Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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Effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture: A case study

  • Received : 2018.04.22
  • Accepted : 2018.05.28
  • Published : 2018.06.30
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Abstract

The purpose of this study was to identify the effect of upper thoracic mobilization on cervical alignment in stroke patients with forward head posture. The subject's of this study were two stroke patients with forward head posture and a cervical curve angle (four-line Cobb's method; FLCM) less than $40^{\circ}$. The intervention, central posterior-anterior (PA) mobilization, was applied to the T1-T4 vertebrae (upper thoracic spine) following the Maitland concept. This mobilization was applied three times per week for four weeks. In the results, the cervical curve angle (FLCM) increased for both subject 1 and 2. However, Jochumsen method score was decreased in subject 1, while it was increased in subject 2. These results demonstrate that upper thoracic mobilization had the positive effect on the cervical curve angle but not on Jochumsen method score. These findings suggest that PA mobilization on the upper thoracic spine could correct cervical curve angle measured by FLMC in stroke patients with FHP.

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References

  1. Jaraczewska, E, Long C: Kinesio(R) taping in stroke: improving functional use of the upper extremity in hemiplegia. Topics in Stroke rehabilitation 2006; 13(3): 31-42. https://doi.org/10.1310/33KA-XYE3-QWJB-WGT6
  2. Kim EJ, Lee KB, Hwang BY. Effects of upper extremity training in a standing position on trunk alignment in stroke patients. J Phys Ther Sci 2016; 28: 2426-2429. https://doi.org/10.1589/jpts.28.2426
  3. Ryerson S, Levit K. Functional movement reeducation: a contemporary model for stroke rehabilitation, New York: Churchill Livingstone, 1997.
  4. Page P, Frank CC, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda Approach. Illinois. Human Kinetics, 2010: 53-56.
  5. Lim HC, Kong SW, Jung YW, et al. The effect of forward head posture on upper extremity function, pain, depression in patients with stroke. The Korean Entertainment Industry Association 2016: 5; 199-204.
  6. Lee KS, Jung HY. Analysis of the change of the forward head posture according to computer using time. Korean Soc Phys Med 2009: 4; 117-124.
  7. Kim EJ, Lee KB, Hwang BY: Effects of upper extremity training in a standing position on trunk alignment in stroke patients. J Phys Ther Sci 2016; 28: 2426-2429. https://doi.org/10.1589/jpts.28.2426
  8. Fernandez-de-Las-Penas C, Alonso-Blanco C, Cuadrado ML, Pareja JA. Forward head posture and neck mobility in chronic tension-type headache: a blinded, controlled study. Cephalalgia 2006; 26(3): 314-319. https://doi.org/10.1111/j.1468-2982.2005.01042.x
  9. Quek J, Pua YH, Clark RA, Bryant AL. Effect of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther 2013; 18(1): 65-71. https://doi.org/10.1016/j.math.2012.07.005
  10. Jang SH, Bang HS. Effect of thoracic and cervical joint mobilization on pulmonary function in stroke patients. J Phys Ther Sci 2016; 28: 257-260. https://doi.org/10.1589/jpts.28.257
  11. Puentedura EJ, Landers MR, Cleland JA, et al. Thoracic spine thrust manipulation versus cervical spine thrust manipulation in patients with acute neck pain: a randomized clinical trial. J Orthop Sports Phys Ther 2011; 41: 208-220. https://doi.org/10.2519/jospt.2011.3640
  12. Cross KM, Kuenze C, Grindstaff TL, et al. Thoracic spine thrust manipulation improves pain, range of motion, and self reported function in patients with mechanical neck pain: a systematic review. J Orthop Sports Phys Ther 2011; 41: 633-642. https://doi.org/10.2519/jospt.2011.3670
  13. Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. BMC musculoskeletal disorders 2017; 18(1): 525. https://doi.org/10.1186/s12891-017-1889-2
  14. Jena S, Pattnaik M, Mohanty P. Effect of cervico-thoracic mobilization on hemiplegic shoulder pain with supraspinatus tendonitis due to impingement syndrome: an experimental study. Int J Physiother Res 2016; 4(3): 1510-1517. https://doi.org/10.16965/ijpr.2016.122
  15. Oh WK, Lee E, Shin BC. Clinical effect of bong chuna manual therapy and acupuncture treatment for improving cervical curvature of turtle neck syndrome and measurement method of radiography. J Oriental Rehab Med 2009; 19(1): 113-124.
  16. Harman K, Hubley-Kozey CL, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. J Man Manip Ther 2005; 13(3): 163-176. https://doi.org/10.1179/106698105790824888