Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Low-powered prismatic lenses to change head and neck posture

Official title: Radiographic Head and Neck Positional Changes in Response to Oculomotor Muscles Tonic Modification Using Low-powered Prismatic Lenses

Run by Lisbon Academic Medical Center - Centro Académico de Medicina de Lisboa · NCT07532642 · Data updated 2026-11-12

This will test whether wearing low-powered prismatic lenses can quickly change head and neck positioning in people with Postural Deficiency Syndrome.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment20 (estimated)
SponsorLisbon Academic Medical Center - Centro Académico de Medicina de Lisboa
Research network
Locations1 site (Lisbon, Lisbon District)
StatusRecruiting
StartedMarch 27, 2023
Main results expectedMay 31, 2026
Study endsMay 31, 2026
Registry record updatedApril 16, 2026
Trial IDNCT07532642 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with Postural Deficiency Syndrome who show two or more cardinal signs (for example asymmetrical stance and head extension/rotation), have the typical directional pseudoscotoma, near-normal vision, and no major neurologic or vestibular conditions.

Probably not a fit

Patients with vision under 8/10, strabismus or nystagmus, prior eye or vestibular surgery, known central nervous system or inner ear disease, use of medications that affect balance, or those treated for postural/movement disorders in the past year are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Researchers will use a matched-pair observational design to measure short-term radiographic changes in head and neck positioning after applying low-powered prismatic lenses. Participants receive low-dose biplanar radiography immediately before lens application and again 15 minutes after wearing the lenses. The study enrolls patients meeting diagnostic criteria for Postural Deficiency Syndrome, including asymmetrical stance and characteristic head extension/rotation and directional pseudoscotoma. Key exclusions include reduced vision, eye movement disorders, prior eye or vestibular surgery, central nervous system or inner ear disease, interfering medications, or recent treatment for postural disorders.

Why it matters

Potential benefit: If successful, this could offer a simple, noninvasive way to produce immediate improvements in head and neck alignment and possibly reduce postural neck pain.

How similar studies have gone: Existing evidence that prism lenses alter posture is limited to small observational reports and clinical anecdotes, and robust controlled evidence is lacking.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Presentation of diagnostic criteria for Postural Deficiency Syndrome comprising of

* Two or more cardinal signs of Postural Deficiency Syndrome
* Clinical presentation of asymmetrical stance and head extension and rotation
* Presence of typical directional pseudoscotoma described in this syndrome

Exclusion Criteria:

* Vision under 8/10, strabismus or nistagmus;
* Previous eye or vestibular surgery;
* Known disease affecting the central nervous system or inner ear;
* Medication with known interference with balance and posture and
* treatment for postural and movement disorders in the previous year.

Where it's running

  • Caml
    Lisbon, Lisbon District, Portugal
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.