Condition or Disease: Neck PainNCT06881862
Motion Analysis in Young Adults With Neck Pain: Impact of Cranio-Cervical Flexion Training
A study testing The immediate craniocervical flexion and correct posture training in people with Condition or Disease: Neck Pain and Condition or Disease: Chronic Pain, run by Hacettepe University at 1 site in Turkey (Türkiye).
Trial summary
The goal of this observational study is to evaluate the immediate effects of cranio-cervical flexion exercises and correct posture training on upper extremity and trunk kinematics during functional activities in young adults with neck pain. Read more about this study
- Who is it for?
- Ages 18 to 35 years
- Conditions the study is for
- Condition or Disease: Neck Pain, Condition or Disease: Chronic Pain, Condition or Disease: Postural Disorders
- What is being tested?
- The immediate craniocervical flexion and correct posture training
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 28 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 Mar 2025to 20 Jul 2025
- 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 35 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Willingness to voluntarily participate in the study,
- Being between 18 and 35 years old,
- Having an initial Neck Disability Index (NDI) score of at least 20%,
- Experiencing neck pain for at least 6 months.
Who cannot join
- Unwillingness to participate in the study voluntarily,• Unwillingness to participate in the study voluntarily,
- Having neurological, orthopedic, musculoskeletal and/or vestibular disorders,
- A history of cervical spine surgery,
- Receiving exercise or physical therapy interventions within the last 6 months,
- Having congenital and/or acquired spinal deformities,
- Being pregnant.
Trial locations and contacts
1 site in 1 country.
About this study
The goal of this observational study is to evaluate the immediate effects of cranio-cervical flexion exercises and correct posture training on upper extremity and trunk kinematics during functional activities in young adults with neck pain.
The main questions it aims to answer are:
Read more
- Does the immediate cranio-cervical flexion and posture training improve postural control and induce immediate changes in individuals with neck pain?
- Does this training intervention enhance functional movement and daily activity performance from a kinematic analysis perspective?
Participants will:
Undergo a baseline assessment, where sociodemographic and physical data will be recorded using the Numeric Pain Rating Scale (NPRS) and the Neck Disability Index (NDI).
Receive cranio-cervical flexion and correct posture training as an intervention, after which the evaluation will proceed immediately.
Perform functional activities (typing, talking on the phone, eating, lifting a load), with each activity being repeated three times, and these will be evaluated using 3D kinematic analysis with the Movella XSens (MVN Awinda) system.
Read the detailed description
The motivation for this study stems from the observation that previous research has primarily focused on the long-term effects of craniocervical flexion exercises, while the immediate effects of such exercises have not been explored. Craniocervical flexion exercises and correct posture training have been shown to be effective in reducing neck pain and improving functionality. Therefore, this study aims to examine the immediate impact of craniocervical flexion exercises and correct posture training on upper extremity and trunk kinematics during functional activities.This study aimed to examine the immediate effects of cranio-cervical flexion exercises and correct posture training on upper extremity and trunk kinematics during functional activities in individuals with neck pain. The study was a cross-sectional design conducted at XXX University, Faculty of Physical Therapy and Rehabilitation, and was approved by the university's ethics committee (FTREK 24/117).
A total of 28 young adults (aged 18-35) with chronic neck pain participated in the study. Participants were selected based on specific inclusion criteria, including a minimum Neck Disability Index (NDI) score of 20%. Individuals with congenital or acquired spinal deformities, herniated discs, neurological or vestibular disorders, and pregnant individuals were excluded. Participants were randomly divided into two groups: one group received immediate cranio-cervical flexion and correct posture training, while the other group followed their routine daily activities. At the end of the study, the second group also received the same training program.
The study consisted of three phases: baseline assessment, immediate training intervention, and post-training assessment. During the baseline phase, sociodemographic, physical, and pain-related data were collected. In the immediate training intervention phase, participants in the intervention group were instructed in cranio-cervical flexion exercises and correct posture training. In the post-training phase, functional tasks such as typing, phone conversation, heavy load lifting, and eating were performed. Kinematic changes during these tasks were assessed using a 3D inertial measurement system (Movella XSens), which is well-regarded for its reliability in biomechanical research.
Sample size calculation using G*Power software indicated that a total of 28 participants (14 per group) was sufficient to achieve 80% statistical power with an alpha level of 0.05. Data were analyzed using SPSS Version 26.0 to assess the immediate effects of the cranio-cervical flexion and posture training on kinematic parameters during the functional tasks.
