About this trial
This study will be designed to determining whether there is a relationship between CGH and cervical posture which may potentially provide physical therapists with evidence supporting the assessment and treatment of abnormal posture in this patient group.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects with Craniovertebral angle (CVA) less than 50 degrees. (Gavin Morrison, 2018).
University students who were taking consecutive lectures for 3 hours and who worked forward for 3 hours or more on laptop (Arfa Naz et al, 2018).
Disqualifiers
History of significant medical conditions that might be potential contraindications to physical examination of the cervical spine, including known cancer, osteoporosis, nerve root symptoms, inflammatory or infectious diseases affecting the neck instability of the cervical spine, or reported potential vertebrobasilar insufficiency symptoms (Peter K. Farmer et al, 2015).
History of cervical spine injures (fracture, sprain, strain, whiplash), cervical spondylosis, obvious spinal deformities, neurological and neuromuscular disorders, TMJ dysfunction, cervicothoracic and lumbar kyphoscoliosis, rheumatic disease, torticollis, and balance disorders (B. Shaghayegh fard et al, 2015).
Trial population
University students who were taking consecutive lectures for 3 hours. Subjects who worked forward for 3 hours or more on laptop. Subjects usually in awkward head position.
Trial design
Cohort
Prospective
Treatments tested in this trial
Photogrametry , flexion rotation (FRT) test, Diagnosis of CGH according diagnostic criteria of the Cervicogenic Headache International Study Group (CHISG)
Diagnostic testPhotogrammetry is the science and technology of obtaining reliable information about physical objects and the environment through the process of recording, measuring and interpreting photographic images and patterns of electromagnetic radiant imagery and other phenomena. Flexion rotation (FRT) test: FRT is a manual examination technique with high sensitivity and specificity. It is performed with the patient in supine by passively taking the cervical spine into full flexion. End-range cervical flexion imparts ligamentous tension that impedes movement at vertebral segments below C2.7 Maintaining the flexion position, the patient's head is then rotated to each side until the patient reports pain or the operator determines that end of motion has been achieved. It is then determined if a restriction in ROM is present.
Treatment groups
Trial outcomes
Primary outcomes
comparing FRT and photogrammetry findings to CHISG criteria.
Analysis of photogrammetry, interpreting the results of the flexion rotation test to diagnose the presence of forward head posture then identify if FHP is correlated with cervicogenic headeach which will be diagnosed by diagnostic criteria of the Cervicogenic Headache International Study Group (CHISG).
Sponsors and contacts
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