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IRCT20181209041903N1 IRCT 2019-06-30 Shiraz University of Medical Sciences Comparison the effect of computer game and conventional proprioception training in neck region on head-neck angle , Joint position sense error and balance in individual with forward head posture Comparison the effect of virtual reality and conventional proprioception training in neck region on Craniocervical angle , Joint position sense error and balance in individual with forward head posture 2019-07-23 anticipated 45 Complete https://irct.ir/trial/36614 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Individuals with block randomization and sealed opaque envelopes concealment take place in three groups, Blinding description: In this study participants will be unaware of group assignment. Furthermore, evaluations and interventions are performed by two different physiotherapists who are unaware of each other's information and assessor is unaware to intervention. N/A Forward head posture. Intervention 1: First Intervention group :This group do home exercises plus a computar game designed to improve cervicocephalic kinesthesia, eye-head coordination, reflexes related to head and neck, eye and vestibular system with their head and neck movements.The stages of the game are designed easy to difficult sequentially. Ten exercise sessions each lasted 20 minutes is programed. 5 minutes warm up exercises will be performed at the beginning of each session. Intervention 2: Second intervention group: This group do home exercises plus conventional neck proprioceptive exercises including: The combination of joint position sense and movement sense training (by using laser beam fixed on the head), gaze stability training, eye and head coordination training will be performed in each session and they will be progressed in the next sessions. The duration of each training session and the number of training sessions are the same as first intervention group. Intervention 3: Control group: individuals just do home exercise including 2 stretching and 2 strengthening exercise in 3 sets of 12 repetition. 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 Because each persons data withour overall evaluation is practically useless
public Mohsen Razeghi
School of Rehabilitation Sciences, Abiverdi 1 St, Chamran Blvd, Shiraz, Iran
Shiraz Iran (Islamic Republic of) 1733-71345 +98 71 3627 1551 ext. 213 RazeghM@Sums.ac.ir Shiraz University of Medical Sciences scientific Mohsen Razeghi
School of Rehabilitation Sciences, Abiverdi 1 St, Chamran Blvd, Shiraz, Iran
Shiraz Iran (Islamic Republic of) 71947-33669 +98 71 3627 1552 Razeghm@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) 18- 35 years old Craniocervical angle less than 53 degree Joint position sense error more than 4.5 degree 18 years 35 years Both Pain in neck region during test or history of chronic neck pain No neck pain in last 3 month Dissyness Individuals who dont be able to see a number size of 14 with calibri font on the screen with or without glass. Report of neurologic symptoms of nerve injury in upper limb like neuropathy and radiculopathy History of fractures in neck region and upper limb and trumatic injuries History of vestibular system injury Positive vertebral artery test Tumor in head and neck Scoliosis History of cancer and chemotherapy or radiotherapy History of diabets Uremia and kidney failure Uncontroled thyroid disorders Colagen vascular disorders Taking neuropathic medications Deformities and shortness of upper and lower limbs Canal stenosis in neck , lumbar and sacral region Central and prepheral nourologic sestem disorders like CVA, TBI or history of prepheral nouropathy Rehabilitation Rehabilitation Rehabilitation First Intervention group :This group do home exercises plus a computar game designed to improve cervicocephalic kinesthesia, eye-head coordination, reflexes related to head and neck, eye and vestibular system with their head and neck movements.The stages of the game are designed easy to difficult sequentially. Ten exercise sessions each lasted 20 minutes is programed. 5 minutes warm up exercises will be performed at the beginning of each session. Second intervention group: This group do home exercises plus conventional neck proprioceptive exercises including: The combination of joint position sense and movement sense training (by using laser beam fixed on the head), gaze stability training, eye and head coordination training will be performed in each session and they will be progressed in the next sessions. The duration of each training session and the number of training sessions are the same as first intervention group. Control group: individuals just do home exercise including 2 stretching and 2 strengthening exercise in 3 sets of 12 repetition Craniocervical angle. Timepoint: Before intervention, immediately after 10th session and one month after last session. Method of measurement: With photography of lateral view of neck and estimate craniocervical angle. Head repositioning error. Timepoint: Before intervention, immediately after 10th session and one month after last session. Method of measurement: With laser pointer and graded page. Dynamic balance. Timepoint: Before intervention, immediately after 10th session and one month after last session. Method of measurement: With modified star excursion balance test. Static balance. Timepoint: Before intervention, immediately after 10th session and one month after last session. Method of measurement: With single leg stance with open and close eye. Fitts law. Timepoint: Before intervention, immediately after 10th session and one month after last session. Method of measurement: With particular computer software and head mouse. Shiraz University of Medical Sciences Approved 2018-12-08 Research Ethics Committee of Shiraz School of Rehabilitation Sciences School of Rehabilitation Sciences, Abiverdi 1 St., Chamran Blvd., Shiraz, Iran shiraz Fars Iran (Islamic Republic of)