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IRCT20180605039983N1 IRCT 2026-07-04 The University of Shahid Beheshti Comparison of the Effects of Scapular and Cervical Stabilizing Exercises in Individuals with Forward Head Posture and Neck Pain Comparing the effect of scapular stabilization exercises with neck stabilization exercises with feedback on pain, posture, muscle electromyography activity in people with forward head deformity and non-specific chronic neck pain. 2026-07-11 anticipated 36 Complete https://irct.ir/trial/91341 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, simple randomization method is used and the randomization unit is "individual". Random sequence is generated in Excel software using RAND function and MOD ROW function is used for grouping. In order to observe allocation concealment, each individual's allocation code is placed in illegible and sealed envelopes after being determined in Excel. N/A Neck pain. Intervention 1: Intervention group:Scapular stabilization exercises will be performed for four weeks, three sessions per week, lasting 40–50 minutes per session. Outcome measures include pain intensity via the Visual Analog Scale (VAS), forward head posture angle via photogrammetry, and superficial muscle activity via surface electromyography (sEMG). Intervention 2: Intervention group: Neck stabilization exercises will be performed for four weeks, three sessions per week, lasting 40–50 minutes per session. Outcome measures include pain intensity via the Visual Analog Scale (VAS), forward head posture angle via photogrammetry, and superficial muscle activity via surface electromyography (sEMG). Intervention 3: Control group: During the study period, no intervention will be administered to the control group, and participants will continue their usual exercises. Additionally, the VAS scale will be used to measure pain levels, photogrammetry to assess forward head angle, and EMG equipment to measure superficial muscle activity. 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 There is no further information.
public Mehdi Gheitasi
Shahid Beheshti University, Shahriari square, Volanjek Town, Tehran
Tehran Iran (Islamic Republic of) 1983969411 +98 21 2243 1953 m_gheitasi@sbu.ac.ir The University of Shahid Beheshti scientific Mehdi Gheitasi
Shahid Beheshti University, Shahriari square, Volanjek Town, Tehran
Tehran Iran (Islamic Republic of) 1983969411 +98 21 2243 1953 m_gheitasi@sbu.ac.ir The University of Shahid Beheshti Iran (Islamic Republic of) forward head angle greater than 35 degrees and less than 50 degrees), Body Mass Index (BMI) of 18 to 25, Mild to moderate neck pain (3 to 7 on the VAS scale) No history of athletic activity in the past six months No history of surgery, injury, accident, fracture, or significant abnormalities in the upper extremity. Absence of pregnancy 20 years 30 years Female Older and younger ages Presence of injury in body organs M54.2 Cervicalgia Rehabilitation Rehabilitation Rehabilitation Intervention group:Scapular stabilization exercises will be performed for four weeks, three sessions per week, lasting 40–50 minutes per session. Outcome measures include pain intensity via the Visual Analog Scale (VAS), forward head posture angle via photogrammetry, and superficial muscle activity via surface electromyography (sEMG). Intervention group: Neck stabilization exercises will be performed for four weeks, three sessions per week, lasting 40–50 minutes per session. Outcome measures include pain intensity via the Visual Analog Scale (VAS), forward head posture angle via photogrammetry, and superficial muscle activity via surface electromyography (sEMG). Control group: During the study period, no intervention will be administered to the control group, and participants will continue their usual exercises. Additionally, the VAS scale will be used to measure pain levels, photogrammetry to assess forward head angle, and EMG equipment to measure superficial muscle activity. Measuring pain levels. Timepoint: Before the start of the intervention and four weeks later. Method of measurement: Participants will be asked to respond using the Visual Analog Scale (VAS), which rates pain intensity on a scale of 0 to 10. A score of 1–3 indicates mild pain, 4–7 indicates moderate pain, and 8–10 indicates severe pain. Measurement of forward head angle. Timepoint: Before the start of the intervention and four weeks later. Method of measurement: The participant will be asked to stand in a relaxed position and gaze at an imaginary point directly ahead. The examiner will then take a side-view photograph from a distance of 150 cm, following a five-second pause. Subsequently, using online protractor software, the angle between the line passing through the spinous process of the seventh cervical vertebra and the tragus, and the line passing horizontally through the spinous process of the seventh cervical vertebra (the cranio-vertebral angle), will be measured. Electromyography (sEMG). Timepoint: Before the start of the intervention and four weeks later. Method of measurement: Surface electromyography (sEMG) of the dominant side upper/middle/lower trapezius, sternocleidomastoid, serratus anterior, and middle deltoid was recorded using Megawin software and analyzed via MATLAB. Electrode placement followed the SENIAM protocol and reference literature. For data normalization, Maximum Voluntary Isometric Contraction (MVIC) was performed in muscle-specific positions using three 5-second trials separated by standardized rest intervals to prevent fatigue, utilizing the middle 3 seconds for analysis. Participants performed 5 repetitions of controlled-speed scaption, and signals from the middle 3 repetitions were band-pass filtered (20-450 Hz), rectified, and normalized to MVIC to calculate muscle onset time and activation amplitude. The University of Shahid Beheshti Approved 2026-02-10 Older and younger ages Unwillingness to participate in research Having damage to the organs Shahid Beheshti University, Shahriari square, Volanjek Town, Tehran Tehran Tehran Iran (Islamic Republic of)