to investigate the Efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture: Randomized Controlled Trial
Forward head posture (FHP) is nowadays the most common postural problem. In FHP, the head protrudes forward from the sagittal plane and appears to be positioned in front of the body, and this condition is considered the most common postural deformity. The prevalence of anterior head translation in neck pain patients was found to be 37%, out of which 58% were females and 42%were males. FHP is among the most common abnormal postures in upper quarter. 85% of patients with myofascial pain syndrome have FHP. Even more alarming is how frequently these problems are seen in younger populations since it's suggested that problems at a young age may lead to more serious consequences later in life. Pilate's method is a physical fitness system that was developed during the First World War in the early 20th century by Joseph Hubertus Pilates. Direction Control and Range Control exercises are two key types of specific exercises that should be used when specific uncontrolled movements are found. Pilates is a mind-body exercise that focuses on strength, core stability, flexibility, muscle control, posture and breathing. Exercises can be mat-based or involve use of specialized equipment. Six major components of Pilates as: Centering, Concentration, Control, Precision, Flow and Breathing. pilates exercise and postural correction play a major role in restoring the normal posture in patients with forward head posture so this trial will be conducted to investigate efficacy of adding Pilates to postural correction exercise on nerve root function and electromyography activity in symptomatic forward head posture.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
120
ten exercises will be performed: 1. Hip Twist Level 1 2. Double leg stretch Level 1 3. Double leg stretch Level 2 4. One leg stretch Level 1 5. Clam Level 1 6. Scissors Level 1 7. Arm openings Level 1 8. Breast stroke prep Level 1t 9. Hip Twist Level 1. 10. Breast stroke prep Level 2 as for level 1 postural correction exercise 1-Strengthening deep cervical flexors 2-Stretching cervical extensors 3- Strengthen shoulder retractors 4-Unilateral and bilateral pectoralis stretch
ten exercises will be performed: 1. Hip Twist Level 1 2. Double leg stretch Level 1 3. Double leg stretch Level 2 4. One leg stretch Level 1 5. Clam Level 1 6. Scissors Level 1 7. Arm openings Level 1 8. Breast stroke prep Level 1t 9. Hip Twist Level 1. 10. Breast stroke prep Level 2 as for level 1
Al Shaymaa Shaaban Abd El Azeim
Giza, Egypt
nerve root function
nerve root function in the form of somatosensory evoked potential will be measure by electromyograph.
Time frame: up to ten weeks
pain intensity
pain intensity will be measure by visual analogue scale.
Time frame: up to ten weeks
neck disability
neck disability will be measure by Arabic neck disability index
Time frame: up to ten weeks
flexion and extension endurance test
the endurance will be measured by stop watch
Time frame: up to ten weeks
muscle amplitude
electromyography will be used to measure the muscle amplitude in the form of root mean square
Time frame: up to ten weeks
craniovertebral angle
craniovertebrel angle will be measured by surgimap program
Time frame: up to ten weeks
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postural correction exercise in the form of : 1. Strengthening deep cervical flexors through chin tucks, 2. Stretching cervical extensors through a chin drop 3. Strengthen shoulder retractors 4. Unilateral and bilateral pectoralis stretch alternating each two-week period.