- Conditions
- Condition or Disease: Neck Pain, Condition or Disease: Chronic Pain, Condition or Disease: Postural Disorders, Intervention/Treatment: Craniocervical Flexion Exercise, Interventation/Treatment: Postural Training, Intervention/Treatment: Exercise Therapy
- Being tested
- The immediate craniocervical flexion and correct posture training
- Keywords
- Neck Pain, Range of Motion, Functional, Wearable Sensors, Activities of Daily Living, Exercise Training
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
The immediate craniocervical flexion and correct posture trainingOther
The craniocervical flexion and correct posture training were given immediately during the assessment, with no follow-up sessions or long-term interventions. The focus was solely on providing the training at that moment, without any prolonged or repeated exercises.
| Study group | Role | What they receive |
|---|---|---|
| Trained Group | Other | In the trained group, participants received immediate instruction on craniocervical flexion exercises and correct posture. They were guided through the exercises and provided feedback to ensure proper technique and activation of the deep cervical flexor muscles.The craniocervical flexion and correct posture training were given immediately during the assessment, with no follow-up sessions or long-term interventions. The focus was solely on providing the training at that moment, without any prolonged or repeated exercises. Receives: Other: The immediate craniocervical flexion and correct posture training |
| Untrained group | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - T1C7 Lateral Bending MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - T1C7 Axial Rotation MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - T1C7 Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - C1 Head Lateral BendingMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - C1 Head Axial RotationMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - C1 Head Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right T4 Shoulder Abduction/Adduction MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right T4 Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right T4 Shoulder Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Shoulder Abduction/Adduction MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Shoulder Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Elbow Ulnar Deviation/Radial Deviation MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Elbow Pronation/Supination MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Elbow Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Wrist Ulnar Deviation/Radial DeviationMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Wrist Pronation/Supination MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Wrist Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left T4 Shoulder Abduction/AdductionMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left T4 Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left T4 Shoulder Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Shoulder Abduction/AdductionMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Shoulder Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Elbow Ulnar Deviation/Radial Deviation MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Elbow Pronation/SupinationMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Elbow Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Wrist Ulnar Deviation/Radial DeviationMAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Wrist Pronation/Supination MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Wrist Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Measured: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Secondary outcomes (3)
Numeric Pain Rating Scale (Pain Assesment)
This form will assess participants' pain levels using the 11-point Numeric Pain Rating Scale (NPRS), which has been proven reliable in patients with neck pain. Participants will be asked to select a number that best represents their current pain intensity. The scale ranges from 0 to 10, where 0 indicates "no pain" and 10 represents "the worst imaginable pain."
Measured: At baseline
Neck Disability Index (Neck Disability Assesment)
This form will assess participants' disability levels related to neck pain. Total scores range from 0 to 50, with higher scores indicating greater disability. Scores are categorized as: 'no disability' (0), 'mild disability' (1-10), 'moderate disability' (11-20), 'severe disability' (21-30), and 'complete disability' (31-50). The assessment includes factors such as pain intensity, difficulties with personal care, lifting capacity, reading, headaches, work-related challenges, driving difficulties, sleep disturbances, and the impact on leisure activities.
Measured: At baseline
Physical and Sociodemographic Outcomes
Participants' sociodemographic and physical characteristics, as well as details related to neck pain, were recorded. Collected data included birth date, age, gender, profession, education level, height, weight, body mass index (BMI), dominant side, and the presence of chronic diseases. Additionally, information about neck pain was gathered, including its onset, times of the day when it intensifies, whether it is continuous or intermittent, and the difficulties experienced in daily life activities due to the pain.
Measured: At baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Mar 2025
- Study start15 Mar 2025
- Primary completion1 Jun 2025
- Study completion20 Jul 2025
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 Condition or Disease: Neck PainStudies of the same condition, open and under way.
- More trials run by Hacettepe UniversityThe sponsor's other registered studies.
- 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
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 28 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hacettepe University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, HATİCE ÇETİN, Hacettepe University
- Investigators
- HATİCE ÇETİN, Assist, Prof, Principal investigator, HACETTEPE UNIVERSİTY
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06881862
- Sponsor's protocol ID
- XSNP
- Status last verified
- Sep 2025
- First submitted
- 11 Mar 2025
- Last updated
- 24 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Yong MS, Lee HY, Ryu YU, Lee MY. Effects of craniocervical flexion exercise on upper-limb postural stability during a goal-directed pointing task. J Phys Ther Sci. 2015 Jun;27(6):2005-7. doi: 10.1589/jpts.27.2005. Epub 2015 Jun 30.
