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Systematic review and meta-analysis on efficacy of various exercise programs to improve postural parameters, pain and disability in neck
in Comparative Exercise PhysiologySearch for other papers by U. Panihar in
Current site
Google Scholar
Search for other papers by S. Joshi in
Current site
Google Scholar
Forward head posture is a common abnormal posture characterised by weakness of muscle around neck and shoulder. Persistent forward head posture can impair respiratory functions and cervical proprioception. The aim of this systematic review and meta-analysis is to determine the effectiveness of exercises to improve the forward head posture. The online literature search performed on various databases, i.e. PubMed, Cochrane, PEDro, Science Direct and Scopus databases resulted in 601 articles, but only 11 articles were found relevant to perform meta-analysis. The primary outcome measure was craniovertebral angle and other outcome measures were neck pain, cranial angle, cranial rotation angle and Neck Disability Index (NDI). Methodological quality of studies was assessed by PEDro scoring and risk of bias assessment was performed using Cochrane collaboration tool of risk of bias. Results of meta-analysis revealed that craniovertebral angle (CVA), cranial rotation angle (CRA), visual analogue scale and NDI improved significantly (P<0.00001) in forward head posture participants who followed any type of exercise regime compared to the participants who did not follow any exercise program. However, cranial angle was not found significantly (P=0.73) improved in exercise groups. Exercises are effective in improving postural parameters, such as CVA, CRA and pain and neck disability in subjects with forward head posture.
Systematic analysis registry at PROSPERO: CRD42020175372
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Cashin, A.G. and McAuley, J.H., 2019. Clinimetrics: physiotherapy evidence database (PEDro) scale. Journal of Physiotherapy 66: 59. https://doi.org/10.1016/j.jphys.2019.08.005
-
Cheung, L.H.M., Wing, C.T.T. and Lam, T.H., 2009. Clinical measurement of craniovertebral angle by electronic head posture instrument: a test of reliability and validity. Manual Therapy 14: 363-368. https://doi.org/10.1016/j.math.2008.05.004
-
Cho, J., Lee, E. and Lee, S., 2019. Upper cervical and upper thoracic spine mobilization versus deep cervical flexors exercise in individuals with forward head posture: a randomized clinical trial investigating their effectiveness. Journal of Back and Musculoskeletal Rehabilitation 32: 595-602. https://doi.org/10.3233/BMR-181228
-
Diab, A.A. and Moustafa, I.M., 2011. The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial. Clinical Rehabilitation 26: 351-361. https://doi.org/10.1177%2F0269215511419536
-
Diab, A.A., 2012. The role of forward head correction in management of adolescent idiopathic scoliotic patients: a randomized controlled trial. Clinical Rehabilitation 26: 1123-1132. https://doi.org/10.1177%2F0269215512447085
-
Fathollahnejad, K., Letafatkar, A. and Hadadnezhad, M., 2019. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskeletal Disorders 20: 86. https://doi.org/10.1186/s12891-019-2438-y
-
Guan, X., Fan, G., Wu, X., Zeng, Y., Su, H., Gu, G., Zhou, Q., Gu, X., Zhang, H. and He, S., 2015. Photographic measurement of head and cervical posture when viewing mobile phone: a pilot study. European Spine Journal 24: 2892-2898. https://doi.org/10.1007/s00586-015-4143-3
-
Harman, K., Hubley-Kozey, C.L. and Butler, H., 2005. Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. Journal of Manual and Manipulative Therapy 13: 163-176. https://doi.org/10.1179/106698105790824888
-
Harrison, A.L., Barry-Greb, T. and Wojtowicz, G., 1996. Clinical measurement of head and shoulder posture variables. Journal of Orthopaedic and Sports Physical Therapy 23: 353-361. https://www.jospt.org/doi/10.2519/jospt.1996.23.6.353
-
Hopkins, B.B., Vehrs, P.R., Fellingham, G.W., George, J.D., Hager, R. and Ridge, S.T., 2019. Validity and reliability of standing posture measurements using a mobile application. Journal of Manipulative and Physiological Therapeutics 42: 132-140. https://doi.org/10.1016/j.jmpt.2019.02.003
-
