Craniovertebral Angle and Fibromyalgia Severity
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-55
SponsorAnkara Training and Research Hospital
About this trial
Forward Head Posture Frequency in Fibromyalgia Patients Assessed by Craniovertebral Angle: Association with Symptom Severity. Forward head posture is more common in patients with fibromyalgia and is a factor that increases symptom severity.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged 18-55 years
Diagnosed with Fibromyalgia (FM) according to The American College of Rheumatology (ACR) 2010 Diagnostic Criteria for Fibromyalgia
Disqualifiers
History of past or current pathology in the cervical spine, thoracic spine, or upper extremities
History of paraspinal or thoracic surgery involving the head, spine, or shoulders within the last six months
Structural spinal malformation
History of surgical or neurological disorders
Trial population
Our research will be conducted as a prospective study. The case group will consist of male and female patients aged 18-55 years who present to the Physical Medicine and Rehabilitation clinic with widespread pain complaints and are diagnosed with Fibromyalgia (FM) according to ACR 2010 diagnostic criteria. The control group, matched for age and gender distribution, will be selected from patients presenting with mechanical knee pain complaints and no cervical symptoms. Considering the increased likelihood of degenerative changes in the cervical region with advancing age, the investigators limited the upper age limit to 55 years. Demographic data will be collected through face-to-face interviews during examination. During this time, patients will complete the Fibromyalgia Impact Questionnaire (FIQ). The FIQ is a 10-item questionnaire that evaluates the severity of fibromyalgia symptoms.
Trial design
Design model
Case-control
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
134 Participants
are grouped into 2 trial groupsGroup A: Fibromyalgia Group
Group B: Control Group
Trial outcomes
Primary outcomes
1
The craniovertebral angle
During the same visit, permission will be obtained from patients for photography, and it will be explained that the photograph will be used solely for scientific research. One lateral photograph will be taken from consenting patients. For this purpose, the patient will be instructed to assume a standing posture and then relax. After the photographs taken with the camera placed at shoulder level are printed, the craniovertebral angle representing the forward head posture will be measured. The craniovertebral angle is the angle between the horizontal line passing through the 7th cervical vertebra and the line connecting the tragus of the ear to the C7 spinous process. The craniovertebral angle value will be calculated as the average value measured 5 times.
Time frame
up to 12 weeksSecondary outcomes
1
Fibromyalgia Impact Questionnaire
The Fibromyalgia Impact Questionnaire (FIQ) consists of 10 items. The first item contains 11 questions related to physical function - each question is rated on a 4-point Likert-type scale. Items 2 and 3 ask the patient to mark the number of days they felt well and the number of days they could not work (including housework) due to fibromyalgia symptoms. Items 4 through 10 are horizontal linear scales marked in increments of 10 on which the patient rates work difficulty, pain, fatigue, morning tiredness, stiffness, anxiety, and depression. The highest possible score for each of the 10 items is 10, thus the highest possible score is 100. The average FM patient scores approximately 50 points; severely affected patients typically score ≥70 points.
Time frame
up to 12 weeksSponsors and contacts
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Source ClinicalTrials.gov