DOI QR코드

DOI QR Code

The Effects of McKenzie Exercise on Forward Head Posture and Respiratory Function

  • Kim, SeYoon (Department of Physical Therapy, Graduate School, Catholic University of Pusan) ;
  • Jung, JuHyeon (Department of Physical Therapy, Gimhae College) ;
  • Kim, NanSoo (Department of Physical Therapy, College of Health Science, Catholic University of Pusan)
  • Received : 2019.11.04
  • Accepted : 2019.12.02
  • Published : 2019.12.31

Abstract

Purpose: This study sought to investigate the effects of the McKenzie exercise program on forward head posture and respiratory function. Methods: Thirty adult men and women with forward head posture, aged 20-29 years, were randomly assigned to the experimental group (N=15) or the control group (N=15). Subjects in the experimental group performed the McKenzie exercises three times a week for four weeks, while subjects in the control group did not receive any intervention. Craniovertebral angle (CVA) was measured to quantify forward head posture, and forced vital capacity (FVC), FVC % predicted, forced expiratory volume at one second (FEV1), and FEV1 % predicted were measured to determine changes in respiratory function. The Mann-Whitney U-test was used to analyze pre-test differences in forward head posture and respiratory function between the two groups, and the Wilcoxon signed-rank test was used to analyze differences in forward head posture and respiratory function within the groups before and after intervention. The significance level (α) was set to 0.05. Results: A comparison of pre- and post-test measures showed that CVA significantly increased in the experimental group (p=0.001) denoting postural improvement, whereas no significant difference was found in the control group (p=0.053). All respiratory measures, i.e.,FVC, FVC %pred, FEV1, and FEV1 %pred, were significantly improved in the experimental group, whereas there were no significant differences in the control group. Conclusions: McKenzie exercise can be effective in improving forward head posture and respiratory function.

