PostureNCT07205835
Comparative Analysis of Artificial Intelligence-Generated and Studio-Based Reformer Pilates Interventions for Forward Head Posture
A study testing ChatGPT Exercise Group and Clinical Pilates Group in people with Posture and Neck Disorder, run by Uskudar University at 1 site in Turkey (Türkiye).
Trial summary
Posture is the alignment of body segments. While ideal posture places minimal stress on the joints, poor posture increases joint stress. Forward head posture (FHP) is a common postural abnormality characterized by the anterior displacement of the head in the sagittal plane. Read more about this study
- Who is it for?
- Ages 18 to 50 yearsHealthy volunteers can take part
- Conditions the study is for
- Posture, Neck Disorder
- What is being tested?
- ChatGPT Exercise Group and Clinical Pilates Group
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Nov 2024to 10 Jan 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 50 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Volunteers aged between 18-50 years
- Craniovertebral angle less than 54°
- Ability to participate in exercise sessions twice a week for 6 weeks
- Willingness to provide informed consent
Who cannot join
- History of musculoskeletal, neurological, or cardiovascular disorders
- Previous surgery affecting posture or spine
- Current participation in another structured exercise program
- Pregnancy
- -
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Üsküdar Üniversitesi NP Sağlık Yerleşkesi
Istanbul, Ümraniye, 34764
About this study
Official title: A Comparative Evaluation of the Effectiveness of an Artificial Intelligence-Generated Reformer Pilates Protocol and a Studio-Designed Reformer Pilates Protocol in Individuals With Forward Head Posture
Posture is the alignment of body segments. While ideal posture places minimal stress on the joints, poor posture increases joint stress. Forward head posture (FHP) is a common postural abnormality characterized by the anterior displacement of the head in the sagittal plane. This condition may lead to muscle imbalances, pain, reduced cervical range of motion (ROM), decreased quality of life, and spinal degeneration.
The most common method for evaluating FHP is the craniovertebral angle (CVA). Causes of FHP include excessive smartphone and computer use, mouth breathing, carrying heavy bags, and rounded shoulders. Cervical stabilization exercises and holistic approaches are recommended for prevention and treatment.
Read more
Pilates, developed by Joseph Pilates, especially in its clinical form, has been shown to improve posture, strengthen core muscles, and enhance quality of life. Literature indicates that stretching- and strengthening-based exercise programs targeting FHP positively affect CVA, neck pain, and ROM.
In recent years, artificial intelligence (AI) has gained importance in physiotherapy as a diagnostic and therapeutic support tool. Its potential in generating exercise prescriptions is being explored, though whether AI can replace physiotherapists remains debated.
The aim of this study is to compare the effectiveness of an AI-generated reformer Pilates protocol and a studio-based reformer Pilates protocol in individuals with FHP. Hypotheses:
H0: The studio-based reformer Pilates protocol has no effect on CVA, ROM, pain, muscle endurance, or quality of life in individuals with FHP.
H1: The studio-based reformer Pilates protocol has a positive effect on these parameters.
- Conditions
- Posture, Neck Disorder
- Being tested
- ChatGPT Exercise Group, Clinical Pilates Group
- Keywords
- posture, Pain, Artificial intelligence (AI), Pilates exercises, Physiotherapy and rehabilitation
- Medical subject headings
- Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ChatGPT Exercise GroupBehavioural
Participants in the ChatGPT group will follow an exercise program generated by ChatGPT and supervised by a physiotherapist. The program will be delivered twice weekly for 6 weeks, with each 50-minute session including exercises designed to improve posture, flexibility, and musculoskeletal function.
Clinical Pilates GroupBehavioural
Participants in this arm will perform supervised clinical Pilates exercises twice weekly for 6 weeks. Each session will last 50 minutes and include core stabilization, postural correction, and flexibility exercises.
| Study group | Role | What they receive |
|---|---|---|
| Clinical Pilates Group | Experimental | Participants in this group will perform clinical Pilates exercises under the supervision of a physiotherapist, twice a week for 6 weeks. Each session will last 50 minutes and will include core stabilization, postural correction, and flexibility exercises. Receives: Behavioral: Clinical Pilates Group |
| ChatGPT Exercise Group | Active comparator | Participants in this group will perform an exercise program generated by ChatGPT and supervised by a physiotherapist, twice a week for 6 weeks. Each session will last 50 minutes and will include exercises designed to improve posture, flexibility, and musculoskeletal function. Receives: Behavioral: ChatGPT Exercise Group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Craniovertebral Angle
Craniovertebral angle will be measured using digital photography and goniometric analysis to evaluate postural improvement.
Measured: Baseline and after 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Oct 2025
- Study start1 Nov 2024
- Primary completion5 Nov 2024
- Study completion10 Jan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PostureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The study population consisted of a total of 40 male and female volunteers aged between 18 and 50 years with a craniovertebral angle of less than 54 degrees. Participants were randomized into two groups: the Clinical Pilates group and the ChatGPT group. The Clinical Pilates group (n=20) performed clinical Pilates exercises under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session. The ChatGPT group (n=20) followed an exercise program generated by ChatGPT under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- Uskudar University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr. Öğr. Üyesi Muhammed Fatih Kavak, Uskudar University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07205835
- Sponsor's protocol ID
- FZT2024/37
- Status last verified
- Sep 2025
- First submitted
- 26 Sep 2025
- Last updated
- 3 Oct 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared. However, study results will be published in peer-reviewed scientific journals.
