scholarly journals Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve functionality of patients with mechanical neck pain: a randomized control study

2021 ◽  
Author(s):  
Konstantinos Mylonas ◽  
Pavlos Angelopoulos ◽  
Evdokia Billis ◽  
Elias Tsepis ◽  
Konstantinos Fousekis
Keyword(s):  
Soft Tissue ◽  
Neck Pain ◽  
Exercise Group ◽  
Forward Head Posture ◽  
Head Posture ◽  
Combined Application ◽  
Group A ◽  
Group B ◽  
Soft Tissue Mobilization ◽  
Pain Patients

Abstract Background: The purpose of this study was to evaluate the short- and intermediate-term effects of the combined application of instrument-assisted soft tissue mobilization (IASTM) techniques andneuromuscular exercises of the cervical and thoracic area on the improvement of the functionality of patients with mechanical neck pain and accompanying forward head posture (FHP).Methods: Twenty patients with neck pain and FHP were randomized and received eight treatment sessions of either targeted IASTM in combination with neuromuscular exercises (Group A) or a classical massage and the same set of exercises (Group B). The cervical vertebral angle, cervical range of motion (ROM) and strength, and pain and disability were measured throughout the treatment period and in the two- and four-week post-treatment periods.Results: The combined application of IASTM and neuromuscular exercise (Group A) contributed to a significantly greater improvement in FHP and disability than massage and the application of the same exercises (Group B). Both interventions improved cervical ROM and strength in the short term. Pain was also improved in both groups in both the short and intermediate term.Conclusions: Combining IASTM and exercises for the cervical and thoracic area can induce positive postural adaptations and improve the functional status of neck pain patients.Trial registration: ISRCTN, ISRCTN54231174. Registered 19 March 2020 - Retrospectively registered, https://doi.org/10.1186/ISRCTN54231174

scholarly journals Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: A randomized control study.

2020 ◽  
Author(s):  
Konstantinos Mylonas ◽  
Pavlos Angelopoulos ◽  
Evdokia Billis ◽  
Elias Tsepis ◽  
Konstantinos Fousekis
Keyword(s):  
Soft Tissue ◽  
Neck Pain ◽  
Exercise Group ◽  
Forward Head Posture ◽  
Head Posture ◽  
Combined Application ◽  
Group A ◽  
Group B ◽  
Soft Tissue Mobilization ◽  
Pain Patients

Abstract Background:The purpose of this study was to evaluate the short- and intermediate-term effects of the combined application of instrument-assisted soft tissue mobilization (IASTM) techniques andneuromuscular exercises of the cervical and thoracic area on the improvement of the functionality of patients with mechanical neck pain and accompanying forward head posture (FHP).Methods: Twenty patients with neck pain and FHP were randomized and received eight treatment sessions of either targeted IASTM in combination with neuromuscular exercises (Group A) or a classical massage and the same set of exercises (Group B). The cervical vertebral angle, cervical range of motion (ROM) and strength, and pain and disability were measured throughout the treatment period and in the two- and four-week post-treatment periods.Results: The combined application of IASTM and neuromuscular exercise (Group A) contributed to a significant improvement in FHP and disability. Both interventions improved cervical ROM and strength in the short term. Pain was also improved in both groups in both the short and intermediate term.Conclusions: Combining IASTM and exercises for the cervical and thoracic area can induce positive postural adaptations and improve the functional status of neck pain patients. Trial registration: ISRCTN, ISRCTN54231174. Registered 19 March 2020 - Retrospectively registered, https://doi.org/10.1186/ISRCTN54231174

scholarly journals Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Konstantinos Mylonas ◽  
Pavlos Angelopoulos ◽  
Evdokia Billis ◽  
Elias Tsepis ◽  
Konstantinos Fousekis
Keyword(s):  
Soft Tissue ◽  
Neck Pain ◽  
Neck Disability Index ◽  
Forward Head Posture ◽  
Head Posture ◽  
Combined Application ◽  
Group A ◽  
Group B ◽  
Neck Disability ◽  
Soft Tissue Mobilization

Abstract Background The purpose of this study was to evaluate the short- and intermediate-term effects of the combined application of instrument-assisted soft tissue mobilization (IASTM) techniques and neuromuscular exercises of the cervical and thoracic area on the improvement of the functionality of patients with mechanical neck pain and accompanying forward head posture (FHP). Methods Twenty patients with neck pain and FHP were randomized and received eight treatment sessions of either targeted IASTM in combination with neuromuscular exercises (Group A) or a classical massage and the same set of exercises (Group B). The cervical vertebral angle (CVA), cervical range of motion (ROM) and strength, pain (visual analogue scale-VAS), and neck disability index (NDI) were measured throughout the treatment period and in the two- and four-week post-treatment periods. Results The combined application of IASTM and neuromuscular exercises contributed to a significantly greater improvement in CVA (Group A: + 7,2 deg vs Group B: + 1,1 deg) and NDI (Group A:-25,2 vs Group B:-5,8) than massage and the application of the same exercises. Both interventions improved cervical ROM and strength in the short term. Pain was also significantly improved in both groups in both the short (Group A VAS: − 5,97 vs Group B VAS: − 3,1) and intermediate term (Group A VAS:-5,5 vs Group B:-1,5). Conclusions Combining IASTM and exercises for the cervical and thoracic area can induce positive postural adaptations and improve the functional status of neck pain patients. Trial registration ISRCTN, ISRCTN54231174. Registered 19 March 2020 - Retrospectively registered.