Im, B., Kim, Y., Chung, Y. and Hwang, S., 2015. Effects of scapular stabilization exercise on neck posture and muscle activation in individuals with neck pain and forward head posture. Journal of Physical Therapy Science 28: 951-955. https://doi.org/10.1589/jpts.28.951
-
Jeong, E.D., Kim, C.Y., Kim, S.M., Lee, S.J. and Kim, H.D., 2018. Short-term effects of the suboccipital muscle inhibition technique and cranio-cervical flexion exercise on hamstring flexibility, craniovertebral angle, and range of motion of the cervical spine in subjects with neck pain: a randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation 31: 1025-1034. https://doi.org/10.3233/BMR-171016
-
Kang, J.I., Jeong, D.K. and Choi, H., 2016. The effect of feedback respiratory exercise on muscle activity, craniovertebral angle, and neck disability index of the neck flexors of patients with forward head posture. Journal of Physical Therapy Science 28: 2477-2481. https://doi.org/10.1589/jpts.28.2477
-
Kim, B.B., Lee, J.H., Jeong, H.J. and Cynn, H.S., 2016a. Effects of suboccipital release with craniocervical flexion exercise on craniocervical alignment and extrinsic cervical muscle activity in subjects with forward head posture. Journal of Electromyography and Kinesiology 30: 31-37. https://doi.org/10.1016/j.jelekin.2016.05.007
-
Kim, E. and Kim, S., 2018. Forward head posture (FHP) angle and plantar pressure resulting from oscillatory stimulation training of the shoulder joint: a randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation 32: 37-42. https://doi.org/10.3233/BMR-160748
-
Kim, E.K., Kang, J.H. and Lee, H.T., 2016b. The effect of the shoulder stability exercise using resistant vibration stimulus on forward head posture and muscle activity. Journal of Physical Therapy Science 28: 3070-3073. https://doi.org/10.1589/jpts.28.3070
-
Kim, J., Kim, S., Shim, J., Kim, H., Moon, S., Lee, N., Lee, M., Jin, E. and Choi, E., 2018. Effects of McKenzie exercise, kinesio taping, and myofascial release on the forward head posture. Journal of Physical Therapy Science 30: 1103-1107. https://doi.org/10.1589/jpts.30.1103
-
Kim, M.S., Cha, Y.J. and Choi, J.D., 2017. Correlation between forward head posture, respiratory functions, and respiratory accessory muscles in young adults. Journal of Back and Musculoskeletal Rehabilitation 30: 711-715. https://doi.org/10.3233/BMR-140253
-
Lee, M.Y., Lee, H.Y. and Yong, M.S., 2014. Characteristics of cervical position sense in subjects with forward head posture. Journal of Physical Therapy Science 26: 1741-1743. https://doi.org/10.1589/jpts.26.1741
-
Lee, S.M., Lee, C.H., O’Sullivan, D., Jung, J.H. and Park, J.J., 2016. Clinical effectiveness of a Pilates treatment for forward head posture. Journal of Physical Therapy Science 28: 2009-2013. https://doi.org/10.1589/jpts.28.2009
-
Manor, J., Hibberd, E., Petschauer, M., and Myers, J., 2016. Acute effects of posture shirts on rounded-shoulder and forward-head posture in college students. Journal of Sport Rehabilitation 25: 309-314. https://doi.org/10.1123/jsr.2014-0304
-
Mulet, M., Decker, K.L., Look, J.O., Lenton, P.A. and Schiffman, E.L., 2007. A randomized clinical trial assessing the efficacy of adding 6×6 exercises to self-care for the treatment of masticatory myofascial pain. Journal of Orofacial Pain 21: 318-328.
'A randomized clinical trial assessing the efficacy of adding 6×6 exercises to self-care for the treatment of masticatory myofascial pain ' () 21 Journal of Orofacial Pain : 318 -328.
-
Pawaria, S., Sudan, D.S., Kalra, S. and Yadav, J., 2019. Effectiveness of cervical stabilization exercises with feedback on respiratory status in chronic neck pain patients with forward head posture. International Journal of Physiotherapy 6: 70-74.
'Effectiveness of cervical stabilization exercises with feedback on respiratory status in chronic neck pain patients with forward head posture ' () 6 International Journal of Physiotherapy : 70 -74.
-
Physiotherapy Evidence Database, 2021. PEDro Scale. Available at: https://pedro.org.au/english/resources/pedro-scale/ and https://pedro.org.au/wp-content/uploads/PEDro_scale.pdf
-
Peterson-Kendall, F., Kendall-McCreary, E., Geise-Provance, P., McIntyre-Rodgers, M. and Romani, W., 2017. Muscles testing and function with posture and pain. Lippincott Williams & Wilkins, Philadelphia, PA, USA.
