Effect of INIT on Cervical Proprioception in Patients With Forward Head Posture
ConditionForward Head Posture
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorRiphah International University
About this trial
The purpose of the study is to determine the effects of Integrated Neuromuscular Inhibition Technique on Cervical Proprioception in Patients with Forward Head Posture. A randomized control trial was conducted at Riphah International University, Gulberg Green Campus, Islamabad. The sample size was 42 calculated through G-Power. The participants were divided into two interventional groups each having 21 participants. The study duration was six months. Sampling technique applied was Non-probability Purposive sampling for recruitment. Only 18 to 40 years participants with CVA angle less than 50 degree were included in the study. Tools used in this study are Inclinometer, Mobile phone, Labtop, Kinovea Software, NPRS Scale, Laser Beam. Data was collected at Baseline, after 1st session at the end of 2nd week and 4th week. Data analyzed through SPSS version 23.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Both Male and Female patients
CVA less than 50 degree
Age 18-40 years
Neck pain for more than 3 months
Disqualifiers
History of cervical or facial trauma or surgery.
Congenital anomalies of spine such as scoliosis.
Systemic arthritis.
Any disorder of Central Nervous System.
Trial design
Design model
Parallel
Treatments tested in this trial
Integrated Neuromuscular Inhibition Technique and Posture Corrective Exercises.
Other interventionINIT will be performed for experimental group and then posture corrective exercises will be performed and for control group only posture corrective exercises will be performed
Treatment groups
42 Participants
are divided into 2 treatment groupsGroup A: Experimental Group: 1Experimental treatment 1 intervention
Group B: Control Group: 2Active comparator 1 intervention
Trial outcomes
Primary outcomes
1
Numeric Pain Rating Scale
The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. Where 0 means no pain and 10 means worst imaginable pain. NPRS was measured at Baseline, 1st Session, 2nd Week and 4th Week
Time frame
40 minutes session, thrice a week for 4 weeks.2
Cranio-vertebral Angle
For measuring the angle, the reflective markers will be placed on the tragus of the ear and spinous process of the C7. The camera will be positioned on a tripod 50 cm away from the participant. The axis of the lens of the camera was placed at the level of the shoulder. The photos will be taken and the CVA angle will be calculated by Software Kinovea. CVA was measured at Baseline, 1st Session, 2nd Week and 4th Week
Time frame
40 minutes session, thrice a week for 4 weeks.3
Cervical Joint Position Error Test
For measurement of proprioception, Joint Position Error Test is used. The distance/deviation will represent the proprioception deficit (JPE) of each participant. Angle is then calculated by taking arc tan of error distance divided by 90. A meaningful distance of 7.1cm or angle greater than 4.5 degree represents proprioception deficit. JPE Test was measured at Baseline, 1st Session, 2nd Week and 4th Week
Time frame
40 minutes session, thrice a week for 4 weeks.4
Cervical Range of Motion
Cervical ROM will be measured by using an inclinometer for Flexion, Extension, Lateral Flexion and Rotation. The normal Range for Flexion is usually approximately 80º. Normal cervical extension is usually 50°, Value for Lateral Flexion is 45° and for rotation its approximately 80°. Cervical ROM were measured at Baseline, 1st Session, 2nd Week and 4th Week
Time frame
40 minutes session, thrice a week for 4 weeks.Sponsors and contacts
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Source ClinicalTrials.gov