CORRELATION BETWEEN FORWARD HEAD POSTURE, CERVICAL MUSCLES ENDURANCE, AND PROPRIOCEPTIVE FUCTIONS IN CERVICOGENIC HEADACHE AMONG LATE ADOLESCENT STUDENTS.

N/ANot Yet RecruitingNCT07763886

Delta University for Science and Technology100 enrolled

Overview

Forward Head Posture (FHP) is a common postural deviation characterized by anterior translation of the head relative to the trunk, which increases load on cervical muscles and joints. This postural change is associated with muscle fatigue, joint compression, and tension in cervical soft tissues, contributing to cervicogenic headache (Al-Mutairi et al., 20242; Koseoglu et al., 2023). The deep cervical flexor (DCF) muscles, especially the longus colli and longus capitis, are key stabilizers of the cervical spine, and weakness or fatigue of these muscles leads to overuse of superficial muscles such as the sternocleidomastoid and anterior scalene, creating an imbalance between deep and superficial systems. Diminished endurance of deep cervical flexors has been linked to forward head posture, impaired motor control, and persistent neck pain (Ismail et al., 2023). Cervical proprioception is crucial for accurate head position sense. Impaired cervical proprioception results in distorted information about head orientation, causing dizziness, incoordinated movement, and neck discomfort, and has been frequently observed in juniors with cervicogenic headache, increasing muscular strain and headache intensity. In the present study, therefore, we aim to investigate the correlation between FHP, cervical endurance, and proprioceptive function in junior students with cervicogenic headache

The prevalence of cervicogenic headache (CGH) increases in late adolescence largely due to poor postural habits that contribute to musculoskeletal dysfunction. This may attributed to the excessive use of smartphones, tablets, and computers (Hall et al., 2010; Tsantili et al., 2022). Prolonged forward head posture during use smartphones causes abnormal mechanical stress on the cervical muscles and joints, leading to musculoskeletal strain and headache. Poor ergonomic habits during studying or screen use may further exacerbate the problem, emphasizing the importance for early awareness and education on proper posture to prevent CGH in this age group (

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Cervicogenic Headache

Eligibility

Sex: ALLMin age: 15 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: Fifty-six junior students diagnosed with cervicogenic headache * Sudents from both sexes will participate in this study. * The students' ages will be ranged from 17 to 18 years. * All participants will be referred from neurologists * All participants will be free from any medical disease, visual or hearing problem. Exclusion Criteria: * • Patients with a history of cervical spine surgery. * Patients with Whiplash injury.. * Patients with any vestibular disorders. * Patients with visual and hearing impairments. * Patients with diabetes mellitus.

Outcomes

Primary Outcomes

Lateral photography

B. Lateral photographic method: Photography or photogrammetric method will be used to assess FHP. It is a reliable and valid method (Gadotti and Biasotto-Gonzalez,2010). A digital imaging technique will be used to evaluate head and neck posture in the standing position. A digital camera (Canon IXY 12 MP, Japan) will be used to capture images supported on a Magnus PV-3310 photo tripod with 3-way pan and tilt head, was used to capture a photograph. (kuo et al., 2014). Digitized photographs will be analyzed using Kinovea 2024.1.1. This is open access software used to analyze digitized photos and to measure the various head angles (Guzman-Valdivia et al.,2013)

Time frame: Baseline

Secondary Outcomes

proprioception errors

Cervical Range of Motion device (Lindstorm, Minnesota 651-257-3040) is a type of goniometer designed specifically for cervical spine. It is a valid and reliable method to measure the cervical proprioception functions (Jordean, 2000; Tousignant et al., 2002 and Tousignant et al., 2006). It is composed of three inclinometers strapped to the subject's head and two magnets placed over the subject's shoulders. Each inclinometer measures proprioception error in one plane of movements. One gravity dial meter measures flexion and extension, another gravity dial measures lateral flexion and a compass meter measures rotation with its accuracy reinforced by two magnets Fig.(2) (Reddy et al., 2016).

Time frame: Baseline

D. Stabilizer pressure biofeedback:

Chattanooga Stabilizer Pressure Biofeedback Unit. is a valid and reliable method to assess cervical strength and endurance (ICC) 95%. The unit consists of a combined gauge and inflation bulb connected to a pressure cell. Designed by physical therapists, the Stabilizer registers changing pressure in an air-filled pressure cell allowing body movements to be detected during exercise (Lee .20164)

Time frame: Baseline

CORRELATION BETWEEN FORWARD HEAD POSTURE, CERVICAL MUSCLES ENDURANCE, AND PROPRIOCEPTIVE FUCTIONS IN CERVICOGENIC HEADACHE AMONG LATE ADOLESCENT STUDENTS.

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts