Forward Head PostureNCT06321783
Relationship Between Cervical Proprioception and Endurance With Hand-eye Coordination and Postural Control
A study testing Assessment in people with Forward Head Posture, run by Gazi University at 1 site in Turkey (Türkiye).
Trial summary
The aim of our study is to investigate the relationship between cervical proprioception and cervical muscle endurance with hand-eye coordination and postural control in individuals with forward head posture (FHP) and to compare them with a control group with normal head posture. Read more about this study
- Who is it for?
- Ages 18 to 24 yearsHealthy volunteers can take part
- Conditions the study is for
- Forward Head Posture
- What is being tested?
- Assessment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 6 Mar 2023to 6 Sep 2024
- 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 24 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Being between 18-24 years
- Volunteering to participate in the study
Who cannot join
- History of trauma or surgery involving the cervical or upper extremity
- Congenital anomaly of the cervical, thoracic or lumbar vertebra
- Abnormalities such as scoliosis
- Systemic arthritis or central nervous system disorders
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Gazi University
Ankara, Çankaya, 06490
Tuğçe Çoban, MSc, +905454098540, fzttugce@yahoo.com
About this study
Official title: Investigation of the Relationship Between Cervical Proprioception and Cervical Muscle Endurance With Hand-eye Coordination and Postural Control in Individuals With Forward Head Posture
The aim of our study is to investigate the relationship between cervical proprioception and cervical muscle endurance with hand-eye coordination and postural control in individuals with forward head posture (FHP) and to compare them with a control group with normal head posture. After the demographic information and physical characteristics of the individuals are recorded, their craniovertebral angles (CVA) will be measured and they will be assigned to Group 1 (forward head posture) or Group 2 (normal head posture). Then, the individuals' cervical proprioception, hand-eye coordination, postural control and cervical muscle endurance values will be measured respectively. Cervical muscle endurance will be evaluated last, taking into account possible muscle fatigue, in order not to affect other measurement results. The recorded values will be compared between groups and the relationship of cervical proprioception and muscle endurance with hand-eye coordination and postural control will be examined. All evaluations will be made by the same researcher.
Read the detailed description
Forward head posture is a malalignment defined as anterior translation of the head. This malalignment causes changes in cervical proprioception, decrease in the strength and endurance of the cervical muscles. A decrease in muscle endurance may cause a decrease in cervical proprioception. The cervical region is very important in terms of proprioceptive sensory input and has reflex connections to the (Central Nervous System) CNS. Therefore, abnormal proprioceptive sensory inputs received from cervical mechanoreceptors affect the CNS, which regulates postural control. It has been stated that FHP is associated with a decrease in static and dynamic balance. Head posture has an important role in the sensory information organization of the upper extremity. Hand-eye coordination allows the eyes to coordinate with hand movements.
Identifying the factors that may affect an individual with FHP is very important in planning the rehabilitation program.
The purpose of this study, investigate the relationship between cervical proprioception and cervical muscle endurance with hand-eye coordination and postural control in individuals with FHP and to compare them with a control group with normal head posture.
- Conditions
- Forward Head Posture
- Being tested
- Assessment
- Keywords
- Forward Head Posture, Proprioception, Coordination, Postural Balance
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AssessmentOther
Evaluation of cervical proprioception, hand-eye coordination, postural control and endurance of cervical muscles
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Other | Individuals with forward head posture Receives: Other: Assessment |
| Group 2 | Other | Individuals with normal head posture Receives: Other: Assessment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cervical Proprioception
Proprioception is the joint position sense. Cervical right and left rotation proprioception of individuals will evaluate with a digital inclinometer.
Measured: Baseline
Hand-Eye Coordination
Individuals' hand-eye coordination will be evaluated by using the Alternate Wall Toss Test and recording the total number of times the ball is thrown and held against the wall without dropping it for 30 seconds.
Measured: Baseline
Postural Stability Test
This test measures the participants' ability to keep the center of gravity within the limits of the support surface. Depending on the amount of deviation of the center of gravity from the center of the support surface, total stability index (TSI) scores will be recorded. The tests will be performed with eyes open and closed under the conditions of bipedal and unipedal (right side).