Keywords

References

  1. Kang JH, Park RY, Lee SJ et al. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012;36(1):98-104. https://doi.org/10.5535/arm.2012.36.1.98
  2. Morningstar M. Cervical curve restoration and forward head posture reduction for the treatment of mechanical thoracic pain using the pettibon corrective and rehabilitative procedures. J Chiropr Med. 2002;1(3):113-5. https://doi.org/10.1016/S0899-3467(07)60013-5
  3. Chae YW. The measurement of forward head posture and pressure pain threshold in neck pain. J Kor Phys Ther. 2002;14(1):117-24.
  4. Harrison DE, Haas JW, Cailliet R et al. Concurrent validity of flexicurve instrument measurements sagittal skin contour of the cervical spine compared with lateral cervical radiographic measurements. J Manipulative Physiol Ther. 2005;28(8):597-603. https://doi.org/10.1016/j.jmpt.2005.08.012
  5. Chae YW. The effect of forward head posture and cervical ROM on chronic and episodic tension-type headache in university students. J Kor Phys Ther. 2009;21(2):71-7.
  6. Kim IG, Lee SY. The effect of forward head posture and tension type headache on neck movement: for office worker. J Kor Phys Ther. 2018; 30(6):218-23. https://doi.org/10.18857/jkpt.2018.30.6.218
  7. Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypothesis. 2008;70(5):1009-13. https://doi.org/10.1016/j.mehy.2007.07.050
  8. Comerford MJ, Mottram SL. Movement and stability dysfunction-contemporary developments. Man Ther. 2001;6(1):15-26. https://doi.org/10.1054/math.2000.0388
  9. Key J, Clift A, Condie F, et al. A model of movement dysfunction provides a classification system guiding diagnosis and therapeutic care in spinal pain and related musculoskeletal syndromes: a paradigm shift-part 1. J Bodyw Mov Ther. 2008;12(1):7-21. https://doi.org/10.1016/j.jbmt.2007.04.005
  10. Dimitriadis Z, Kapreli E, Strimpakos N et al. Respiratory weakness in patients with chronic neck pain. Man Ther. 2013;18(3):248-53. https://doi.org/10.1016/j.math.2012.10.014
  11. Pires MG, Di Francesco RC, Grumach AS et al. Evaluation of inspiratory pressure in children with enlarged tonsils and adenoids. Braz J Otorhinolaryngol. 2005;71(5):598-602. https://doi.org/10.1016/S1808-8694(15)31263-5
  12. Okuro RT, Morcillo AM, Ribeiro MA et al. Mouth breathing and forward head posture: effects on respiratory biomechanics and exercise capacity in children. J Bras Pneumol. 2011;37(4):471-9. https://doi.org/10.1590/S1806-37132011000400009
  13. Huggare JA, Laine-Alava MT. Nasorespiratory function and head posture. Am J Orthod Dentofacial Orthop. 1997;112(5):507-11. https://doi.org/10.1016/S0889-5406(97)70078-7
  14. Lima LC, Barauna MA, Sologurem MJ et al. Postural alterations in children with mouth breathing assessed by computerized biophotogrammetry. J Appl Oral Sci. 2004;12(3):232-7. https://doi.org/10.1590/S1678-77572004000300014
  15. Correa EC, Berzin F. Mouth breathing syndrome: cervical muscles recruitment during nasal inspiration before and after respiratory and postural exercises on Swiss Ball. Int J Pediatr Otorhinolaryngol. 2008;72(9): 1335-43. https://doi.org/10.1016/j.ijporl.2008.05.012
  16. Silveira WD, Mello FC, Guimaraes FS et al. Postural alterations and pulmonary function of mouth-breathing children. Braz J Otorhinolaryngol. 2010;76(6):683-6. https://doi.org/10.1590/S1808-86942010000600002
  17. Perri MA, Halford E. Pain and faulty breathing: a pilot study. J Bodyw Mov Ther. 2004;8(4):297-306. https://doi.org/10.1016/S1360-8592(03)00085-8
  18. Kim SY, Kim NS, Jung JH et al. Effect of forward head posture on respiratory function in young adults. J Kor Phys Ther. 2013;25(5):311-5.
  19. McKenzie RA. The cervical and thoracic spine. New Zealand: Spinal pubilcations; 1990.
  20. Toilson CD, Michael LK. Physical exercise in the treatment of low back pain. part I A review. Orthop Rev. 1998;17(7):724-9.
  21. Youn JH, Sung DJ. The influence of McKenzie Approach on head, shoulder posture of the patients with chronic neck pain. The Research Institute of Physical Education & Sports Sci. 1998;17:79-90.
  22. Jeong YW. Effects of McKenzie exercise on the functional recovery and forward head posture of chronic neck pain patients. J Kor Soc Phys Med. 2006;1(1):93-108.
  23. Nemmers TM, Miller JW, Hartman MD. Variability of the forward head posture in healthy community-dwelling older women. J Geriatr Phys Ther. 2009;32(1):10-4. https://doi.org/10.1519/00139143-200932010-00003
  24. Raine S, Twomey LT. Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehabil. 1997;78(11): 1215-23. https://doi.org/10.1016/S0003-9993(97)90335-X
  25. Quek J, Pua YH, Clark RA et al. Effects 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
  26. American Thoracic Society. Standardization of spirometry, 1994 update. Am J Respir Crit Care Med. 1995;152(3):1107-36. https://doi.org/10.1164/ajrccm.152.3.7663792
  27. Song JY, The changes of respiratory functions following postures in cerebral palsy. J Kor Phys Ther. 2004;16(4):115-28.
  28. Ghanbari A, Ghaffarinejad F, Mohammadi F et al. Effect of forward shoulder posture on pulmonary capacities of women. Br J Sports Med. 2008;42(7):622-3. https://doi.org/10.1136/bjsm.2007.040915
  29. Lonstein JE, Breadford DS, Oglivis JW, Winter RB. Moe's textbook of scoliosis & other spinal deformities. 3rd ed. Philadelphia. 1994.
  30. Song JY, Sim HV, Current ME et al. A comparison of vital capacity values with healthy subjects in standing and head-down positions. Phys Ther Korea. 1996;3(1):40-7.
  31. Almeida VP, Guimaraes FS, Moco VJ et al. Correlation between pulmonary function, posture, and body composition in patients with asthma. Rev Port Pneumol. 2013;19(5):204-10. https://doi.org/10.1016/j.rppneu.2013.03.004
  32. Wood TG, Colloca CJ, Matthews R. A pilot randomized clinical trial on the relative effect of instrumental (MFMA) versus manual (HVLA) manipulation in the treatment of cervical spine dysfunction. J Manipulative Physiol Ther. 2001;24(4):260-71. https://doi.org/10.1067/mmt.2001.114365
  33. SY, Kim NS, Kim LJ. Effects of sustained natural apophyseal glide on forward head posture and respiratory function. J Phys Ther Sci. 2015; 27(6):1851-4. https://doi.org/10.1589/jpts.27.1851
  34. Putt MT, Watson M, Seale H et al. Muscle stretching technique increases vital capacity and range of motion in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil. 2008;89(6):1103-7. https://doi.org/10.1016/j.apmr.2007.11.033
  35. Hwangbo PN, Hwangbo G, Park JS et al. The effect of thoracic joint mobilization and self-stretching exercise on pulmonary functions of patients with chronic neck pain. J Phys Ther Sci. 2014;26(11):1783-6. https://doi.org/10.1589/jpts.26.1783
  36. Rathore S. Use of McKenzie cervical protocol in the treatment of radicular neck pain in a machine operator. J Can Chiropr Assoc. 2003;47(4): 291-7.
  37. Na JG, Lee HS, Park SW. Effects of exercise type on neck disability, pain, and postural changes in subjects with forward head posture: systematic review and meta-analysis. J Kor Soc Phys Med. 2018;13(3):121-32. https://doi.org/10.13066/kspm.2018.13.3.121