Effects of Pilates Exercise on Posture and Cervical Function in Individuals with Forward Head Posture: A Randomized Controlled Trial
DOI:
https://doi.org/10.5281/zenodo.18082643Anahtar Kelimeler:
Forward head posture- pilates exercises- neck pain- craniovertebral angle- cervical stabilization- randomized controlled trialÖz
This randomized controlled trial investigated the effects of Pilates exercises on posture, neck pain, cervical range of motion (ROM), quality of life, and body composition in individuals with forward head posture (FHP). Thirty-six participants (mean age: 30.05 ± 8.21 years) with FHP (craniovertebral angle <54°) were randomly assigned to a Pilates group (n=18) or a cervical stabilization exercise (CSE) group (n=18). The Pilates group completed progressive mat and equipment-based exercises twice weekly, while the CSE group performed daily cervical stabilization routines. Outcomes included CVA, neck pain (VAS), posture (NYPRS), cervical ROM, SF-36 scores, and body composition. Assessments were conducted at baseline and post-intervention. Both groups improved significantly in CVA and neck pain (p<0.001). The Pilates group achieved greater gains in CVA (5.41° vs. 3.3°, p=0.016, d=0.55), posture (NYPRS: 4.27 vs. 1.61, p=0.007, d=0.81), and right lateral flexion ROM (6.66° vs. 2.27°, p=0.001, d=0.70). Pilates also reduced waist circumference (p=0.002, d=0.60). Pain reduction did not differ significantly between groups (p=0.298). In conclusion, Pilates exercises were more effective than cervical stabilization in improving posture, cervical mobility, and body composition in individuals with forward head posture.
This randomized controlled trial was retrospectively registered at ClinicalTrials.gov under the number NCT06883721 on March 5, 2025.
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Referanslar
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