Effect of Exercise Therapy on Head, Neck Range of Motion, and Craniovertebral Angle in Subjects with Forward Head Posture

Document Type : Original article

Authors

1 Master of Science, Dept. of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

2 Professor, Dept of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

3 Associate Professor, Dept. of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

Abstract

Background and Aim: Forward Head Posture (FHP) is a common musculo-skeletal disorder in head and neck region which is observed in all ages.Correcting of the muscle imbalance, mobilization, and postural training are common treatment methods for this dysfunction. Yet, there is not enough data about the effects of exercise therapy on head and neck Range of Motion (ROM) and craniovertebral angle in subjects with FHP. Therefore, the present study was conducted to investigate the effects of neck and scapular muscle strengthening exercise and stretching of upper trapezius muscle on head and neck ROM and craniovertebral angle.
Materials and Methods: A total of 30 subjects with FHP participated in the present interventional study. Craniovertebral angle, head and neck flexion, and extension ROM were measured. Then, deep cervical flexor and scapular retractor muscle strengthening and upper trapezius stretching exercises were trained. After four weeks of exercise therapy, craniovertebral angle, head and neck flexion, and extension ROM were measured following the same procedure.
Results: There was a significant difference in participants' craniovertebral angle after intervention (P=0.01). There were no significant differences in cervical extension and head flexion ROM. In addition, there was a significant difference in head and neck flexion (P=0.001) ROM before and after the intervention.
Conclusion: Findings of the present study showed that exercise therapy can improve craniovertebral angle and ROM in the individuals with FHP. The effect of this exercise on the head and neck ROM is seen but not on neck and head ROM, independently.

Keywords

Main Subjects

References

1.Hertling D, Kessler RM. Management of common musculoskeletal disorders: physical therapy principles and methods: Lippincott Williams & Wilkins; 2006.##
2.Kang J-H, Park R-Y, Lee S-J, Kim J-Y, Yoon S-R, Jung K-I. The effect of the forward head posture on postural balance in long time computer based worker. Annals of rehabilitation medicine. 2012;36(1):98-104. .##
3.Page P. Cervicogenic headaches: an evidence-led approach to clinical management. International journal of sports physical therapy. 2011;6(3):254. .##
4.Fernández‐de‐las‐Peñas C, Alonso‐Blanco C, Cuadrado ML, Gerwin RD, Pareja JA. Trigger Points in the Suboccipital Muscles and Forward Head Posture in Tension‐Type Headache. Headache: The Journal of Head and Face Pain. 2006;46(3):454-60. .##
5.Haughie LJ, Fiebert IM, Roach KE. Relationship of forward head posture and cervical backward bending to neck pain. Journal of Manual & Manipulative Therapy. 1995;3(3):91-7. .##
6.Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Physical Therapy. 2007;87(4):408-17. .##
7.Lynch SS, Thigpen CA, Mihalik JP, Prentice WE, Padua D. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. British journal of sports medicine. 2010;44(5):376-81. .##
8. Shaghayegh fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2015; DOI 10.1007/s00586-015-4254-x. .##
9.Yoo W-G, An D-H. The relationship between the active cervical range of motion and changes in head and neck posture after continuous VDT work. Ind Health. 2009;47(2):183-8. .##
10.Daniel WW. Biostatistics: a foundation for analysis in the health sciences. New York. 1987. .##
11.Engh L, Fall M, Hennig M, Söderlund A. Intra-and inter-rater reliability of goniometric method of measuring head posture. Physiotherapy Theory and Practice. 2003;19(3):175-82. .##
12.Edmondston SJ, Chan HY, Chi Wing Ngai G, Warren MLR, Williams JM, Glennon S, et al. Postural neck pain: an investigation of habitual sitting posture, perception of ‘good’posture and cervicothoracic kinaesthesia. Manual therapy. 2007;12(4):363-71. .##
13.Bakhtiary A, Hajihasani A, Hedaiati R, Aminianfar A. Investigation on the Effect of Stabilizer Exercises on the Forward Head Posture Correction. HBI_Journals. 2012;10(2):111-7. .##
14.Reese NB, Bandy WD. Joint range of motion and muscle length testing: Elsevier Health Sciences; 2013. .##
15.Martínez-Segura R, Fernández-de-las-Peñas C, Ruiz-Sáez M, López-Jiménez C, Rodríguez-Blanco C. Immediate effects on neck pain and active range of motion after a single cervical high-velocity low-amplitude manipulation in subjects presenting with mechanical neck pain: a randomized controlled trial. Journal of manipulative and physiological therapeutics. 2006;29(7):511-7. .##
16.Neumann D. Kinesiology of the Musculoskeletal System: Foundations of Physical Rehabilitation. 2002. Mosby. Inc. .##
17.Garrett J, Physiotherapy CR, Terrace B. Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spine Shirley Sahrmann & Associates, Editors; Kathryn Falk. 2011, 51-85. .##
18.Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: The Janda approach: Human Kinetics; 2010. .##
19.Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani W. Muscles, testing and function: with posture and pain: Williams & Wilkins Baltimore, MD; 1993. .##
20.Dvorak J, Antinnes JA, Panjabi M, Loustalot D, Bonomo M. Age and gender related normal motion of the cervical spine. Spine. 1992;17(10S):S393-S8. .##
 
The Scientific Journal of Rehabilitation Medicine
Volume 6, Issue 2
July and August 2017
Pages 180-187

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History

  • Receive Date: 03 December 2015
  • Revise Date: 31 May 2016
  • Accept Date: 28 June 2016
  • First Publish Date: 22 June 2017

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