The Effect of Upper Thoracic Mobility on the Forward Head Posture, Disability, and Quality of Life in Patients with Chronic Neck Disability by Forward Head Posture

2019 ◽  
Vol 13 (6) ◽  
pp. 257-264
Author(s):  
Eun-Sang Lee
Author(s):  
Yusuke Handa ◽  
Kenya Okada ◽  
Hiroshi Takasaki

This systematic review and meta-analysis investigated whether the use of a lumbar roll reduced forward head posture (FHP) while sitting among individuals with or without musculoskeletal disorders. EMBASE, MEDLINE, and the Cochrane Library were systematically searched from their inception to August 2020. The quality of evidence for variables used in the meta-analysis was determined using the GRADE system. Five studies satisfied the criteria for data analysis. All studies included individuals without any spinal symptoms. Data from five studies on neck angle showed a statistically significant (p = 0.02) overall effect (standardized mean difference (SMD) = 0.77), indicating a lesser neck flexion angle while sitting with a lumbar roll than without it. Data from two studies on head angle showed a statistically significant (p = 0.04) overall effect (SMD = 0.47), indicating a lesser head extension angle while sitting with a lumbar roll than without it. In each meta-analysis, the quality of evidence was very low in the GRADE system. The use of a lumbar roll while sitting reduced FHP among individuals without spinal symptoms.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Mastour Saeed Alshahrani ◽  
Jaya Shanker Tedla ◽  
Ravi Shankar Reddy ◽  
Faisal Asiri

Background. Neck pain is one of the world’s leading factors in years lived with disability. Ambiguity in the effect of electrotherapy modalities for the treatment of chronic nonspecific neck pains (CNSNP) needs to be examined further. This study sought to elucidate the effectiveness of hydrogalvanic bath on improving pain, disability, and quality of life among individuals with CNSNP. Methods. Thirty-four individuals with a diagnosis of CNSNP were selected through convenient sampling and randomly divided into two groups by block randomization. The control group treatment underwent low Transcutaneous Electrical Nerve Stimulation (TENS) and exercise, and the experimental group was subjected to hydrogalvanic bath therapy (HGBT) and exercise. Individuals were evaluated for pain using a visual analog scale (VAS), disability with the Neck Disability Index (NDI), and quality of life with Short Form-36 (SF-36). These measures were applied at baseline and after 12 weeks of treatment. Results. The pretreatment and posttreatment results for VAS, NDI, and SF-36 were compared for both control and experimental groups. We found that all the three variables showed significant differences between the two time points with p < 0.05 in both the groups but the experimental group improvements were more significant than the control group with p < 0.05 . Conclusion. Twelve weeks of low TENS or HGBT along with exercises can decrease pain and neck disability and increase the quality of life in individuals with CNSNP. However, HGBT along with exercise has superior effects relative to low TENS along with exercise. This randomized controlled trial was registered in the International Standard Randomized Controlled Trials Number-ISRCTN29695190 and registered on 05/02/2020. This study is a retrospective registration.


Retos ◽  
2020 ◽  
pp. 713-717
Author(s):  
Sebastián Andrés Astorga Verdugo ◽  
Fernanda Borges Silva ◽  
Soledad Patricia González Silva ◽  
Aldo Rodrigo Martínez Araya ◽  
Germán Rojas Cabezas

Objetivo: El propósito del estudio es comprobar la efectividad de un entrenamiento de fuerza con característica socializadora y lúdica para mejorar los dominios de la calidad de vida en adultos mayores con anteposición de cabeza y cuello. Metodología: El estudio presenta un diseño experimental, longitudinal, basado en la evaluación de los dominios capacidad física, bienestar psicológico, relaciones sociales y medio ambiente de la calidad de vida realizado a 132 participantes mediante el test WHOQOL-BREF divididos en tres grupos de 44 participantes: un grupo control y dos grupos experimentales. El grupo experimental 1 realizó un entrenamiento de fuerza convencional y el grupo experimental 2 realizó entrenamiento de fuerza con característica socializadora y lúdica. Los grupos experimentales realizaron el entrenamiento 2 sesiones por semana durante 4 meses. Los 3 grupos de investigación cumplieron con los criterios de inclusión: ángulo craneovertebral < 50 grados, adultos mayores > 60 años, sin patologías reumatológicas, infecciosas, osteomusculares y neurológicas. Resultados: Hubo cambios estadísticamente significativos en el grupo que realizó entrenamiento de fuerza con características socializadora y lúdica en los dominios capacidad física, bienestar psicológico y relaciones sociales (p < 0,05). El aumento promedio del puntaje del dominio capacidad física fue de 7,4, el dominio psicológico 5,4 y el dominio relaciones sociales 7 puntos. Conclusión: El entrenamiento de fuerza con característica socializadora y lúdica fue efectivo para mejorar la calidad de vida, en los dominios capacidad física, bienestar psicológico y relaciones sociales en adultos mayores con anteposición de cabeza y cuello de la Ciudad de Talca, Chile. Abstract. Objective: Verify the effectiveness of a strength training with socializing and playful characteristics to improve the domains of quality of life in older adults with forward head posture. Methodology: The longitudinal, experimental design study, based on the evaluation of the domains of physical capacity, psychological wellness, social relationships and the environment of the quality of life, performed on 132 participants using the WHOQOL-BREF test divided into three groups of 44 participants: a control group and two experimental groups. Experimental group 1 performed conventional strength training and experimental group 2 performed strength training with socializing and playful characteristics. The experimental groups performed the training 2 sessions per week for 4 months. The 3 research groups met the inclusion criteria: craniovertebral angle < 50 degrees, older adults > 60 years, without rheumatological, infectious, musculoskeletal and neurological pathologies. Results: There were statistically significant changes in the group with strength training with socializing and playful characteristics in the domains of physical ability, psychological well-being and social relationships (p < 0.05). The average score increase for the physical ability domain was 7.4, the psychological domain 5.4, and the social relationships domain 7 points. Conclusion: Strength training with socializing and playful characteristics was effective to improve the quality of life, in the domains of physical capacity, psychological wellness and social relationships in older adults with forward head posture of the Talca City, Chile.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Isha Sikka ◽  
Chandan Chawla ◽  
Shveta Seth ◽  
Ahmad H. Alghadir ◽  
Masood Khan

In contemporary societies, computer use by children is a necessity and thus highly prevalent. Using computers for long hours is related to a higher risk of computer-related muscular disorders like forward head posture (FHP) and neck pain (NP). Deep cervical flexor (DCF) muscles are important head-on-neck posture stabilizers; thus, their training may lead to an improvement in FHP and NP. The aim of this study was to determine if 4 weeks of DCF training is effective in alleviating NP, improving FHP, and functional status in adolescent children using computers regularly, a pretest-posttest experimental group design was used. Subjects were randomly assigned into the experimental group (receiving DCF training and postural education) and the control group (receiving postural education only). 30 subjects with a mean age of 15.7 ± 1.725 years with NP and FHP using computers regularly participated in the study. Dependent variables were measured on day 1 (at baseline) and after 4 weeks of training. Photographic analysis was used for measuring FHP, visual analog scale for NP intensity, and neck disability index for functional status. Data analysis showed that in both groups, no significant improvement occurred in FHP. In both groups, there was a significant improvement in functional status and NP. There was no significant difference between both groups for FHP and NP. There was a significant improvement in functional status in the experimental group in comparison to the control group. Four weeks of DCF training does not cause a significant improvement in FHP in 13 to 18 years old adolescent children using computers regularly.


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