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IRCT20151123025202N17 IRCT 2021-07-17 Hamedan University of Medical Sciences Treatment of forward head posture Evaluating the efficacy of therapeutic exercises and trigger points dry needling in patients with forward head posture 2021-08-06 anticipated 60 Complete https://irct.ir/trial/57460 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: We made 60 cards and write letter V on 30 for Intervention and on the other 30 letter D for the control group. Then put them inside the envelope with aluminum wrap and put in a box. At the time of patient arrival, one of the envelopes randomly will be selected and will be opened, based on selected letter V or D patients will be assigned to exercises therapy or dry needling group.The sampling process will be continues until all the cards are selected, Blinding description: In this study, the person evaluating the angle of head, neck and shoulders in the image taken by digital camera and analyzed computer software, pain score of patients with visual analog scale and quality of life of patients with SF-12 scale will be blinded regarding to intervention groups . 3 forward head posture. Intervention 1: Intervention group: The duration of treatment in this study will be 3 months (12 weeks). Exercise therapy sessions will be performed twice a week for 20 minutes under the supervision of a therapist. The exercise therapy protocol will include three stretching exercises and four strength exercises aimed at correcting the condition of the neck and shoulders position. Strength training is designed for rotator cuff activity, minor fear, infra-spinatus, scapular stabilizing muscles (upper and lower trapezius), rhomboids, and deep neck flexors. Stretching exercises are designed to stretch the shortened pectoralis minor muscles and the SCM neck muscles and the scapula lift. The exercise program is performed under the direct supervision of the therapist to ensure the correctness of the exercises. To increase patients' resistance, all exercises are started lightly, including 2 sets of 15, and gradually increase the intensity, number of sets and repetition of movements. The average duration of exercise will be 20 minutes and the exercise sequence is random. Intervention 2: Intervention group: For patients in the Dry Needling group of trigger points (TrPs), the neck and shoulder girdle muscles, including the trapezius, SCM, sub-occipital, scapula, scale, pectoralis major, and infra-spinatus muscles, will first be evaluated by a experienced specialist to finding TrPs. . The identified TrPs are marked for each patient in an anatomical shape. For Dry Needling, patients will be asked to lie in a comfortable bed in a quiet room for 10 minutes. Dry Needling is then performed by inserting an acupuncture needle 0.3 mm in diameter and 50 mm in length into the identified TrPs. The needle is raised and lowered for 3-5 times and then removed. As in the exercise therapy group, treatment sessions in this group will be twice a week for 12 weeks. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Abbas Moradi
Hamedan shahid fahmideh street medicine school
Hamadan Iran (Islamic Republic of) 6517838736 +98 81 3838 0097 a.moradi@umsha.ac.ir Hamedan University of Medical Sciences scientific Loabat Majidi
Besat Hospital, Shahid Beheshti Blv, Hamedan
Hamadan Iran (Islamic Republic of) 6514845411 +98 81 3264 0030 lobat.majidi@gmail.com Hamedan University of Medical Sciences Iran (Islamic Republic of) Diagnosis of forward head posture abnormalities according to clinical criteria Age 65-14 years 14 years 65 years Both Comorbidity of other musculoskeletal diseases, spinal diseases, neurological and motor diseases History of shoulder surgery Vascular diseases M95.9 Acquired deformity of musculoskeletal system, unspecified Rehabilitation Treatment - Devices Intervention group: The duration of treatment in this study will be 3 months (12 weeks). Exercise therapy sessions will be performed twice a week for 20 minutes under the supervision of a therapist. The exercise therapy protocol will include three stretching exercises and four strength exercises aimed at correcting the condition of the neck and shoulders position. Strength training is designed for rotator cuff activity, minor fear, infra-spinatus, scapular stabilizing muscles (upper and lower trapezius), rhomboids, and deep neck flexors. Stretching exercises are designed to stretch the shortened pectoralis minor muscles and the SCM neck muscles and the scapula lift. The exercise program is performed under the direct supervision of the therapist to ensure the correctness of the exercises. To increase patients' resistance, all exercises are started lightly, including 2 sets of 15, and gradually increase the intensity, number of sets and repetition of movements. The average duration of exercise will be 20 minutes and the exercise sequence is random. Intervention group: For patients in the Dry Needling group of trigger points (TrPs), the neck and shoulder girdle muscles, including the trapezius, SCM, sub-occipital, scapula, scale, pectoralis major, and infra-spinatus muscles, will first be evaluated by a experienced specialist to finding TrPs. . The identified TrPs are marked for each patient in an anatomical shape. For Dry Needling, patients will be asked to lie in a comfortable bed in a quiet room for 10 minutes. Dry Needling is then performed by inserting an acupuncture needle 0.3 mm in diameter and 50 mm in length into the identified TrPs. The needle is raised and lowered for 3-5 times and then removed. As in the exercise therapy group, treatment sessions in this group will be twice a week for 12 weeks. Changes neck and shoulder angle. Timepoint: Before the intervention and at the end of week 12 of the intervention. Method of measurement: Taking a photo of the profile of the body, analysis with a computer. Pain severity. Timepoint: Before the intervention and at the end of week 12 of the intervention. Method of measurement: Visual Analogues Scale. Quality of life associated with forward head posture. Timepoint: Before and 12 weeks after the intervention. Method of measurement: Questionnaire SF-12. Hamedan University of Medical Sciences Approved 2021-01-30 Ethics committee of Hamadan University of Medical Science ُShahid Fahmideh Ave Hamadan Hamadan Iran (Islamic Republic of)