Effects of Feldenkrais Approach in Cases With Forward Head Posture

Официальное название

Effects of Exercise and Feldenkrais Approaches on Position Sense, Strength, Range of Motion and Posture in Cases With Forward Head Posture

Обзор

It is thought that adding approaches that increase posture awareness to corrective exercise programs will contribute to the treatment. The aim of the study is to evaluate the effect of adding the Feldenkrais method to the corrective exercise program applied to individuals with forward head posture on cervical joint position sense, muscle strength, joint range of motion and posture parameters.

Подробное описание

The combination of the Feldenkrais method with corrective exercises stands out as an innovative approach to the problem of forward head posture. This approach aims to not only eliminate physical alignment errors but also increase individuals' internal awareness of posture and movement patterns by integrating traditional postural correction techniques with Feldenkrais' movement efficiency and awareness-oriented principles. In this way, it may be possible for the postural improvements obtained to be more sustainable. It is reported that the Feldenkrais method supports neuromuscular control by increasing body awareness and contributes to movement quality. In light of this information, it is predicted that the addition of the Feldenkrais method to the corrective exercise program applied to individuals with forward head posture will provide additional improvement in cervical joint position sense, muscle strength, range of motion and posture parameters.

Вмешательства

• Другое Strength and Feldenkrais Exercise
  This is a behavioral, non-drug and non-device-based intervention combining somatic awareness through Feldenkrais principles with neuromuscular re-education. Movements emphasize minimal effort, reduced muscle tension, and improved self-perception of posture. The approach supports individualized progression and complements conventional physiotherapy without the use of pharmacological agents or medical equipment.
• Другое Strength Exercise
  This is a non-drug, non-device corrective exercise program tailored for adults with forward head posture. It includes postural muscle strengthening and stretching, such as deep neck flexor activation, scapular retraction, and pectoral stretching. Additionally, participants perform diaphragmatic and thoracic breathing exercises.

Первичные конечные точки

• Cervical Joint Position Sense [Срок оценки: 8 weeks]
• Cervical Muscle Strength [Срок оценки: 8 weeks]
• Cervical Range of Motion [Срок оценки: 8 weeks]
• Postural Assessment [Срок оценки: 8 weeks]

Вторичные конечные точки (3)

• Neck Disability Index (NDI) [Срок оценки: 8 weeks]
• Numeric Pain Rating Scale (NPRS) [Срок оценки: 8 weeks]
• Global Rating of Change (GROC) Scale [Срок оценки: 8 weeks]

Критерии участия

Критерии включения

• Being between 18-65 years of age
• CVA (cervicovertebral angle) ≤50° (16,17)
• Spending at least 4 hours of daily desk time 5 days a week

Критерии исключения

• Having temporomandibular dysfunction
• Having any spinal deformity
• Having cervical trauma or pain treatment within the last 6 months
• Having previously participated in a corrective exercise program
• History of neurological disorder
• History of spinal or thoracic surgery
• Having hearing impairment
• Use of analgesics/muscle relaxants

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

Двойное слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 2 центра

• Istanbul University-Cerrahpaşa — Istanbul
• Istanbul University-Cerrahpaşa — Istanbul

Идентификаторы

NCT: NCT06968052 · IUC-FTR-Tt25

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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