Measured: Baseline
Stability Limit Test
In this test, which measures the dynamic balance control of the participants; movement and control skills are evaluated within the limits of the support surface of the center of gravity. Participants' percentage scores of the stability limit in all directions, total percentage score (overall) and time to complete the test (seconds) will be obtained.
Measured: Baseline
Modified Sensory Organization Test
It evaluates the visual, somatosensory and vestibular sensory systems necessary for postural control.
The test will be performed on firm and soft ground, with eyes open and closed conditions. At the end of the assessment, the sway index scores (SI-Sway Index) of all tested conditions will be obtained.
Measured: Baseline
Endurance of Cervical Muscles
The endurance of the individuals' flexor and extensor muscles will be evaluated by recording the time in seconds that they can maintain the head position initially positioned by the therapist without changing it.
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Mar 2024
- Study start6 Mar 2023
- Primary completion12 Jul 2024 (estimated)
- Study completion6 Sep 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)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
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Gazi University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Tuğçe Çoban, Gazi University
- Investigators
- Zeynep Hazar, PhD, Principal investigator, Gazi University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06321783
- Sponsor's protocol ID
- E-77082166-604.01.02-407303
- Status last verified
- Mar 2024
- First submitted
- 6 Mar 2024
- Last updated
- 20 Mar 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci. 2014 Nov;26(11):1741-3. doi: 10.1589/jpts.26.1741. Epub 2014 Nov 13.
PubMed 25435690Oliveira AC, Silva AG. Neck muscle endurance and head posture: A comparison between adolescents with and without neck pain. Man Ther. 2016 Apr;22:62-7. doi: 10.1016/j.math.2015.10.002. Epub 2015 Oct 22.
PubMed 26603679Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008 Feb;13(1):2-11. doi: 10.1016/j.math.2007.06.003. Epub 2007 Aug 16.
PubMed 17702636Lee JH. Effects of forward head posture on static and dynamic balance control. J Phys Ther Sci. 2016 Jan;28(1):274-7. doi: 10.1589/jpts.28.274. Epub 2016 Jan 30.
PubMed 26957773
Study at a glance
From the registry record, last updated by the sponsor on 20 Mar 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of the Relationship Between Cervical Proprioception and Cervical Muscle Endurance With Hand-eye Coordination and Postural Control in Individuals With Forward Head Posture
- ClinicalTrials.gov ID
- NCT06321783
- Acronym / sponsor ID
- E-77082166-604.01.02-407303
- Conditions
- Forward Head Posture
- Keywords
- Forward Head Posture, Proprioception, Coordination, Postural Balance
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- Gazi UniversityUniversity, hospital or other
- Study start
- 6 Mar 2023 (actual)
- Primary completion
- 12 Jul 2024 (estimated)
- Study completion
- 6 Sep 2024 (estimated)
- First posted
- 20 Mar 2024 (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.
The aim of our study is to investigate the relationship between cervical proprioception and cervical muscle endurance with hand-eye coordination and postural control in individuals with forward head posture (FHP) and to compare them with a control group with normal head posture. After the demographic information and physical characteristics of the individuals are recorded, their craniovertebral angles (CVA) will be measured and they will be assigned to Group 1 (forward head posture) or Group 2 (normal head posture). Then, the individuals' cervical proprioception, hand-eye coordination, postural control and cervical muscle endurance values will be measured respectively. Cervical muscle endurance will be evaluated last, taking into account possible muscle fatigue, in order not to affect other measurement results. The recorded values will be compared between groups and the relationship of cervical proprioception and muscle endurance with hand-eye coordination and postural control will be examined. All evaluations will be made by the same researcher.
Detailed description
Forward head posture is a malalignment defined as anterior translation of the head. This malalignment causes changes in cervical proprioception, decrease in the strength and endurance of the cervical muscles. A decrease in muscle endurance may cause a decrease in cervical proprioception. The cervical region is very important in terms of proprioceptive sensory input and has reflex connections to the (Central Nervous System) CNS. Therefore, abnormal proprioceptive sensory inputs received from cervical mechanoreceptors affect the CNS, which regulates postural control. It has been stated that FHP is associated with a decrease in static and dynamic balance. Head posture has an important role in the sensory information organization of the upper extremity. Hand-eye coordination allows the eyes to coordinate with hand movements.
