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Набор скоро начнётся NCT06745960

Effect of Electrical Stimulation on Forward Head Posture

Без фазы С лечением Forward Head Posture Rounded Shoulder Posture

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: electrical muscle stimulation device (EMS gymna), physical therapy program.
Кому может быть актуально
Состояния в реестре: Forward Head Posture, Rounded Shoulder Posture. Базовые параметры: 15 лет — 18 лет · Женщины.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Египет
Следующий шаг
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Официальное название

Effect of Electrical Stimulation on Painful Forward Head and Protracted Shoulder Posture in Adolescents

Обзор

The study aims are: 1. To investigate the effect of electrical stimulation (interferential current) on forward head posture and protracted shoulder in adolescents. 2. To investigate the effect of electrical stimulation on cervical pain, cervical ROM, neck muscle strength, and quality of life in adolescents with forward head posture and protracted shoulder.

Подробное описание

Forward head posture (FHP) is commonly defined as the protrusion of the head in the sagittal plane so that the head is placed anterior to the trunk. It can occur because of anterior translation of the head, and it is claimed to be associated with an increase in upper cervical extension, lower cervical flexion, or both.

Patients with FHP often experience neck pain and disability, it is associated with shortening of the upper trapezius, the posterior cervical extensor muscles, the sternocleidomastoid muscle, and levator scapulae muscle. Thus, FHP may contribute to neck and shoulder pain.

The prolonged uses of mobile phones and computers have led to a variety of musculoskeletal disorders, especially related to the neck as: Forward Head Posture (FHP), rounded shoulders (RS), upper cross syndrome, mechanical neck pain etc. FHP is one in which the upper cervical convexity is increased and the lower cervical convexity is decreased causing anterior weight bearing of the cervical spine. It is also known as Scholar's neck or Reading neck.

Electrical muscle stimulation (EMS) has been used as a complementary training method, applied either locally or to the whole body. It activates muscles artificially through various electrical current forms, which are delivered through electrodes on the target muscles.

Interferential current (IFC) is an established therapy which is used to treat pain and also effective for providing relaxation of muscles. The application of IFC at the medium frequency which suggests higher penetration of the electrical stimulation in the tissue by reducing tissue impedance

Вмешательства

  • Устройство electrical muscle stimulation device (EMS gymna)
    muscle stimulant device
  • Другое physical therapy program
    neck exercises

Первичные конечные точки

  • shoulder angle (SA) [Срок оценки: From enrollment to the end of treatment at 8 weeks]
  • craniovertebral angle (CVA) [Срок оценки: From enrollment to the end of treatment at 8 weeks]
  • head tilt angle (HTA) [Срок оценки: From enrollment to the end of treatment at 8 weeks]
  • head position angle (HPA) [Срок оценки: From enrollment to the end of treatment at 8 weeks]
Вторичные конечные точки (3)
  • Pain sensation [Срок оценки: From enrollment to the end of treatment at 8 weeks]
  • cervical range of motion [Срок оценки: From enrollment to the end of treatment at 8 weeks]
  • neck muscles strength [Срок оценки: From enrollment to the end of treatment at 8 weeks]

Критерии участия

Критерии включения

  • Girls aged between (15-18) years old.
  • Normal weight with BMI ranging from (16-25).
  • Adolescents with mild and moderate forward head posture(FHP).
  • Adolescents with mild and moderate neck pain.
  • Adolescents with protracted shoulder.

Критерии исключения

  • Cervical disc.
  • Previous Shoulder trauma within last 6months.
  • Shoulder surgery.
  • Cervical fracture.
  • Congenital posture deformity.
  • Inflammatory disease, spinal tumor, spinal compression, spinal cord infection.
  • Taking any medication for pain

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Египет · 1 центр
  • Faculty of Physical Therapy — Dokki

Публикации

  • Elgendy MH, Ghaffar MAA, Sabbahi SAE, Abutaleb EES, Elsayed SEB. Efficacy of head postural correction program on craniovertebral angle, scapular position, and dominant hand grip strength in forward head posture subjects: A randomized controlled trial. Physiother Res Int. 2024 Jul;29(3):e2093. doi: 10.1002/pri.2093. PMID 38780139
  • Titcomb DA, Melton BF, Miyashita T, Bland HW. Evidence-Based Corrective Exercise Intervention for Forward Head Posture in Adolescents and Young Adults Without Musculoskeletal Pathology: A Critically Appraised Topic. J Sport Rehabil. 2022 Feb 16;31(5):640-644. doi: 10.1123/jsr.2021-0381. Print 2022 Jul 1. PMID 35172275

Идентификаторы

NCT: NCT06745960 · forward head posture · P.T.REC/012/005173

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