Yusuf Yaşasın, Ertuğrul Safran, Ezgi İrem Eryaşar, Özlem Güngör
Neuro-Cell Molecular Research - 2025;2(3):66-79
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 derece) 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 derece vs. 3.3 derece, 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 derece vs. 2.27 derece, 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.
