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RecruitingNCT07532642Updated Apr 16, 2026

Radiographic Head and Neck Positional Changes in Response to Usage of Low-powered Prismatic Lenses

An interventional study of Prismatic low-powered lenses in Postural Neck Pain, Postural Imbalance and Postural Disorders, sponsored by Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa. Recruiting at 1 site in Portugal. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by May 2026, 5 months ago, but the record still lists the study as recruiting.
  • Registered 3 years after the study started (first participant enrolled Mar 2023, registered Apr 2026).
  • Started Mar 2023; still recruiting 3 years 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This study aims to investigate the short-term modifications in head and neck positioning by usage of low-powered prismatic lenses in patients with Postural Deficiency Syndrome (PDS). A matched pair observation study was designed. Evaluation is carried out using low dose biplanar radiography before treatment and 15 minutes after lenses application.

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Conditions studied

  • Postural Neck Pain
  • Postural Imbalance
  • Postural Disorders

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In context

Neck Pain

1,360 studies on the registry are indexed under Neck Pain; 299 are open to participants now.

This study's planned enrollment of 20 is below the median of 50 across 1,116 interventional studies indexed under Neck Pain.

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Lead sponsor

Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa is the lead sponsor of 4 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Presentation of diagnostic criteria for Postural Deficiency Syndrome comprising of

  • Two or more cardinal signs of Postural Deficiency Syndrome
  • Clinical presentation of asymmetrical stance and head extension and rotation
  • Presence of typical directional pseudoscotoma described in this syndrome

Exclusion criteria

Exclusion Criteria:

  • Vision under 8/10, strabismus or nistagmus;
  • Previous eye or vestibular surgery;
  • Known disease affecting the central nervous system or inner ear;
  • Medication with known interference with balance and posture and
  • treatment for postural and movement disorders in the previous year.
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Unique

    Device: Prismatic low-powered lenses

Interventions

  • DevicePrismatic low-powered lenses

    Participants perform biplanar X-ray before and after lens application

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What researchers measure

Primary outcomes

  1. Radiographic modification of pelvic tilt angle

    Changes in pelvic tilt angle are measured between two subsequent radiographic biplanar scans in standing position, before and after lenses application on the same patient. Measurement is performed in degrees using the radiographic equipment proprietary software (EOS imaging). A minimum clinical significance value of 3 degrees was estimated.

    Time frame: From enrollment to second radiographic evaluation on day 1

  2. Radiographic modification of C0 inclination

    Changes in C0 inclination angle are measured between two subsequent radiographic biplanar scans in standing position, before and after lenses application on the same patient. Measurement is performed in degrees using the radiographic equipment proprietary software (EOS imaging). A minimum clinical significance value of 3 degrees was estimated.

    Time frame: From enrollment to second radiographic evaluation at day 1

  3. Radiographic modification of cervical spinal vertical alignment

    Changes of cervical spinal vertical alignment are measured between two subsequent radiographic biplanar scans in standing position, before and after lenses application on the same patient. Measurement is performed in millimeters using the radiographic equipment proprietary software (EOS imaging). A minimum clinical significance value of 2 millimeters was estimated.

    Time frame: From enrollment to second radiographic evaluation at day 1

Secondary outcomes

  1. Radiographic modification of cervical lordosis

    Changes of cervical lordosis angle are measured between two subsequent radiographic biplanar scans in standing position, before and after lenses application on the same patient. Measurement is performed in degrees using the radiographic equipment proprietary software (EOS imaging).

    Time frame: From enrollment to second radiographic evaluation at day 1

  2. Radiographic modification of inclination of C1

    Changes of C1 inclination angle are measured between two subsequent radiographic biplanar scans in standing position, before and after lenses application on the same patient. Measurement is performed in degrees using the radiographic equipment proprietary software (EOS imaging).

    Time frame: From enrollment to second radiographic evaluation at day 1

  3. Radiographic modification of inclination of C2

    Changes of C2 inclination angle are measured between two subsequent radiographic biplanar scans in standing position, before and after lenses application on the same patient. Measurement is performed in degrees using the radiographic equipment proprietary software (EOS imaging).

    Time frame: From enrollment to second radiographic evaluation at day 1

  4. Radiographic modification of global spinal vertical alignment

    Changes of global spinal vertical alignment are measured between two subsequent radiographic biplanar scans in standing position, before and after lenses application on the same patient. Measurement is performed in millimeters using the radiographic equipment proprietary software (EOS imaging).

    Time frame: From enrollment to second radiographic evaluation at day 1

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Study locations

1 of 1 sites recruiting
  • CAML
    Lisbon, Lisbon District, Portugal
    Recruiting
    • João Alves da Silva, MD · Contactjoao-luis@edu.ulisboa.pt · +351935457064
    • João Alves da Silva, MD · Principal investigator
    • Pedro Fernandes, PhD · Sub investigator
    • Ivo Álvares Furtado, PhD · Sub investigator
    • Fábio Trindade, PhD · Sub investigator
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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — All measurements performed from imaging studies

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07532642
Lead sponsor
Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa
Responsible party
João Alves da Silva (MD, Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa) — Principal investigator
First posted
Apr 16, 2026
Start date
Mar 27, 2023
Primary completion
May 31, 2026 (estimated)
Completion
May 31, 2026 (estimated)
Last update
Apr 16, 2026

Study contacts

João Alves da Silva, MD
Contact
joao-luis@edu.ulisboa.pt
+351935457064

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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