Musculoskeletal DeformityNCT05894941
Effects of Corrective Exercises and Postural Education on Forward Head Posture
A study testing Corrective Exercises and Postural Education in people with Musculoskeletal Deformity, run by Yeditepe University at 1 site in Turkey (Türkiye).
Trial summary
Forward head posture is one of the most common postural problems that we face today. Sitting for long periods in poor posture and the excessive use of electronic devices has become a high risk for this postural abnormality. Read more about this study
- Who is it for?
- Ages 20 to 40 yearsHealthy volunteers can take part
- Conditions the study is for
- Musculoskeletal Deformity
- What is being tested?
- Corrective Exercises and Postural Education
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 46 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 12 May 2023to 10 Jul 2023
- 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 20 to 40 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Consent to participate in the study.
- Young \& Middle-aged Adults between the ages of 20-40 years
- Craniovertebral angle less than or equal to 50°
- Shoulder Angle less than or equal to 52°
Who cannot join
- History of Trauma
- Acute Neck Injuries e.g., Whiplash
- Surgical history
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Corrective Exercises and Postural Education on Forward Head Posture- A Randomized Controlled Trial
Forward head posture is one of the most common postural problems that we face today. Sitting for long periods in poor posture and the excessive use of electronic devices has become a high risk for this postural abnormality.
The goal of this [interventional study] is to [provide the participants with simple and easy corrective exercises for this abnormal posture which they can do anywhere at any time and to provide postural education and awareness on the matter.
Read the detailed description
Forward head posture is one of the most common postural problems that we face today. Sitting for long periods in poor posture and the excessive use of electronic devices has become a high risk for this postural abnormality.
The goal of this [interventional study] is to [provide the participants with simple and easy corrective exercises for this abnormal posture which they can do anywhere at any time and to provide postural education and awareness on the matter. Also, this study aims in comparing both the treatment and education.] in [the people who have forward head posture or are more likely to develop it]. The main question[s] it aims to answer are:
- Does corrective exercises have any effect on improving forward head posture?
- Does postural education has any effect on improving forward head posture?
Participants in [-Exercise group will perform corrective exercises for 6 weeks
- Postural Education group will follow postural guidelines while doing daily tasks for 6 weeks
- Control group will do nothing in 6 weeks]. Researchers will compare [Corrective Exercise group with Postural Education group and control group] to see if [corrective exercise group or postural education group has any effect on forward head posture and compare the results with the control group].
- Conditions
- Musculoskeletal Deformity
- Being tested
- Corrective Exercises, Postural Education
- Keywords
- Forward head Posture, Corrective Exercises, Postural Education, Craniovertebral and Shoulder angles, Posture, Musculoskeletal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Corrective ExercisesOther
A total of 6 evidence-based exercises and stretches namely; Upper trapezius stretch, Sternocleidomastoid stretch, pectoral stretch; Chin tuck exercise, YTWL exercise, and resisted/isometric neck extension exercise will be prescribed to the exercise group while the postural education group will follow the guidelines provided by National Institutes of Health (NIH) for using computers and other sources. The control group will receive no intervention.
Postural EducationOther
Postural guidelines for doing daily activity especially sitting for prolonged periods and using electronic devices like computers and other electronic devices.
| Study group | Role | What they receive |
|---|---|---|
| Corrective Exercises Group | Active comparator | The researcher will teach a total of 6 evidence-based corrective exercises and stretches. The participants will perform this for the prescribed time for a minimum of 3 and 5 times a week for a total of 6 weeks of the trial. Receives: Other: Corrective Exercises |
| Postural Education Group | Active comparator | Postural guidelines for doing daily activity especially sitting for prolonged periods and using electronic devices like computers and other electronic devices. Receives: Other: Postural Education |
| Control Group | No intervention | This group will not receive either of the above mentioned treatments. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Craniovertebral Angle
The CVA is obtained by measuring the angle formed by the intersection of two lines drawn through particular anatomical landmarks and can be obtained using an image of the sagittal view of a person's head and neck. The first line is drawn from the tragus of the ear to the spinous process of the C7 vertebrae, and the second line is drawn through the spinous process of the C7 vertebrae horizontally. Although, there is no clear cut-off point threshold, identifying FHP for craniovertebral angle, in general, subjects with smaller craniovertebral angle i.e. less than 50 degrees have more Forward head posture
Measured: 6 weeks
Shoulder Angle
It is considered as the angle between a horizontal line through the spinous process of the C7 vertebra and a line passes from the midpoint of the shoulder joint through the spinous process of the seventh cervical vertebra.