Study at a glance
From the registry record, last updated by the sponsor on 3 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Comparative Evaluation of the Effectiveness of an Artificial Intelligence-Generated Reformer Pilates Protocol and a Studio-Designed Reformer Pilates Protocol in Individuals With Forward Head Posture
- ClinicalTrials.gov ID
- NCT07205835
- Acronym / sponsor ID
- FZT2024/37
- Conditions
- Posture, Neck Disorder
- Keywords
- posture, Pain, Artificial intelligence (AI), Pilates exercises, Physiotherapy and rehabilitation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 40 participants (actual)
- Lead sponsor
- Uskudar UniversityUniversity, hospital or other
- Study start
- 1 Nov 2024 (actual)
- Primary completion
- 5 Nov 2024 (actual)
- Study completion
- 10 Jan 2025 (actual)
- First posted
- 3 Oct 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.
Posture is the alignment of body segments. While ideal posture places minimal stress on the joints, poor posture increases joint stress. Forward head posture (FHP) is a common postural abnormality characterized by the anterior displacement of the head in the sagittal plane. This condition may lead to muscle imbalances, pain, reduced cervical range of motion (ROM), decreased quality of life, and spinal degeneration.
The most common method for evaluating FHP is the craniovertebral angle (CVA). Causes of FHP include excessive smartphone and computer use, mouth breathing, carrying heavy bags, and rounded shoulders. Cervical stabilization exercises and holistic approaches are recommended for prevention and treatment.
Pilates, developed by Joseph Pilates, especially in its clinical form, has been shown to improve posture, strengthen core muscles, and enhance quality of life. Literature indicates that stretching- and strengthening-based exercise programs targeting FHP positively affect CVA, neck pain, and ROM.
In recent years, artificial intelligence (AI) has gained importance in physiotherapy as a diagnostic and therapeutic support tool. Its potential in generating exercise prescriptions is being explored, though whether AI can replace physiotherapists remains debated.
The aim of this study is to compare the effectiveness of an AI-generated reformer Pilates protocol and a studio-based reformer Pilates protocol in individuals with FHP. Hypotheses:
H0: The studio-based reformer Pilates protocol has no effect on CVA, ROM, pain, muscle endurance, or quality of life in individuals with FHP.
H1: The studio-based reformer Pilates protocol has a positive effect on these parameters.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- The study population consisted of a total of 40 male and female volunteers aged between 18 and 50 years with a craniovertebral angle of less than 54 degrees. Participants were randomized into two groups: the Clinical Pilates group and the ChatGPT group. The Clinical Pilates group (n=20) performed clinical Pilates exercises under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session. The ChatGPT group (n=20) followed an exercise program generated by ChatGPT under the supervision of a physiotherapist for 6 weeks, twice a week, 50 minutes per session.
| Arm | Type | Receives |
|---|---|---|
| Clinical Pilates Group | Experimental | Behavioral: Clinical Pilates GroupParticipants in this group will perform clinical Pilates exercises under the supervision of a physiotherapist, twice a week for 6 weeks. Each session will last 50 minutes and will include core stabilization, postural correction, and flexibility exercises. |
| ChatGPT Exercise Group | Active comparator | Behavioral: ChatGPT Exercise GroupParticipants in this group will perform an exercise program generated by ChatGPT and supervised by a physiotherapist, twice a week for 6 weeks. Each session will last 50 minutes and will include exercises designed to improve posture, flexibility, and musculoskeletal function. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Volunteers aged between 18-50 years
- Craniovertebral angle less than 54°
- Ability to participate in exercise sessions twice a week for 6 weeks
- Willingness to provide informed consent
Key exclusion criteria (5 listed)
- History of musculoskeletal, neurological, or cardiovascular disorders
- Previous surgery affecting posture or spine
- Current participation in another structured exercise program
- Pregnancy
- -
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 |
|---|---|---|
| ChatGPT Exercise GroupParticipants in the ChatGPT group will follow an exercise program generated by ChatGPT and supervised by a physiotherapist. The program will be delivered twice weekly for 6 weeks, with each 50-minute session including exercises designed to improve posture, flexibility, and musculoskeletal function. | Behavioural | ChatGPT Exercise Group |
| Clinical Pilates GroupParticipants in this arm will perform supervised clinical Pilates exercises twice weekly for 6 weeks. Each session will last 50 minutes and include core stabilization, postural correction, and flexibility exercises. | Behavioural | Clinical Pilates Group |
Primary outcome
Change in Craniovertebral Angle
Time frame: Baseline and after 6 weeks
Craniovertebral angle will be measured using digital photography and goniometric analysis to evaluate postural improvement.
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 3 Oct 2025.
- Individual participant dataSharing planned: No. Individual participant data will not be shared. However, study results will be published in peer-reviewed scientific journals.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ChatGPT Exercise Group and Clinical Pilates Group in people with Posture and Neck Disorder, run by Uskudar 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 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Oct 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?
Change in Craniovertebral Angle (time frame: Baseline and after 6 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 Oct 2025.