Satisfaction in Patients With Forward Head Posture
- ClinicalTrials.gov ID
- NCT04723511
- Acronym / sponsor ID
- P.T.REC/012/002671
- Conditions
- Forward Head Posture
- Keywords
- Forward Head Posture, Global Postural Re-education, Kendall Exercises, Rounded Shoulders, Postural Correction, Myofascial chains
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 43 participants (actual)
- Lead sponsor
- Horus UniversityUniversity, hospital or other
- Collaborators
- Cairo University
- Study start
- 6 Feb 2021 (actual)
- Primary completion
- 4 Oct 2021 (actual)
- Study completion
- 14 Oct 2021 (actual)
- First posted
- 25 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims at investigating the effects of application of twelve sessions of Global Postural Re-education Technique (GPR) and Kendall Exercises (KE) on Craniovertebral angle (CVA), Gaze Angle (GA), Shoulders Angle (SA), Pain, functional abilities, Range of Motion, stability of sense of position, cervical muscle strength and endurance, Spinal mobility, and Chest Expansion.
Detailed description
A sample of 43 participants with a CVA less than 50 degrees will be randomly assigned to one of the two groups either receiving global postural reeducation added to traditional Kendall exercises or a group that receives Kendall Exercises only. Treatment sessions will be continued for a total of 12 sessions with a rate of 3 sessions per week. The effect of these two treatments will be assessed by various variables including: forward head angle, Gaze Angle and Shoulder angle via photogrammetry and Kinovea App, Pain intensity (VAS), functional abilities via neck disability index (NDI), cervical Range of motion and sense of position stability by Cervical Range of Motion instrument (CROM), Spinal mobility and chest expansion by tape measurement.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| GPR | Experimental | Other: Global Postural Re-education, Other: Kendall exercisesparticipants in this group receive global postural reeducation technique+ Kendall exercises |
| Kendall | Active comparator | Other: Kendall exercisesKendall exercises |
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Patients suffering from forward head Posture (CVA less than 50 degrees)
- All subjects are medically stable and do not suffer from any other diseases which might affect the trial results.
- BMI (18-24)
- Patients willing and able to participate in this treatment program.
- At least a moderate user of English.
Key exclusion criteria (5 listed)
- History of whiplash injury.
- Patients who have undergone spinal surgeries or spinal fixations.
- Patients with a neurologic deficit in their upper limbs, such as hypertonia, hypotonia, hyporeflexia, absence of reflex, and vertebral instability.
- The patient underwent other physical therapy programs in the last three months.
- Excessive use of smart technology
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Global Postural Re-educationtreatment techniques include corrective exercises both local and global to correct forward head posture. first session will be to educate participants on the treatment sequence. This will be a session of Kendall's exercises as described below. This will followed be by performing GPR techniques of Anterior Chain stretch in the supine frog-like position for 20 minutes followed by posterior chain stretch against the wall for another 20 minutes. This is repeated in the first 6 sessions. Starting from the seventh session the time of holding each position is decreased to 15 minutes and a third position (standing against the wall) is introduced and performed for 15 minutes. Starting from the eighth session fourth position of sitting on the floor position is introduced and performed for another 15 minutes. total of a session will then take about 90 minutes. Pre-treatment diaphragmatic release and deep breathing exercises are applied at the beginning of each session | Other | GPR |
| Kendall exercisesexercises that correct upper crossed syndrome: The treatment sequence will be: a) Strengthen deep Cervical Flexors via Chin tucks. Repetition will be repeated 10 times for 5 sets. (b) Stretching the cervical extensors. This is held for 1 minute and repeated 5 times. (c) Strengthening shoulder retraction. Repetition will be repeated 10 times for 5 sets. (d) Stretching the pectoralis muscle. This is held for 1 minute and repeated 5 times. Exercises will be progressed as the sessions develop. | Other | GPR, Kendall |
Primary outcome
craniovertebral angle
Time frame: before and after 12 sessions
the angle formed between a horizontal line and a line extending from ear meatus and C7
8 secondary outcomes
Gaze Angle
Time frame: before and after 12 sessions
Shoulder Angle
Time frame: before and after 12 sessions
Proprioceptive stability test
Time frame: before and after 12 sessions
Spinal mobility
Time frame: before and after 12 sessions
Chest expansion
Time frame: before and after 12 sessions
Cervical muscle strength and endurance
Time frame: before and after 12 sessions
Neck disability index
Time frame: before and after 12 sessions
Pain intensity
Time frame: before and after 12 sessions
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Aug 2024.
- Derived from this study: PubMed 40325777Abu-Taleb W, Yamany AA, Aneis YM, Abu El Kasem ST. Effect of adding global postural reeducation to kendall exercises for treating asymptomatic forward head posture: A single-blinded randomized controlled trial. J Bodyw Mov Ther. 2025 Jun;42:938-947. doi: 10.1016/j.jbmt.2025.01.039. Epub 2025 Feb 6.
- Individual participant dataSharing planned: No. These data are case sensitive and considered confidential regarding my supervisors' opinion and participants' request , So, upon their request I prefer to not share individual participant data (IPD) with other researchers
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Walaa Abu-Taleb, MSc principal investigator
Cairo University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Global Postural Re-education and Kendall exercises in people with Forward Head Posture, run by Horus University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
craniovertebral angle (time frame: before and after 12 sessions). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04723511, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Aug 2024.