Moustafa, I. M., A. A. Diab, S. Taha, and D. E. Harrison, "Addition of a Sagittal Cervical Posture Corrective Orthotic Device to a Multimodal Rehabilitation Program Improves Short- and Long-Term Outcomes in Patients With Discogenic Cervical Radiculopathy", archives of Physical medicine and Reabilitation, vol. 97, issue 12, pp. 2034–2044, 2016.
Moustafa, I. M., and A. A. Diab, "The effect of adding forward head posture corrective exercises in the management of lumbosacral radiculopathy: a randomized controlled study", J Manipulative Physiol Ther, vol. 38, issue 3, pp. 167-78, 2015.
Moustafa, I. M., and A. A. Diab, "The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trialA.A", Rheumatol Int., vol. 35, issue 7, pp. 1163-74, 2015.
Diab, A. A., and I. M. Ibrahim, "New bracing concept in the treatment of chronic mechanical low back pain: A randomized trial", Bulletin of Faculty of Physical Therapy, Cairo University , vol. 14, issue 2, pp. 67-78, 2009.
Moustafa, I. M., and A. A. Diab, "Extension traction treatment for patients with discogenic lumbosacral radiculopathy: a randomized controlled trial.", Clin Rehabil, vol. 27, issue 1, pp. 51-62, 2013.
Diab, A. A., and I. M. Moustafa, "The efficacy of lumbar extension traction for sagittal alignment in mechanical low back pain: a randomized trial.", J Back Musculoskelet Rehabil, vol. 26, issue 2, pp. 213-20, 2013.
Diab, A. A., and I. M. Moustafa, "Lumbar lordosis rehabilitation for pain and lumbar segmental motion in chronic mechanical low back pain: a randomized trial.", J Manipulative Physiol Ther., vol. 35, issue 4, pp. 246-53, 2012.
Diab, A. A., and I. M. Moustafa, "The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial", Clinical Rehabilitation, vol. 26, issue 4, pp. 351-361, 2012. Abstract

Objective: To investigate the effect of forward head posture correction on pain and nerve root function
in cases of cervical spondylotic radiculopathy.
Design: A randomized controlled study with six months follow-up.
Setting: University research laboratory.
Subjects: Ninety-six patients with unilateral lower cervical spondylotic radiculopathy (C5–C6 and C6–
C7) and craniovertebral angle measured less than or equal to 50 were randomly assigned to an exercise
or a control group.
Interventions: The control group (n¼48) received ultrasound and infrared radiation, whereas the
exercise group (n¼48) received a posture corrective exercise programme in addition to ultrasound
and infrared radiation.
Main outcome measures: The peak-to-peak amplitude of dermatomal somatosensory evoked potentials,
craniovertebral angle, visual analogue scale were measured for all patients at three intervals
(before treatment, after 10 weeks of treatment, and at follow-up of six months).
Results: There was a significant difference between groups adjusted to baseline value of outcome at
10 weeks post-treatment for craniovertebral angle, pain, C6 and C7 peak-to-peak amplitude of dermatomal
somatosensory evoked potentials P¼0.000, 0.01, 0.000, 0.001 respectively and at follow-up for all
previous variables (P¼0.000).
Conclusion: Forward head posture correction using a posture corrective exercise programme in
addition to ultrasound and infrared radiation decreased pain and craniovertebral angle and increased
the peak-to-peak amplitude of dermatomal somatosensory evoked potentials for C6 and C7 in cases of
lower cervical spondylotic radiculopathy.

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