[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100611290":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":30,"centralContacts":39,"locations":47,"responsibleParty":59,"collaborators":25,"id":63,"slug":64,"hasResults":65,"nctId":66,"briefTitle":67,"officialTitle":68,"acronym":69,"eligibilityCriteria":70,"healthyVolunteers":65,"sex":71,"minAge":72,"maxAge":73,"enrollmentInfo":74,"targetDuration":25,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":83,"overallStatus":89,"whyStopped":25,"lastUpdateSubmitDate":90,"lastUpdatePostDateStruct":91,"startDateStruct":94,"completionDateStruct":96,"leadSponsor":98,"locationsCount":99},{"fullName":5,"class":6},"Bahçeşehir University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Dynamic Neuromuscular Stabilization Group (DNSG)","EXPERIMENTAL","Developmental DNS patterns (supine 90\u002F90, prone on elbows, quadruped), performed twice daily for 6 weeks.",[13],"Behavioral: Dynamic Neuromuscular Stabilization Exercises",{"label":15,"type":10,"description":16,"interventionNames":17},"Thoracic Expansion Exercise Group (TEG)","Upper, middle, and lower lobe-focused thoracic expansion breathing exercises, twice daily for 6 weeks.",[18],"Behavioral: Thoracic Expansion Exercise",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","Dynamic Neuromuscular Stabilization Exercises","Participants in the DNS group will perform Dynamic Neuromuscular Stabilization exercises based on developmental kinesiology principles. The program consists of three standardized DNS patterns:\n\nSupine 90°\u002F90° Position (4.5-month developmental stage): The participant lies supine with hips and knees flexed to 90°, emphasizing diaphragmatic breathing, rib cage expansion, and neutral spine alignment.\n\nProne on Elbows (4.5-month stage): The participant supports the upper body on elbows while maintaining cervical neutrality and coordinated diaphragmatic breathing.\n\nQuadruped Position (9-month developmental stage): The participant maintains a four-point kneeling position with proper spinal stabilization and controlled breathing.\n\nAll exercises focus on coordinated activation of deep cervical flexors, diaphragm, transversus abdominis, multifidus, and pelvic floor muscles.\n\nParticipants will perform 2 supervised sessions per week and twice-daily home exercises (10 repetitions × 3 sets) for 6 weeks.",[9],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Thoracic Expansion Exercise","Participants in the thoracic expansion group will perform a structured breathing exercise program focused on increasing upper, middle, and lower thoracic mobility. The program includes:\n\nUpper Lobe Expansion Exercise: Participant places hands over upper thoracic region and performs deep inhalation to expand upper lung fields, followed by slow exhalation.\n\nMiddle Lobe Expansion Exercise: Hands placed laterally at mid-thoracic level to facilitate expansion of the middle lobes during inhalation.\n\nLower Lobe Expansion Exercise: Hands positioned over the lower rib cage to promote diaphragmatic and lower thoracic expansion.\n\nEach exercise is performed for 3 sets of 10 repetitions, twice daily, for 6 weeks. Two supervised sessions per week will ensure correct technique and progression. The exercises aim to improve thoracic mobility, respiratory mechanics, and chest wall expansion.",[15],[31,35],{"name":32,"affiliation":33,"role":34},"Gülay Yalçın, PhD","Mudanya University, Faculty of Health Sciences, Department of Physiotherapy","STUDY_DIRECTOR",{"name":36,"affiliation":37,"role":38},"Esra Beceni, Lecturer","Mudanya University Vocational, Physiotherapy Program","PRINCIPAL_INVESTIGATOR",[40,44],{"name":32,"role":41,"phone":42,"phoneExt":25,"email":43},"CONTACT","+905376342600","gulay.yalcin@mudanya.edu.tr",{"name":36,"role":41,"phone":45,"phoneExt":25,"email":46},"+905387358097","esra.beceni@mudanya.edu.tr",[48],{"facility":49,"status":25,"city":50,"state":25,"zip":51,"country":52,"countryCode":25,"cosmosGeoPoint":53,"geoPoint":58,"contacts":25},"Mudanya University","Bursa","16940","Turkey (Türkiye)",{"type":54,"coordinates":55},"Point",[56,57],29.06013,40.19559,{"lat":57,"lon":56},{"type":60,"investigatorFullName":61,"investigatorTitle":62,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"SPONSOR_INVESTIGATOR","Esra BECENI","lecturer","100611290","thoracic-expansion-vs-dns-exercises-in-forward-head-posture-100611290",false,"NCT07238660","Thoracic Expansion vs DNS Exercises in Forward Head Posture","A Randomized Controlled Trial Comparing Thoracic Expansion Exercises and Dynamic Neuromuscular Stabilization on Respiratory Function and Bilateral Trapezius Muscle Activity in Individuals With Forward Head Posture","FHP-DNS-TE","Inclusion Criteria:\n\n* Adults aged 18 to 40 years.\n* Craniovertebral angle (CVA \\\u003C 53°) indicating forward head posture.\n* Able to perform exercise-based interventions.\n* Voluntarily agrees to participate and signs the informed consent form.\n* No neurological, orthopedic, systemic, or cardiopulmonary conditions that would limit participation.\n\nExclusion Criteria:\n\n* Contraindications to exercise (e.g., acute musculoskeletal injury, uncontrolled cardiovascular disease).\n* Chronic upper respiratory tract disease that may affect spirometry results. Presence of a cardiac pacemaker.\n* Neurological disorders, systemic diseases, or mental impairments that could interfere with exercise cooperation.\n* History of orthopedic or musculoskeletal surgery affecting mobility or posture.\n* Currently participating in respiratory exercises, spinal stabilization training, or structured exercise programs.\n* Engagement in professional sports or intensive physical training that may affect baseline neuromuscular measurements.\n* Failure to comply with the exercise program (e.g., missing 3 consecutive days of prescribed exercises).","ALL","18 Years","40 Years",{"count":75,"type":76},32,"ESTIMATED","INTERVENTIONAL",[79],"NA","This randomized controlled trial aims to compare the effects of thoracic expansion exercises and Dynamic Neuromuscular Stabilization (DNS) on respiratory function and bilateral trapezius muscle activity in individuals with forward head posture (FHP). A total of 32 participants aged 18-40 years with a craniovertebral angle (CVA) of less than 53° will be randomly assigned to either the DNS group or the thoracic expansion exercise group. Primary outcomes include respiratory function (FEV1, FVC, FEV1\u002FFVC), trapezius muscle activation measured with EMG biofeedback, and craniovertebral angle. Secondary outcomes include thoracic mobility and health-related quality of life assessed using the St. George's Respiratory Questionnaire. Both interventions will be applied for 6 weeks. The study aims to determine which approach provides greater improvement in posture-related respiratory dysfunction and muscle activation.",[82],"Forward Head Posture",[84,85,86,87,88],"craniovertebral angle","respiratory function test","electromyography","Dynamic Neuromuscular Stabilization(DNS)","breathing exercises","NOT_YET_RECRUITING","2025-11-20",{"date":92,"type":93},"2025-11-25","ACTUAL",{"date":95,"type":76},"2025-12-01",{"date":97,"type":76},"2026-02-15",{"name":61,"class":6},1]