'Muscles testing and function with posture and pain', ().
-
Ruivo, R.M., Pezarat-Correia, P. and Carita, A.I., 2017. Effects of a resistance and stretching training program on forward head and protracted shoulder posture in adolescents. Journal of Manipulative and Physiological Therapeutics 40: 1-10. https://doi.org/10.1016/j.jmpt.2016.10.005
-
Salahzadeh, Z., Maroufi, N., Ahmadi, A., Behtash, H., Razmjoo, A., Gohari, M. and Parnianpour, M., 2014. Assessment of forward head posture in females: observational and photogrammetry methods. Journal of Back and Musculoskeletal Rehabilitation 27: 131-139. https://doi.org/10.3233/BMR-130426
-
Shaghayeghfard, B., Ahmadi, A., Maroufi, N. and Sarrafzadeh, J., 2016. Evaluation of forward head posture in sitting and standing positions. European Spine Journal 25: 3577-3582. https://doi.org/10.1007/s00586-021-06923-z
-
Sheikhhoseini, R., Shahrbanian, S., Sayyadi, P. and O’Sullivan, K., 2018. Effectiveness of therapeutic exercise on forward head posture: a systematic review and meta-analysis. Journal of Manipulative and Physiological Therapeutics 41: 530-539. https://doi.org/10.1016/j.jmpt.2018.02.002
-
Shih, H., Chen, S., Cheng, S., Chang, H. and Wu, P., 2017. Effects of Kinesio taping and exercise on forward head posture. Journal of Back and Musculoskeletal Rehabilitation 30: 725-733. https://doi.org/10.3233/BMR-150346
-
Subbarayalu, A.V., 2016. Measurement of craniovertebral angle by the modified head posture spinal curvature instrument: a reliability and validity study. Physiotherapy Theory and Practice 32: 144-152. https://doi.org/10.3109/09593985.2015.1099172
-
Yoo, W.G., 2013. Effect of the neck retraction taping (NRT) on forward head posture and the upper trapezius muscle during computer work. Journal of Physical Therapy Science 25: 581-582. https://doi.org/10.1589/jpts.25.581
Supplementary Materials
| Insgesamt | Letzte 365 Tage | In den letzten 30 Tagen | |
|---|---|---|---|
| Aufrufe von Kurzbeschreibungen | 980 | 317 | 43 |
| Gesamttextansichten | 75 | 6 | 0 |
| PDF-Downloads | 108 | 15 | 0 |
Systematic review and meta-analysis on efficacy of various exercise programs to improve postural parameters, pain and disability in neck
in Comparative Exercise PhysiologySearch for other papers by U. Panihar in
Current site
Google Scholar
PubMed
Search for other papers by S. Joshi in
Current site
Google Scholar
PubMed
Forward head posture is a common abnormal posture characterised by weakness of muscle around neck and shoulder. Persistent forward head posture can impair respiratory functions and cervical proprioception. The aim of this systematic review and meta-analysis is to determine the effectiveness of exercises to improve the forward head posture. The online literature search performed on various databases, i.e. PubMed, Cochrane, PEDro, Science Direct and Scopus databases resulted in 601 articles, but only 11 articles were found relevant to perform meta-analysis. The primary outcome measure was craniovertebral angle and other outcome measures were neck pain, cranial angle, cranial rotation angle and Neck Disability Index (NDI). Methodological quality of studies was assessed by PEDro scoring and risk of bias assessment was performed using Cochrane collaboration tool of risk of bias. Results of meta-analysis revealed that craniovertebral angle (CVA), cranial rotation angle (CRA), visual analogue scale and NDI improved significantly (P<0.00001) in forward head posture participants who followed any type of exercise regime compared to the participants who did not follow any exercise program. However, cranial angle was not found significantly (P=0.73) improved in exercise groups. Exercises are effective in improving postural parameters, such as CVA, CRA and pain and neck disability in subjects with forward head posture.
Systematic analysis registry at PROSPERO: CRD42020175372
| Insgesamt | Letzte 365 Tage | In den letzten 30 Tagen | |
|---|---|---|---|
| Aufrufe von Kurzbeschreibungen | 980 | 317 | 43 |
| Gesamttextansichten | 75 | 6 | 0 |
| PDF-Downloads | 108 | 15 | 0 |
