Evidence map›Paper›PMID 41490718›Full record

ArticleAsian spine journal2026

Radiographic and clinical effects of core stabilization on cervical pain and sagittal balance in forward head posture: a randomized controlled trial.

Ahmed Mahmoud Mohamed Shabana, Reda Sayed Ashour, Ahmad Salamah Yamany, Abeer Farag Hanafy

Registry-linked trialAbstract read
In one paragraph

Article in Asian spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06160245 (Effect of Core Stabilization Exercises on Cervical Sagittal Balance Parameters in Forward Head Posture), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06160245 nacompletednot on this map

Effect of Core Stabilization Exercises on Cervical Sagittal Balance Parameters in Forward Head Posture

TypeinterventionalSponsorCairo UniversityRan2023 to 2024Enrolled36ConditionsForward Head PostureArmsexercise therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ahmed Mahmoud Mohamed ShabanaDepartment of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt. ahmedshabana300@cu.edu.eg.
Reda Sayed AshourDepartment of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Ahmad Salamah YamanyDepartment of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Abeer Farag HanafyDepartment of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRandomized controlled trial with a pretest-posttest control group design. PURPOSE: To investigate the radiographic and clinical effects of core stabilization exercises (CSEs) on cervical sagittal alignment and pain in individuals with forward head posture (FHP). OVERVIEW OF LITERATURE: FHP is a common postural disorder increasingly linked to prolonged screen use. Conventional rehabilitation primarily targets cervical musculature, whereas the role of core stabilization in influencing cervical alignment remains underexplored.

methodsForty patients (aged 20-40 years) with FHP (craniovertebral angle ≤50°) were randomly assigned to two groups: group A received CSEs combined with postural correction exercises (PCEs), and group B received PCEs alone. Interventions were delivered 3 times per week for 6 weeks. The primary outcomes were T1 slope (T1S), spino-cranial angle (SCA), and pain intensity measured using the Pain Rating Scale (PRS).

resultsThirty-six participants completed the intervention. A two-way mixed-design multivariate analysis of variance revealed a significant main effect of time (F =19.461, p <0.001) and a significant time×group interaction (F =9.726, p <0.001), indicating superior improvements in group A. Group A demonstrated significantly greater gains in SCA and PRS scores compared to group B (p <0.05). Both groups showed significant improvements in T1S.

conclusionsCSEs are effective in improving cervical sagittal alignment and reducing cervical pain in individuals with FHP. These findings support the integration of core-focused interventions into clinical rehabilitation programs for postural dysfunction (ClinicalTrial.gov registration number: NCT06160245).

Indexed as

Exercise therapyNeck painPostureRadiographySpine

Identifiers

PMID41490718
PMCPMC13329235

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.