Postural Rehabilitation for Visual Dysfunction in Forward Head Posture

Официальное название

Postural Rehabilitation Through Motor Control Versus Sensor-based Biofeedback Training for Visual Dysfunction in Forward Head Posture

Обзор

This assessor-blinded randomized controlled trial aims to compare the effects of motor control training, sensor-based biofeedback training using a wearable inertial measurement unit (IMU), and standardized postural correction exercises on mild visual dysfunction in university students with forward head posture (FHP). The trial seeks to establish whether targeted postural rehabilitation can produce measurable improvements in validated visual and sensorimotor outcomes.

Подробное описание

Forward head posture is highly prevalent among young adults due to prolonged screen exposure and sustained cervical flexion. Emerging neurophysiological evidence suggests that cervical alignment influences visual stability through altered proprioceptive input, cervico-ocular reflex mechanisms, and sensorimotor integration. However, no randomized controlled trials have investigated whether correcting FHP leads to measurable improvements in validated visual parameters.

Вмешательства

• Другое motor control training
  the intervention will be a progressive training starting from the stationary, no inertia and no object manipulation to in motion with inertia and with object manipulation taking help of sitting standing and stepping stairs like activities keep the head in normal position with the help of a laser gun. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.
• Устройство Sensor development training group
  the sensor will be being placed at C7 measuring current craniovertebral angle with the threshold being set at 50 degrees. the real time feedback will be shown on the mobile app. and the data will be recorded for whole intervention time. the intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.
• Другое conventional posture training
  the strengthening of deep neck flexors and retractors and stretching of pectoralis major and cervical extensors will be done using intervention duration is 45 minutes/day, with three sessions per week for 4 weeks.

Первичные конечные точки

• visual impairment [Срок оценки: baseline to 8th week]
• oculomotor function [Срок оценки: baseline to 8th week]
• visual reaction time [Срок оценки: baseline to 8th week]
• visual fatigue [Срок оценки: baseline to 8th week]
• craniovertebral angle [Срок оценки: baseline to 8th week]

Вторичные конечные точки (5)

• flexor muscle endurance [Срок оценки: baseline to 8th week]
• extensor muscle endurance [Срок оценки: baseline to 8th weeks]
• pelvic tilt [Срок оценки: baseline to 8th week]
• static balance [Срок оценки: baseline to 8th week]
• dynamic balance [Срок оценки: baseline to 8th week]

Критерии участия

Критерии включения

• 18-30 years Both genders BMI 17.5-27.99 CVA <50° Mild visual impairment log Mar 0.1-0.5

Критерии исключения

• • Head and neck trauma or surgical history, Neurological disorders

• Vestibular disorders, Benign paroxysmal positional vertigo (BPPV)
• Congenital head and neck postural abnormality
• Diagnosed oculomotor pathology (strabismus, nystagmus)
• Diagnosed congenital ocular defects (corneal dystrophies)
• Diagnosed glaucoma, cataract, uncorrected refractive errors
• Diagnosed diabetes

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

Пакистан · 1 центр

• Post-graduate research Lab, Riphah international university, gulberg greens campus, islama — Islamabad

Идентификаторы

NCT: NCT07484555 · RiphahIU Aisha Razzaq

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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