The Effect of Lumbar Stabilization Exercise on Forward Head Posture and Neck Function(NDI) in Patients with Chronic Neck Pain

2021 ◽  
Vol 29 (2) ◽  
pp. 155-161
Author(s):  
Kyoung-Bin Min ◽  
Yong-Gon Seo ◽  
Myung-Ki Kim
2021 ◽  
pp. 28-30
Author(s):  
Ritika Save ◽  
Annamma Varghese (PT)

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.


Cephalalgia ◽  
2009 ◽  
Vol 29 (7) ◽  
pp. 701-710 ◽  
Author(s):  
E Kapreli ◽  
E Vourazanis ◽  
E Billis ◽  
JA Oldham ◽  
N Strimpakos

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.


2021 ◽  
pp. 026921552110380
Author(s):  
Zohre Khosrokiani ◽  
Amir Letafatkar ◽  
Amy Gladin

Objective: We investigated whether adding lumbar motor control training with a pressure biofeedback unit improves outcomes of a conservative deep cervical flexor motor control program on neck pain, neck disability, deep cervical flexor endurance, and health status in middle-aged patients with chronic neck pain and forward head posture after eight weeks of interventions. Design: Randomized controlled trial. Setting: Outpatient setting. Subjects and interventions: A total of 113 males and females (mean age 39 ± 5 years) with chronic neck pain were randomized to three treatment groups, group 1 ( n = 38) combined deep cervical flexor motor-control training and lumbar motor control exercise, group 2 ( n = 37) deep cervical flexor motor control training alone, and group 3 ( n = 38) passive treatment and education. Main outcome measures: Pain, neck disability, deep cervical flexor muscular endurance, and health status. Results: There were significant improvements in the combination group compared with the deep cervical flexor motor-control group alone ( d = 2.03, 95% confidence interval (CI): −2.8 to −1.27, P = 0.021) for pain ( d = −0.99, 95% CI = −1.75 to −0.23, P = 0.023), disability ( d = 1.92, 95% CI = 0.86 to 2.98, P = 0.001), deep cervical flexor endurance, and ( d = −2.75, 95% CI = −8.81 to −1.68, P = 0.037) for health status favoring the combination group. There were significant between-group differences favoring both active groups versus the passive control in all out comes. Conclusion: The addition of Lumbar motor control training as a complementary treatment may enhance effectiveness of deep cervical flexor motor control training on neck pain, neck disability, and deep cervical flexor endurance in patients with chronic moderate neck pain and forward head posture.


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