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Not yet recruitingNCT07763886Updated Aug 13, 2026

CORRELATION BETWEEN FORWARD HEAD POSTURE, CERVICAL MUSCLES ENDURANCE, AND PROPRIOCEPTIVE FUCTIONS IN CERVICOGENIC HEADACHE AMONG LATE ADOLESCENT STUDENTS.

An observational study in Cervicogenic Headache, sponsored by Delta University for Science and Technology. Not yet recruiting at 1 site in Egypt. Open to participants aged 15 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by Delta University for Science and Technology · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
15 Years to 18 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 14 studies in Post-Traumatic Headache with a site in Egypt — 6 open to participants now, 6 under way, none of them phase 3. Post-Traumatic Headache · Egypt.

Started
2026
with 2 others
Observational
4 of 14
3 open now
Registered
13th of 14
by date
Lead sponsor
1 of 14
Delta University for Science and Technology

Among the 14 studies in Post-Traumatic Headache with a site in Egypt, this one is one of 3 that started in 2026, is one of 4 observational ones, and was the 13th registered.

By phase

14 studies; the count open now beside each. This study's row is marked.

No phase9 · 3 open
Observationalthis study4 · 3 open
Phase 11 · 0 open

By the year they started

First in 2019; this study’s year is marked. 3 started in 2026.

Size and results

Median enrollment 49 across the 10 interventional studies, 75 across the 4 observational. Of the 8 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

Forward Head Posture (FHP) is a common postural deviation characterized by anterior translation of the head relative to the trunk, which increases load on cervical muscles and joints. This postural change is associated with muscle fatigue, joint compression, and tension in cervical soft tissues, contributing to cervicogenic headache (Al-Mutairi et al., 20242; Koseoglu et al., 2023). The deep cervical flexor (DCF) muscles, especially the longus colli and longus capitis, are key stabilizers of the cervical spine, and weakness or fatigue of these muscles leads to overuse of superficial muscles such as the sternocleidomastoid and anterior scalene, creating an imbalance between deep and superficial systems. Diminished endurance of deep cervical flexors has been linked to forward head posture, impaired motor control, and persistent neck pain (Ismail et al., 2023). Cervical proprioception is crucial for accurate head position sense. Impaired cervical proprioception results in distorted information about head orientation, causing dizziness, incoordinated movement, and neck discomfort, and has been frequently observed in juniors with cervicogenic headache, increasing muscular strain and headache intensity. In the present study, therefore, we aim to investigate the correlation between FHP, cervical endurance, and proprioceptive function in junior students with cervicogenic headache

Read the detailed description

The prevalence of cervicogenic headache (CGH) increases in late adolescence largely due to poor postural habits that contribute to musculoskeletal dysfunction. This may attributed to the excessive use of smartphones, tablets, and computers (Hall et al., 2010; Tsantili et al., 2022). Prolonged forward head posture during use smartphones causes abnormal mechanical stress on the cervical muscles and joints, leading to musculoskeletal strain and headache. Poor ergonomic habits during studying or screen use may further exacerbate the problem, emphasizing the importance for early awareness and education on proper posture to prevent CGH in this age group (

03

Conditions studied

  • Cervicogenic Headache

Keywords

  • Forward Head Posture
  • Headache
  • Cervicogenic headache
04

Who can participate

Ages eligible
15 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study will be conducted on fifty-six junior students diagnosed with cervicogenic headache associated with forward head posture. Patients were assigned based on the presence of FHP into two equal groups; Group I (with FHP) and Group II (without FHP). The sample size for this study was calculated using the G*power program 3.1.9 (G power program version 3.1, Heinrich-Heine-University, Düsseldorf, Germany). The fifty-six junior students diagnosed with cervicogenic headache effect size for the sample size calculation was depending on the previous study (Althubaiti, 2022). Sample size calculation based on t-tests (Means: Wilcoxon-Mann-Whitney test; two groups), Type I error (α) = 0.05, power (1-β error probability) = 0.80, effect size Effect size d = 0.8345487 with a total sample size for 50 participants for 2 independent groups comparison Considering a 15% drop out rate, the appropriate minimum sample size for this study will be 56 patients (28 patients in each group as a minimum

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

Fifty-six junior students diagnosed with cervicogenic headache

  • Sudents from both sexes will participate in this study.
  • The students' ages will be ranged from 17 to 18 years.
  • All participants will be referred from neurologists
  • All participants will be free from any medical disease, visual or hearing problem.