PubMed 26180368Murgia A, Kyberd P, Barnhill T. The use of kinematic and parametric information to highlight lack of movement and compensation in the upper extremities during activities of daily living. Gait Posture. 2010 Mar;31(3):300-6. doi: 10.1016/j.gaitpost.2009.11.007. Epub 2010 Jan 19.
PubMed 20034798Cleland JA, Childs JD, Whitman JM. Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Arch Phys Med Rehabil. 2008 Jan;89(1):69-74. doi: 10.1016/j.apmr.2007.08.126.
PubMed 18164333
Study at a glance
From the registry record, last updated by the sponsor on 24 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Motion Analysis in Young Adults With Neck Pain: Impact of Cranio-Cervical Flexion Training
- ClinicalTrials.gov ID
- NCT06881862
- Acronym / sponsor ID
- XSNP
- Conditions
- Condition or Disease: Neck Pain, Condition or Disease: Chronic Pain, Condition or Disease: Postural Disorders, Intervention/Treatment: Craniocervical Flexion Exercise, Interventation/Treatment: Postural Training, Intervention/Treatment: Exercise Therapy
- Keywords
- Neck Pain, Range of Motion, Functional, Wearable Sensors, Activities of Daily Living, Exercise Training
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 28 participants (actual)
- Lead sponsor
- Hacettepe UniversityUniversity, hospital or other
- Study start
- 15 Mar 2025 (actual)
- Primary completion
- 1 Jun 2025 (actual)
- Study completion
- 20 Jul 2025 (actual)
- First posted
- 18 Mar 2025 (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 goal of this observational study is to evaluate the immediate effects of cranio-cervical flexion exercises and correct posture training on upper extremity and trunk kinematics during functional activities in young adults with neck pain.
The main questions it aims to answer are:
- Does the immediate cranio-cervical flexion and posture training improve postural control and induce immediate changes in individuals with neck pain?
- Does this training intervention enhance functional movement and daily activity performance from a kinematic analysis perspective?
Participants will:
Undergo a baseline assessment, where sociodemographic and physical data will be recorded using the Numeric Pain Rating Scale (NPRS) and the Neck Disability Index (NDI).
Receive cranio-cervical flexion and correct posture training as an intervention, after which the evaluation will proceed immediately.
Perform functional activities (typing, talking on the phone, eating, lifting a load), with each activity being repeated three times, and these will be evaluated using 3D kinematic analysis with the Movella XSens (MVN Awinda) system.
Detailed description
The motivation for this study stems from the observation that previous research has primarily focused on the long-term effects of craniocervical flexion exercises, while the immediate effects of such exercises have not been explored. Craniocervical flexion exercises and correct posture training have been shown to be effective in reducing neck pain and improving functionality. Therefore, this study aims to examine the immediate impact of craniocervical flexion exercises and correct posture training on upper extremity and trunk kinematics during functional activities.This study aimed to examine the immediate effects of cranio-cervical flexion exercises and correct posture training on upper extremity and trunk kinematics during functional activities in individuals with neck pain. The study was a cross-sectional design conducted at XXX University, Faculty of Physical Therapy and Rehabilitation, and was approved by the university's ethics committee (FTREK 24/117).
A total of 28 young adults (aged 18-35) with chronic neck pain participated in the study. Participants were selected based on specific inclusion criteria, including a minimum Neck Disability Index (NDI) score of 20%. Individuals with congenital or acquired spinal deformities, herniated discs, neurological or vestibular disorders, and pregnant individuals were excluded. Participants were randomly divided into two groups: one group received immediate cranio-cervical flexion and correct posture training, while the other group followed their routine daily activities. At the end of the study, the second group also received the same training program.
The study consisted of three phases: baseline assessment, immediate training intervention, and post-training assessment. During the baseline phase, sociodemographic, physical, and pain-related data were collected. In the immediate training intervention phase, participants in the intervention group were instructed in cranio-cervical flexion exercises and correct posture training. In the post-training phase, functional tasks such as typing, phone conversation, heavy load lifting, and eating were performed. Kinematic changes during these tasks were assessed using a 3D inertial measurement system (Movella XSens), which is well-regarded for its reliability in biomechanical research.
