scholarly journals Effect of Deep Cervical Flexor training on Respiratory Functions in Chronic Neck Pain patients with Forward Head Posture

2020 ◽  
Vol 11 (4) ◽  
pp. 5287-5292
Author(s):  
Sonia Pawaria ◽  
Sheetal Kalra
Keyword(s):  
Neck Pain ◽  
Respiratory Muscles ◽  
Chronic Neck Pain ◽  
Control Group ◽  
Baseline Measurement ◽  
Forward Head Posture ◽  
Head Posture ◽  
Pulmonary Functions ◽  
Conventional Physiotherapy ◽  
Craniovertebral Angle

Protruded chin posture is one of the commonly seen postural problem associated with patients having chronic neck pain. It is also known by names Forward Head Posture (FHP) or anteriorly translated head posture. The FHP causes an alteration in mechanics of rib cage which leads to a reduction in mobility of thorax and abdomen, decreased movement of the diaphragm, reduced ventilatory effectiveness of diaphragm and reduced efficacy of abdominals and intercostals muscles during respiration. Therefore this study was executed to check the effectiveness of deep cervical flexor exercises on Craniovertebral angle and pulmonary functions. It was a comparative experimental study design. Based on the study's selection criteria, the total numbers of 100 subjects were taken and divided into Experimental and Control groups. In-depth Cervical flexor training with the conventional Physiotherapy was given to subjects of the experimental group. Control group subjects received only Conventional Physiotherapy for six weeks. The baseline measurement was taken on day one of the studies. The digital camera assessed the Forward head posture by measuring Craniovertebral Angle (CVA). Spirometry determined pulmonary functions (FEV1& FVC). All measurements were repeated at the end of the 6th week. The baseline measurement and measurement at the end of 6th week were compared by using the t-test. Considerable improvement in Craniovertebral angle and functional status of the lung, resulted in subjects who were given in-depth cervical flexor training along with the conventional Physiotherapy treatment (p< 0.05). Therefore it is suggested that deep cervical flexor exercises improve the head posture and also correct the biomechanics of respiratory muscles. Deep neck flexor training can be considered as an efficient technique in lessening protruded chin posture.

scholarly journals Effects of Adding Respiratory Exercises to the Therapeutic Routine in Smartphone Users With Forward Head Posture and Non-Specific Chronic Neck Pain: A Randomised Controlled Trial

2020 ◽  
Author(s):  
Hamid Rezaee Dareh-deh ◽  
Malihe Hadadnezhad ◽  
Amir Letafkar ◽  
Anneli Peolsson
Keyword(s):  
Neck Pain ◽  
Chronic Neck Pain ◽  
Post Treatment ◽  
Erector Spinae ◽  
Diaphragm Muscle ◽  
Control Group ◽  
Electromyographic Activity ◽  
Forward Head Posture ◽  
Head Posture ◽  
Respiratory Exercises

Abstract Background: Neck pain and forward head posture are common in prolonged smartphone users and need to be targeted for treatment. We aimed to compare the effect of adding respiratory exercises to the therapeutic routine in smartphone users with forward-head posture and non-specific chronic neck pain.Mehods: Sixty patients (aged 24.7±2.1 years), were randomly assigned to the therapeutic routine (n=20), combined respiratory-exercises with therapeutic routine (n=20), or control groups (n=20). Each programme was implemented three times a week for 8 weeks. Forward head angle, pain, electromyographic activity, and respiratory patterns were measured at baseline and at 8-weeks’ post-treatment. Results: There were significant improvements in the combined group compared with the therapeutic routine group (p=0.03) for diaphragm muscle activation, (p=0.03), neck erector spinae activity (p=0.04), respiratory balance (p=0.04), and number of breaths (p=0.02). There were significant within-group changes from baseline to post-treatment in the combined group for all outcomes above, but no changes in the therapeutic exercise routine group. Outcomes for the combined group were superior to the control group in every variable. Conclusion: Combination treatment is more effective than the standard therapeutic routine. These results could be strengthened by more studies with longer follow-up assessments.Trial registration: Current Controlled Trials using the IRCT website with ID number of, IRCT20200212046469N1 “Prospectively registered” at 2020/03/04.

scholarly journals Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Isha Sikka ◽  
Chandan Chawla ◽  
Shveta Seth ◽  
Ahmad H. Alghadir ◽  
Masood Khan
Keyword(s):  
Neck Pain ◽  
Functional Status ◽  
Neck Disability Index ◽  
Control Group ◽  
Forward Head Posture ◽  
Head Posture ◽  
Photographic Analysis ◽  
Significant Difference ◽  
Neck Disability ◽  
Experimental Group

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.

RELATION OF NECK PAIN, FORWARD HEAD POSITION AND PROTRACTED SHOULDERS IN STUDENTS WITH CHRONIC NECK PAIN.

2021 ◽  
pp. 28-30
Author(s):  
Ritika Save ◽  
Annamma Varghese (PT)
Keyword(s):  
Neck Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Chronic Neck Pain ◽  
Correlation Study ◽  
Exclusion Criteria ◽  
Forward Head Posture ◽  
Head Posture ◽  
Numerical Rating ◽  
Written Informed Consent

Aim of the study: To study the correlation between neck pain, forward head posture and protracted shoulders in students aged 18-25yrs with chronic neck pain. 36 subjects, male and female were included in this cross s Material and Method: ectional, correlation study as per the inclusion and exclusion criteria. A written informed consent was signed by the subjects in their own language. Neck pain was measured using Numerical Rating Scale (NRS), Forward Head Posture (FHP) was measured using CVA angle by photogrammetry and Protracted Shoulders were measured using a Double Square Instrument. The results were compared and correlated using appropriate statistical tools. There was no signicant Results: correlation between CVA and protracted shoulders with severity of neck pain (p=0.54 and p= 1.64 respectively) in students aged 18-25 years. The comparison of CVA values in students with and without pain was signicant (p<0.00). The comparison of protracted shoulders in students with and without pain was signicant. (p=0.00). The correlation between CVA and protracted shoulders in students with chronic neck pain was found to be signicant (p= 0.01) but the correlation between the same in students without chronic neck pain was found to be not signicant (p= 0.24). Conclusion: The correlation between neck pain and CVA and neck pain and protracted shoulders was not signicant, but there was a signicant difference between the CVA and protracted shoulder values of students with and without neck pain suggesting an association, but not a linear relationship.

