Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults

2013 ◽  
Vol 18 (1) ◽  
pp. 65-71 ◽  
Author(s):  
June Quek ◽  
Yong-Hao Pua ◽  
Ross A. Clark ◽  
Adam L. Bryant
2021 ◽  
Vol 9 (4) ◽  
pp. 3863-3869
Author(s):  
Monika Dhiman ◽  
◽  
Maman Paul ◽  

Background: Altered postural behaviours result in Forward head posture and thoracic kyphosis making it amenable to correction. The biomechanical strain, in presence of reduced strength of the core stabilizing musculature, in particular, if it is repeated or prolonged, is the predominant explanation for symptoms associated with forward head posture and thoracic kyphosis i.e., neck pain and reduced cervical range of motion. Objective: The aim of the present study was to investigate and compare the effect of postural awareness and conventional exercises on the cervical range of motion in patients with thoracic kyphosis and forward head posture. Methodology: This experimental study was conducted on 60 subjects both male and female of age group 20-35yrs. Subjects were randomly divided into two groups consisting of 30 subjects each. Group A received hot pack and postural advice and Group B received hot pack and stretching and strengthening exercises. All the subjects received a total intervention of 4 days (alternate days) per week for 4 weeks. Results: Intra-group significant differences were obtained between pre- and post-treatment for all evaluated variables (p˂0.01) in both groups. The inter-group comparison showed significant differences (p˂0.01) between post-treatment variables of Group A and Group B where, Group B showed greater improvement than Group A. Conclusion: The treatment given to both the groups together can be used to improve cervical range of motion, thoracic kyphosis, and forward head posture. This study may serve as a guideline for physiotherapists when making decisions regarding possible interventions. KEY WORDS: Cervical range of motion, Craniovertebral angle, Forward head posture, Kyphosis index, Neck disability index, Thoracic kyphosis.


2009 ◽  
Vol 39 (9) ◽  
pp. 658-664 ◽  
Author(s):  
Ana I. De-La-Llave-Rincón ◽  
César Fernández-De-Las-PeÑas ◽  
Domingo Palacios-CeÑa ◽  
Joshua A. Cleland

Author(s):  
Manuela Deodato ◽  
Antonio Granato ◽  
Caterina Borgino ◽  
Alessandra Galmonte ◽  
Paolo Manganotti

Abstract Introduction The purpose of the present study is to compare the effect of the physiotherapy to onabolulinumtoxin-A, and their combination, in relation to cervical and headache parameters in patients with chronic migraine. Methods This is an observational cohort study conducted by a headache center and a physiotherapy degree course on 30 patients with chronic migraine. The patients were distributed in three groups of treatments for three months: onabolulinumtoxin-A only, physiotherapy only, and onabolulinumtoxin-A plus physiotherapy. The patients were evaluated, before and after each treatment, using the following: the postural assessment software SAPO for the forward head posture; the CROM goniometer for the cervical range of motion; the Migraine Disability Assessment Score for headache parameters. Results After 3 months of each treatment, the scores obtained for the headache-related disability and the frequency of migraine decreased significantly for all groups, but the pain intensity scores changed significantly only in the onabolulinumtoxin-A (p = 0.01) and in the onabolulinumtoxin-A plus physiotherapy groups (p = 0.007). On the other hand, the forward head posture was reduced significantly in the physiotherapy (p = 0.002) and in the onabolulinumtoxin-A plus physiotherapy groups (p = 0.003). The cervical range of motion increased significantly in certain directions in the physiotherapy group and in the onabolulinumtoxin-A plus physiotherapy groups. Conclusions The physiotherapy improved the cervical parameters. The onabolulinumtoxin-A decreased pain intensity. As a consequence, it can be said that the combined treatment was more useful than a mono-therapy alone. From our results, it can be concluded that onabolulinumtoxin-A plus physiotherapy could be a good option in the management of chronic migraine.


Work ◽  
2016 ◽  
Vol 55 (1) ◽  
pp. 163-169 ◽  
Author(s):  
Tae-Lim Yoon ◽  
Heon-Seock Cynn ◽  
Sil-Ah Choi ◽  
Ji-Hyun Lee ◽  
Bong-Sam Chio

PLoS ONE ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. e0170274 ◽  
Author(s):  
Thomas Rudolfsson ◽  
Martin Björklund ◽  
Åsa Svedmark ◽  
Divya Srinivasan ◽  
Mats Djupsjöbacka

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