Measured: 6 weeks
Secondary outcomes (2)
Short Survey 36 Questionnaire
The 36-Item Short Form Survey (SF-36) is an outcome measure instrument that is often used, a well-researched, self-reported measure of health. The SF-36 is often used as a measure of a person or population's quality of life (QOL).
Measured: 6 weeks
Numeric Pain Rating Scale
The Numeric Pain Rating Scale (NPRS) (an outcome measure) is a unidimensional measure of adult pain intensity. This 11-point numeric scale ranges from '0' representing one pain extreme (e.g., "no pain") to '10' representing the worst pain imaginable.
Measured: 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jun 2023
- Study start12 May 2023
- Primary completion30 Jun 2023
- Study completion10 Jul 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Musculoskeletal DeformityStudies 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
- Model description
- The participants in each group will receive the same treatment throughout the trial
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 46 participants (actual)
Sponsor and investigators
- Lead sponsor
- Yeditepe University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Ebru Akbuga, Principal investigator, Assistant Professor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05894941
- Sponsor's protocol ID
- Forward Head Posture
- Status last verified
- Jul 2023
- First submitted
- 11 May 2023
- Last updated
- 1 Aug 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The participant data contains sensitive information like their contact and photographs. That is why this information will not be shared.
Publications
Sheikhhoseini R, Shahrbanian S, Sayyadi P, O'Sullivan K. Effectiveness of Therapeutic Exercise on Forward Head Posture: A Systematic Review and Meta-analysis. J Manipulative Physiol Ther. 2018 Jul-Aug;41(6):530-539. doi: 10.1016/j.jmpt.2018.02.002. Epub 2018 Aug 11.
PubMed 30107937Ruivo RM, Pezarat-Correia P, Carita AI. Effects of a Resistance and Stretching Training Program on Forward Head and Protracted Shoulder Posture in Adolescents. J Manipulative Physiol Ther. 2017 Jan;40(1):1-10. doi: 10.1016/j.jmpt.2016.10.005. Epub 2016 Nov 11.
PubMed 27842938Heydari Z, Sheikhhoseini R, Shahrbanian S, Piri H. Establishing minimal clinically important difference for effectiveness of corrective exercises on craniovertebral and shoulder angles among students with forward head posture: a clinical trial study. BMC Pediatr. 2022 Apr 27;22(1):230. doi: 10.1186/s12887-022-03300-7.
PubMed 35477430
Study at a glance
From the registry record, last updated by the sponsor on 1 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Corrective Exercises and Postural Education on Forward Head Posture- A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT05894941
- Acronym / sponsor ID
- Forward Head Posture
- Conditions
- Musculoskeletal Deformity
- Keywords
- Forward head Posture, Corrective Exercises, Postural Education, Craniovertebral and Shoulder angles, Posture, Musculoskeletal
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 46 participants (actual)
- Lead sponsor
- Yeditepe UniversityUniversity, hospital or other
- Study start
- 12 May 2023 (actual)
- Primary completion
- 30 Jun 2023 (actual)
- Study completion
- 10 Jul 2023 (actual)
- First posted
- 8 Jun 2023 (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.
Forward head posture is one of the most common postural problems that we face today. Sitting for long periods in poor posture and the excessive use of electronic devices has become a high risk for this postural abnormality.
The goal of this [interventional study] is to [provide the participants with simple and easy corrective exercises for this abnormal posture which they can do anywhere at any time and to provide postural education and awareness on the matter.
Detailed description
Forward head posture is one of the most common postural problems that we face today. Sitting for long periods in poor posture and the excessive use of electronic devices has become a high risk for this postural abnormality.
The goal of this [interventional study] is to [provide the participants with simple and easy corrective exercises for this abnormal posture which they can do anywhere at any time and to provide postural education and awareness on the matter. Also, this study aims in comparing both the treatment and education.] in [the people who have forward head posture or are more likely to develop it]. The main question[s] it aims to answer are:
- Does corrective exercises have any effect on improving forward head posture?
- Does postural education has any effect on improving forward head posture?
Participants in [-Exercise group will perform corrective exercises for 6 weeks
- Postural Education group will follow postural guidelines while doing daily tasks for 6 weeks
- Control group will do nothing in 6 weeks]. Researchers will compare [Corrective Exercise group with Postural Education group and control group] to see if [corrective exercise group or postural education group has any effect on forward head posture and compare the results with the control group].