Respiratory Dysfunction in Chronic Neck Pain Patients. A Pilot Study

Cephalalgia ◽  
2009 ◽  
Vol 29 (7) ◽  
pp. 701-710 ◽  
Author(s):  
E Kapreli ◽  
E Vourazanis ◽  
E Billis ◽  
JA Oldham ◽  
N Strimpakos
Keyword(s):  
Pilot Study ◽  
Muscle Strength ◽  
Neck Pain ◽  
Respiratory Muscle ◽  
Strong Association ◽  
Chronic Neck Pain ◽  
Respiratory Muscle Strength ◽  
Respiratory Dysfunction ◽  
Forward Head Posture ◽  
Head Posture

The aim of this pilot study was to add weight to a hypothesis according to which patients presenting with chronic neck pain could have a predisposition towards respiratory dysfunction. Twelve patients with chronic neck pain and 12 matched controls participated in this study. Spirometric values, maximal static pressures, forward head posture and functional tests were examined in all subjects. According to the results, chronic neck patients presented with a statistically significant decreased maximal voluntary ventilation ( P = 0.042) and respiratory muscle strength (Pimax and Pemax), ( P = 0.001 and P = 0.002, respectively). Furthermore, the current study demonstrated a strong association between an increased forward head posture and decreased respiratory muscle strength in neck pateits. The connection of neck pain and respiratory function could be an important consideration in relation to patient assessment, rehabilitation and consumption of pharmacological agents.

scholarly journals The Effect of Through-Range Versus Shortened-Length Exercise Training on Upper Quarter Posture Among Students With Forward Head Posture: A Randomized Clinical Trial

2019 ◽  
Author(s):  
Parisa Sayyadi ◽  
Rahman Sheikhhoseini ◽  
Kieran O’Sullivan ◽  
Ramin Balouchi
Keyword(s):  
Exercise Training ◽  
Thoracic Kyphosis ◽  
Training Programs ◽  
Exercise Group ◽  
Control Group ◽  
School Students ◽  
Forward Head Posture ◽  
Head Posture ◽  
Before And After ◽  
Craniovertebral Angle

Introduction: The purpose of this study was to investigate the effects of shortened-length versus through-range exercise training on upper quarter posture in primary school students with Forward Head Posture (FHP). Materials and Methods: Sixty pain-free participants with FHP were randomly allocated to one of three groups; shortened-length training (n=20), through-range training (n=20), and no- treatment control group (n=20). The shortened-length and through-range groups participated in training programs 3 times per week for 8 weeks. Upper quarter postures, including Craniovertebral Angle (CVA), Shoulder Angle (SA), Cranial Angle (CA), and thoracic kyphosis were measured by photogrammetry before and after the training. The confidence level was set at 95% (P<0.05). Results: After training, both exercise groups showed significant changes in CVA (P=0.001), SA (P=0.001), CA (P=0.001), and thoracic kyphosis (P=0.001) compared to the control group. Furthermore, CVA changed more in the shortened-length exercise group compared to the through-range exercise group (P=0.003) (effect size= 0.446). Conclusion: Both through-range and shortened-length exercises altered upper quarter alignment. The shortened-length training resulted in a larger change in CVA. These changes were small, and more studies are needed to investigate the effects of such training programs among people with pain.

scholarly journals Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial

2021 ◽  
Vol 67 (3) ◽  
pp. 291-299
Author(s):  
Na-Yeon Kang ◽  
Sang-Cheol Im ◽  
Kyoung Kim
Keyword(s):  
Cervical Spine ◽  
Neck Disability Index ◽  
Office Workers ◽  
Control Group ◽  
Group Comparison ◽  
Forward Head Posture ◽  
Head Posture ◽  
Significant Difference ◽  
Craniovertebral Angle ◽  
Experimental Group

Objectives: This study aims to investigate how exercise programs not directly applied to the cervical spine affect office workers with forward head posture (FHP). Patients and methods: Between March 2018 and June 2018, a total of 32 office workers with FHP (13 males, 19 females; mean age 36.63 years; range, 23 to 57 years) were randomized either to experimental (n=16) or control groups (n=16). Scapular stabilization and thoracic extension exercises were applied to the experimental group and cervical stabilization and stretching exercises to the control group. The results of the pre-intervention and after six weeks measurement of the craniovertebral angle (CVA), respiration, pain, and disability were compared and analyzed. Results: For intra-group comparison, both groups showed significant differences (p<0.05) in CVA, forced expiratory volume at 1 sec (FEV1), Visual Analog Scale (VAS), and neck disability index at pre- and post-intervention, while only the experimental group showed a significant difference (p<0.05) in maximum inspiratory pressure, maximum expiratory pressure, and forced vital capacity. For inter-group comparison, a significant difference (p<0.05) between FEV1 and VAS was observed. Conclusion: The combination of scapular stabilization and thoracic extension exercises, not directly applied to the cervical spine, has an effect on improving the posture, respiration, neck pain, and disability in office workers with FHP.

Sign in / Sign up

Export Citation Format

Share Document