Identifying the factors that may affect an individual with FHP is very important in planning the rehabilitation program.
The purpose of this study, investigate the relationship between cervical proprioception and cervical muscle endurance with hand-eye coordination and postural control in individuals with FHP and to compare them with a control group with normal head posture.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Other | Other: AssessmentIndividuals with forward head posture |
| Group 2 | Other | Other: AssessmentIndividuals with normal head posture |
Who may qualify
- Ages
- 18 to 24 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Being between 18-24 years
- Volunteering to participate in the study
Key exclusion criteria (4 listed)
- History of trauma or surgery involving the cervical or upper extremity
- Congenital anomaly of the cervical, thoracic or lumbar vertebra
- Abnormalities such as scoliosis
- Systemic arthritis or central nervous system disorders
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 |
|---|---|---|
| AssessmentEvaluation of cervical proprioception, hand-eye coordination, postural control and endurance of cervical muscles | Other | Group 1, Group 2 |
Primary outcome
Cervical Proprioception
Time frame: Baseline
Proprioception is the joint position sense. Cervical right and left rotation proprioception of individuals will evaluate with a digital inclinometer.
Hand-Eye Coordination
Time frame: Baseline
Individuals' hand-eye coordination will be evaluated by using the Alternate Wall Toss Test and recording the total number of times the ball is thrown and held against the wall without dropping it for 30 seconds.
Postural Stability Test
Time frame: Baseline
This test measures the participants' ability to keep the center of gravity within the limits of the support surface. Depending on the amount of deviation of the center of gravity from the center of the support surface, total stability index (TSI) scores will be recorded. The tests will be performed with eyes open and closed under the conditions of bipedal and unipedal (right side).
Stability Limit Test
Time frame: Baseline
In this test, which measures the dynamic balance control of the participants; movement and control skills are evaluated within the limits of the support surface of the center of gravity. Participants' percentage scores of the stability limit in all directions, total percentage score (overall) and time to complete the test (seconds) will be obtained.
Modified Sensory Organization Test
Time frame: Baseline
It evaluates the visual, somatosensory and vestibular sensory systems necessary for postural control. The test will be performed on firm and soft ground, with eyes open and closed conditions. At the end of the assessment, the sway index scores (SI-Sway Index) of all tested conditions will be obtained.
Endurance of Cervical Muscles
Time frame: Baseline
The endurance of the individuals' flexor and extensor muscles will be evaluated by recording the time in seconds that they can maintain the head position initially positioned by the therapist without changing it.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Mar 2024.
- Background: PubMed 25435690Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci. 2014 Nov;26(11):1741-3. doi: 10.1589/jpts.26.1741. Epub 2014 Nov 13.
- Background: PubMed 26603679Oliveira AC, Silva AG. Neck muscle endurance and head posture: A comparison between adolescents with and without neck pain. Man Ther. 2016 Apr;22:62-7. doi: 10.1016/j.math.2015.10.002. Epub 2015 Oct 22.
- Background: PubMed 17702636Treleaven J. Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther. 2008 Feb;13(1):2-11. doi: 10.1016/j.math.2007.06.003. Epub 2007 Aug 16.
- Background: PubMed 26957773Lee JH. Effects of forward head posture on static and dynamic balance control. J Phys Ther Sci. 2016 Jan;28(1):274-7. doi: 10.1589/jpts.28.274. Epub 2016 Jan 30.
- Individual participant dataSharing planned: No
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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.
Zeynep Hazar, PhD principal investigator
Gazi 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 Assessment in people with Forward Head Posture, run by Gazi 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 2 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 20 Mar 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 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Tuğçe Çoban, MSc (+905454098540, fzttugce@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cervical Proprioception (time frame: Baseline). The study lists 6 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 NCT06321783, which also lists 4 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 20 Mar 2024.