Exclusion criteria

Exclusion Criteria:

    • Patients with a history of cervical spine surgery.

      • Patients with Whiplash injury..
      • Patients with any vestibular disorders.
      • Patients with visual and hearing impairments.
      • Patients with diabetes mellitus.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Target follow-up
1 Month
Patient registry
Yes

Groups and cohorts

  • study group

    A. Headache screening questionnaire will be used to assess the presence and characteristics of cervicogenic headache in the students. B. Lateral photography method will be used to evaluate head posture in standing position, and Kinovea software will be used to analyze the digitized photos to measure the craniovertebral angle. C. Cervical Range of Motion device (CROM) will be used to assess the proprioceptive functions. D. Pressure biofeedback will be used to assess the endurance of the deep cervical flexor muscles.

06

What researchers measure

Primary outcomes

  1. Lateral photography

    B. Lateral photographic method: Photography or photogrammetric method will be used to assess FHP. It is a reliable and valid method (Gadotti and Biasotto-Gonzalez,2010). A digital imaging technique will be used to evaluate head and neck posture in the standing position. A digital camera (Canon IXY 12 MP, Japan) will be used to capture images supported on a Magnus PV-3310 photo tripod with 3-way pan and tilt head, was used to capture a photograph. (kuo et al., 2014). Digitized photographs will be analyzed using Kinovea 2024.1.1. This is open access software used to analyze digitized photos and to measure the various head angles (Guzman-Valdivia et al.,2013)

    Time frame: Baseline

Secondary outcomes

  1. proprioception errors

    Cervical Range of Motion device (Lindstorm, Minnesota 651-257-3040) is a type of goniometer designed specifically for cervical spine. It is a valid and reliable method to measure the cervical proprioception functions (Jordean, 2000; Tousignant et al., 2002 and Tousignant et al., 2006). It is composed of three inclinometers strapped to the subject's head and two magnets placed over the subject's shoulders. Each inclinometer measures proprioception error in one plane of movements. One gravity dial meter measures flexion and extension, another gravity dial measures lateral flexion and a compass meter measures rotation with its accuracy reinforced by two magnets Fig.(2) (Reddy et al., 2016).

    Time frame: Baseline

  2. D. Stabilizer pressure biofeedback:

    Chattanooga Stabilizer Pressure Biofeedback Unit. is a valid and reliable method to assess cervical strength and endurance (ICC) 95%. The unit consists of a combined gauge and inflation bulb connected to a pressure cell. Designed by physical therapists, the Stabilizer registers changing pressure in an air-filled pressure cell allowing body movements to be detected during exercise (Lee .20164)

    Time frame: Baseline

07

Study locations

1 site
  • Private Clinic
    Cairo, Egypt
08

References and documents

Publications

  • van der Meer HA, Visscher CM, Engelbert RHH, Mulleners WM, Nijhuis-van der Sanden MWG, Speksnijder CM. Development and psychometric validation of the headache screening questionnaire - Dutch Version. Musculoskelet Sci Pract. 2017 Oct;31:52-61. doi: 10.1016/j.msksp.2017.07.001. Epub 2017 Jul 4. PubMed 28734169 ↗

Individual participant data

Plan to share: No — cofidentiality

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2026; primary completion for Sep 2026, 0 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 9, 2026
First posted
Aug 13, 2026
StartEst.
Aug 10, 2026
Primary completionEst.
Sep 1, 2026
CompletionEst.
Sep 1, 2026
Last update
Aug 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07763886
Lead sponsor
Delta University for Science and Technology
Responsible party
Ibrahim Ahmed Ibrahim Abu Ella (lecturer, Delta University for Science and Technology) — Principal investigator
First posted
Aug 13, 2026
Start date
Aug 10, 2026 (estimated)
Primary completion
Sep 1, 2026 (estimated)
Completion
Sep 1, 2026 (estimated)
Last update
Aug 13, 2026

Study contacts

Ibrahim Abu Ella
Contact
ibrahimneuron@gmail.com
+201008442281

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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