scholarly journals Combining Targeted IASTM Applications and Neuromuscular Exercises can Correct forward Head Posture and Improve Functionality of Patients with Mechanical Neck Pain: A Randomized Control Study

2020 ◽  
Author(s):  
Konstantinos Mylonas ◽  
Pavlos Angelopoulos ◽  
Evdokia Billis ◽  
Elias Tsepis ◽  
Konstantinos Fousekis
Keyword(s):  
Neck Pain ◽  
Treatment Period ◽  
Exercise Group ◽  
Long Term Effects ◽  
Forward Head Posture ◽  
Head Posture ◽  
Combined Application ◽  
Group A ◽  
Short And Long Term

Abstract Backround: The purpose of this study was to evaluate the short- and long-term effects of the combined application of instrument-assisted soft tissue mobilization (IASTM) techniques, and neuromuscular exercises of the cervical and thoracic area on the improvement of the functionality of patients with mechanical neck pain and accompanying forward head posture (FHP).Methods: Twenty patients with neck pain and FHP were randomized and received eight treatment sessions of either targeted IASTM in combination with neuromuscular exercises (Group A), or classical massage and the same set of exercises (Group B). The cervical vertebral angle, cervical range of motion (ROM) and strength, and pain and disability were measured throughout the treatment period and in the two and four week post-treatment period.Results: The combined application of IASTM and neuromuscular exercise (Group A) contributed to a significant improvement in FHP and disability. Both interventions improved cervical ROM and strength in the short term. Pain was also improved for both groups in both short and long term.Conclusions: Combining IASTM and exercises for the cervical and thoracic area can induce positive postural adaptations and improve the neck pain patient's functional status.Trial registration: ISRCTN, ISRCTN54231174. Registered 19 March 2020 - Retrospectively registered, https://doi.org/10.1186/ISRCTN54231174

scholarly journals Combining targeted IASTM applications and neuromuscular exercises can correct forward head posture and improve functionality of patients with mechanical neck pain: a randomized control study

2020 ◽  
Author(s):  
Konstantinos Mylonas ◽  
Pavlos Angelopoulos ◽  
Evdokia Billis ◽  
Elias Tsepis ◽  
Konstantinos Fousekis
Keyword(s):  
Neck Pain ◽  
Treatment Period ◽  
Exercise Group ◽  
Long Term Effects ◽  
Forward Head Posture ◽  
Head Posture ◽  
Combined Application ◽  
Group A ◽  
Short And Long Term

Abstract Backround The purpose of this study was to evaluate the short- and long-term effects of the combined application of instrument-assisted soft tissue mobilization (IASTM) techniques, and neuromuscular exercises of the cervical and thoracic area on the improvement of the functionality of patients with mechanical neck pain and accompanying forward head posture (FHP). Methods Twenty patients with neck pain and FHP were randomized and received eight treatment sessions of either targeted IASTM in combination with neuromuscular exercises (Group A), or classical massage and the same set of exercises (Group B). The cervical vertebral angle, cervical range of motion (ROM) and strength, and pain and disability were measured throughout the treatment period and in the two and four week post-treatment period. Results The combined application of IASTM and neuromuscular exercise (Group A) contributed to a significant improvement in FHP and disability. Both interventions improved cervical ROM and strength in the short term. Pain was also improved for both groups in both short and long term. Conclusions Combining IASTM and exercises for the cervical and thoracic area can induce positive postural adaptations and improve the neck pain patient's functional status. Registration number ISRCTN54231174

scholarly journals Correction to: Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Konstantinos Mylonas ◽  
Pavlos Angelopoulos ◽  
Evdokia Billis ◽  
Elias Tsepis ◽  
Konstantinos Fousekis
Keyword(s):  
Soft Tissue ◽  
Neck Pain ◽  
Forward Head Posture ◽  
Randomized Control Study ◽  
Head Posture ◽  
Randomized Control ◽  
Soft Tissue Mobilization ◽  
Control Study

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Effectiveness of Selected Exercise Programme on Cervical Range of Motion in Patients with Thoracic Kyphosis & Forward Head Posture

2021 ◽  
Vol 9 (4) ◽  
pp. 3863-3869
Author(s):  
Monika Dhiman ◽  
◽  
Maman Paul ◽  
Keyword(s):  
Range Of Motion ◽  
Thoracic Kyphosis ◽  
Neck Disability Index ◽  
Post Treatment ◽  
Forward Head Posture ◽  
Head Posture ◽  
Cervical Range Of Motion ◽  
Group A ◽  
Group B ◽  
Hot Pack

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.

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