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
- Model description
- The participants in each group will receive the same treatment throughout the trial
| Arm | Type | Receives |
|---|---|---|
| Corrective Exercises Group | Active comparator | Other: Corrective ExercisesThe researcher will teach a total of 6 evidence-based corrective exercises and stretches. The participants will perform this for the prescribed time for a minimum of 3 and 5 times a week for a total of 6 weeks of the trial. |
| Postural Education Group | Active comparator | Other: Postural EducationPostural guidelines for doing daily activity especially sitting for prolonged periods and using electronic devices like computers and other electronic devices. |
| Control Group | No intervention | –This group will not receive either of the above mentioned treatments. |
Who may qualify
- Ages
- 20 to 40 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Consent to participate in the study.
- Young \& Middle-aged Adults between the ages of 20-40 years
- Craniovertebral angle less than or equal to 50°
- Shoulder Angle less than or equal to 52°
Key exclusion criteria (3 listed)
- History of Trauma
- Acute Neck Injuries e.g., Whiplash
- Surgical history
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 |
|---|---|---|
| Corrective ExercisesA total of 6 evidence-based exercises and stretches namely; Upper trapezius stretch, Sternocleidomastoid stretch, pectoral stretch; Chin tuck exercise, YTWL exercise, and resisted/isometric neck extension exercise will be prescribed to the exercise group while the postural education group will follow the guidelines provided by National Institutes of Health (NIH) for using computers and other sources. The control group will receive no intervention. | Other | Corrective Exercises Group |
| Postural EducationPostural guidelines for doing daily activity especially sitting for prolonged periods and using electronic devices like computers and other electronic devices. | Other | Postural Education Group |
Primary outcome
Craniovertebral Angle
Time frame: 6 weeks
The CVA is obtained by measuring the angle formed by the intersection of two lines drawn through particular anatomical landmarks and can be obtained using an image of the sagittal view of a person's head and neck. The first line is drawn from the tragus of the ear to the spinous process of the C7 vertebrae, and the second line is drawn through the spinous process of the C7 vertebrae horizontally. Although, there is no clear cut-off point threshold, identifying FHP for craniovertebral angle, in general, subjects with smaller craniovertebral angle i.e. less than 50 degrees have more Forward head posture
Shoulder Angle
Time frame: 6 weeks
It is considered as the angle between a horizontal line through the spinous process of the C7 vertebra and a line passes from the midpoint of the shoulder joint through the spinous process of the seventh cervical vertebra.
2 secondary outcomes
Short Survey 36 Questionnaire
Time frame: 6 weeks
Numeric Pain Rating Scale
Time frame: 6 weeks
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 1 Aug 2023.
- Background: PubMed 30107937Sheikhhoseini R, Shahrbanian S, Sayyadi P, O'Sullivan K. Effectiveness of Therapeutic Exercise on Forward Head Posture: A Systematic Review and Meta-analysis. J Manipulative Physiol Ther. 2018 Jul-Aug;41(6):530-539. doi: 10.1016/j.jmpt.2018.02.002. Epub 2018 Aug 11.
- Background: PubMed 27842938Ruivo RM, Pezarat-Correia P, Carita AI. Effects of a Resistance and Stretching Training Program on Forward Head and Protracted Shoulder Posture in Adolescents. J Manipulative Physiol Ther. 2017 Jan;40(1):1-10. doi: 10.1016/j.jmpt.2016.10.005. Epub 2016 Nov 11.
- Background: PubMed 35477430Heydari Z, Sheikhhoseini R, Shahrbanian S, Piri H. Establishing minimal clinically important difference for effectiveness of corrective exercises on craniovertebral and shoulder angles among students with forward head posture: a clinical trial study. BMC Pediatr. 2022 Apr 27;22(1):230. doi: 10.1186/s12887-022-03300-7.
- Individual participant dataSharing planned: No. The participant data contains sensitive information like their contact and photographs. That is why this information will not be shared.
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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.
Ebru Akbuga principal investigator
Assistant Professor
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Corrective Exercises and Postural Education in people with Musculoskeletal Deformity, run by Yeditepe University at 1 site in Turkey (Türkiye).
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 4 inclusion and 3 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 1 Aug 2023. 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 Turkey (Türkiye). 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: 6 weeks). The study lists 2 primary outcomes in all. 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 NCT05894941, which also lists 3 linked publications.
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 1 Aug 2023.