Effects of the Shock Wave Therapy Based on Stretching Exercises on Muscle Tone and Neck Range of Motion of Upper trapezius and Sternocleidomastoid in People with Forward Head Posture

Author(s):  
Jun Hyung Cho ◽  
Jung Hyun Choi
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

2013 ◽  
Vol 18 (1) ◽  
pp. 65-71 ◽  
Author(s):  
June Quek ◽  
Yong-Hao Pua ◽  
Ross A. Clark ◽  
Adam L. Bryant

2020 ◽  
Vol 7 (1) ◽  
pp. 64-68
Author(s):  
Ramandhani Agustiawan ◽  
Robby Tjandra Kartadinata ◽  
Siti Hanan Darodjah ◽  
Noviolita Dwi Kusumawati ◽  
Hindun Zuhdiana

Latar Belakang : Kelemahan anggota gerak akibat stroke terjadi pada 70% populasi. Teknik yang sering digunakan untuk meningkatkan ketangkasan tangan dengan pemanasan dan latihan peregangan. Radial Shock Wave Therapy (RSWT) merupakan teknologi baru yang menggunakan sumber balistik untuk menghasilkan gelombang tekanan yang dapat mengurangi spastisitas yang mempengaruhi ketangkasan tangan. Tujuan : Menganalisis pengaruh penambahan RSWT terhadap ketangkasan tangan pada penderita stroke kronik yang mendapatkan terapi infrared dan latihan peregangan. Metode : Simple randomized control trial pre-post test design. Tiga puluh pasien stroke kronik dirandomisasi, lima belas orang dimasukkan ke dalam kelompok yang mendapatkan penambahan RSWT, terapi infrared dan latihan peregangan dan lima belas orang masuk kelompok kontrol diberikan terapi infrared dan latihan peregangan. Ketangkasan tangan diukur dengan nilai nine hole peg test (NHPT) pada sebelum dan 6 minggu setelah perlakuan. Analisis data dengan uji Wilcoxon, nilai p<0,05 merupakan nilai signifikan. Hasil : Tiga puluh pasien menyelesaikan penelitian dan tidak ada yang mengeluhkan efek samping. Tidak terdapat perbedaan bermakna rerata delta nilai NHPT pada kedua kelompok (p=0,307), namun rerata delta penurunan pada kelompok perlakuan cenderung lebih besar dibanding kelompok kontrol. Simpulan : Penambahan RSWT tidak berpengaruh terhadap ketangkasan tangan. Kata kunci : RSWT; stroke kronik; ketangkasan tangan.   Background : Limb weakness besause of stroke was happend 70% of the population. The technique that is often used to improve hand dexterity are with thermal therapy and stretching exercises. Radial Shock Wave Therapy (RSWT) is a new technology that uses ballistic sources to produce pressure waves that can reduce spasticity that affect hand dexterity.   Purpose : Analyze the effect of adding RSWT to hand dexterity in chronic stroke sufferers who received infrared therapy and stretching exercises. Methods : simple randomized control trial pre-post test design who thirty chronic stroke patients were randomized, fifteen patients into a group that received additional RSWT, infrared therapy and stretching exercises and fifteen patients into control group. Hand dexterity is measured by the mean of the nine hole peg test before and 6 weeks after the intervention. Results : Thirty patients completed the study without any significant side effects. There was no significant difference in the mean nine-hole peg test in the two groups (p = 0.307), but the mean decrease in the treatment group greater than the control group. Conclusion : the additional RSWT was not proven to affect hand dexterity. Keywords : RSWT; chronic stroke; hand dexterity.  


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