Sample size calculation using G*Power software indicated that a total of 28 participants (14 per group) was sufficient to achieve 80% statistical power with an alpha level of 0.05. Data were analyzed using SPSS Version 26.0 to assess the immediate effects of the cranio-cervical flexion and posture training on kinematic parameters during the functional tasks.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Trained Group | Other | Other: The immediate craniocervical flexion and correct posture trainingIn the trained group, participants received immediate instruction on craniocervical flexion exercises and correct posture. They were guided through the exercises and provided feedback to ensure proper technique and activation of the deep cervical flexor muscles.The craniocervical flexion and correct posture training were given immediately during the assessment, with no follow-up sessions or long-term interventions. The focus was solely on providing the training at that moment, without any prolonged or repeated exercises. |
| Untrained group | No intervention | – |
Who may qualify
- Ages
- 18 to 35 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Willingness to voluntarily participate in the study,
- Being between 18 and 35 years old,
- Having an initial Neck Disability Index (NDI) score of at least 20%,
- Experiencing neck pain for at least 6 months.
Key exclusion criteria (6 listed)
- Unwillingness to participate in the study voluntarily,• Unwillingness to participate in the study voluntarily,
- Having neurological, orthopedic, musculoskeletal and/or vestibular disorders,
- A history of cervical spine surgery,
- Receiving exercise or physical therapy interventions within the last 6 months,
- Having congenital and/or acquired spinal deformities,
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 |
|---|---|---|
| The immediate craniocervical flexion and correct posture trainingThe craniocervical flexion and correct posture training were given immediately during the assessment, with no follow-up sessions or long-term interventions. The focus was solely on providing the training at that moment, without any prolonged or repeated exercises. | Other | Trained Group |
Primary outcome
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - T1C7 Lateral Bending MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - T1C7 Axial Rotation MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - T1C7 Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - C1 Head Lateral BendingMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes.
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - C1 Head Axial RotationMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes.
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - C1 Head Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right T4 Shoulder Abduction/Adduction MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software. Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right T4 Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right T4 Shoulder Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Shoulder Abduction/Adduction MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Shoulder Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Elbow Ulnar Deviation/Radial Deviation MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Elbow Pronation/Supination MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Elbow Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Wrist Ulnar Deviation/Radial DeviationMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Wrist Pronation/Supination MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Right Wrist Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left T4 Shoulder Abduction/AdductionMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left T4 Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left T4 Shoulder Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Shoulder Abduction/AdductionMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Shoulder Internal/External Rotation MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Shoulder Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Elbow Ulnar Deviation/Radial Deviation MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Elbow Pronation/SupinationMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Elbow Flexion/ExtensionMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Wrist Ulnar Deviation/Radial DeviationMAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Wrist Pronation/Supination MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - Left Wrist Flexion/Extension MAX ROM/MİN ROM/ F-ROM
Time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)
Immediate changes in the kinematic parameters of upper extremity, trunk, and head movements during functional tasks (typing, phone conversation, heavy load lifting, and eating) after the instantaneous cranio-cervical flexion and correct posture training. Joint range of motion will be assessed using the Movella XSens inertial measurement system (MVN Awinda), and it will be evaluated in degrees using the MVN Analyze software.
3 secondary outcomes
Numeric Pain Rating Scale (Pain Assesment)
Time frame: At baseline
Neck Disability Index (Neck Disability Assesment)
Time frame: At baseline
Physical and Sociodemographic Outcomes
Time frame: At baseline
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 24 Sep 2025.
- Background: PubMed 26180368Yong MS, Lee HY, Ryu YU, Lee MY. Effects of craniocervical flexion exercise on upper-limb postural stability during a goal-directed pointing task. J Phys Ther Sci. 2015 Jun;27(6):2005-7. doi: 10.1589/jpts.27.2005. Epub 2015 Jun 30.
- Background: PubMed 20034798Murgia A, Kyberd P, Barnhill T. The use of kinematic and parametric information to highlight lack of movement and compensation in the upper extremities during activities of daily living. Gait Posture. 2010 Mar;31(3):300-6. doi: 10.1016/j.gaitpost.2009.11.007. Epub 2010 Jan 19.
- Background: PubMed 18164333Cleland JA, Childs JD, Whitman JM. Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Arch Phys Med Rehabil. 2008 Jan;89(1):69-74. doi: 10.1016/j.apmr.2007.08.126.
- 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.
HATİCE ÇETİN, Assist, Prof principal investigator
HACETTEPE UNIVERSİTY
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing The immediate craniocervical flexion and correct posture training in people with Condition or Disease: Neck Pain and Condition or Disease: Chronic Pain, run by Hacettepe 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 6 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 24 Sep 2025. 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?
Kinematic Parameters of Functional Activities (Upper Extremity and Trunk) - T1C7 Lateral Bending MAX ROM/MİN ROM/ F-ROM (time frame: Through study intervention, an average of 15 minutes (The total duration of the primary outcome measures for one participant)). The study lists 30 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 NCT06881862, 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 24 Sep 2025.