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Effect of Posture Correction Band on Pulmonary Function in Individuals With Neck Pain and Forward Head Posture

  • Kim, Jae-hyeon (Department of Physical Therapy, College of Medical Science, Jeonju University) ;
  • Jeong, Yeon-woo (Department of Rehabilitation Science, Graduate School, Jeonju University) ;
  • Kim, Su-jin (Department of Physical Therapy, College of Medical Science, Jeonju University)
  • Received : 2020.10.26
  • Accepted : 2020.11.02
  • Published : 2020.11.20

Abstract

Background: Individuals with forward head posture (FHP) have neck pain. To correct the FHP, a posture correction band is commonly used. However, we do not know the posture correction band influenced the pulmonary function in individuals with FHP. Objects: This study aimed to elucidate the effects of the posture correction band on the pulmonary function in young adults with neck pain and FHP and to monitor how the pulmonary function changed over time. Methods: Twenty subjects with chronic neck pain and forward head posture were recruited. Subjects performed pulmonary function test four times: before, immediately, and 2 hours after wearing the postural band, and immediately after undressing the postural band. Vital capacity (VC), forced vital capacity (FVC), peak expiratory flow (PEF), and forced expiratory volume at one second (FEV1) were measured. The modified Borg dyspnea scale was used to measure each subject's responses to the posture correction band. The mixed-effect linear regression was used to the effect of the posture correction band over time. Results: There were no significant differences in VC, FVC, PEF, FEV1 values over time (p > 0.05), although all values slightly decreased after applying posture correction band. However, the score of the modified Borg scale significantly changed after wearing the postural bands (p < 0.05), indicating the subject felt discomfort with posture correction band during breathing. Conclusion: Because the posture correction band did not change the pulmonary function over time, but it induces psychological discomforts during breathing in people with FHP. Therefore, this posture correction band can be used for FHP realignment after discussion with the subjects.

Keywords

References

  1. Rainie L. Internet, broadband, and cell phone statistics. Pew Research Center [Internet]. Washington, D.C.: 2010 Jan 5 [cited 2019 Aug 10]. Available from: https://www.pewresearch.org/internet/2010/01/05/internet-broadband-and-cellphone-statistics/.
  2. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 2006;15(6):834-48. https://doi.org/10.1007/s00586-004-0864-4
  3. Berolo S, Wells RP, Amick BC 3rd. Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: a preliminary study in a Canadian university population. Appl Ergon 2011;42(2):371-8. https://doi.org/10.1016/j.apergo.2010.08.010
  4. Gonzalez HE, Manns A. Forward head posture: its structural and functional influence on the stomatognathic system, a conceptual study. Cranio 1996;14(1):71-80. https://doi.org/10.1080/08869634.1996.11745952
  5. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther 2008;13(2):148-54. https://doi.org/10.1016/j.math.2006.11.002
  6. Han JT, Go MJ, Kim YJ. Comparison of forced vital capacity and maximal voluntary ventilation between normal and forward head posture. J Korean Soc Phys Med 2015;10(1):83-9. https://doi.org/10.13066/kspm.2015.10.1.83
  7. Han J, Park S, Kim Y, Choi Y, Lyu H. Effects of forward head posture on forced vital capacity and respiratory muscles activity. J Phys Ther Sci 2016;28(1):128-31. https://doi.org/10.1589/jpts.28.128
  8. Langford ML. Poor posture subjects a worker's body to muscle imbalance, nerve compression. Occup Health Saf 1994;63(9):38-40, 42.
  9. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 2nd ed. St. Louis: Mosby; 2009.
  10. Lee MH, Chu M. Correlations between craniovertebral angle (CVA) and cardiorespiratory function in young adults. J Korean Soc Phys Med 2014;9(1):107-13. https://doi.org/10.13066/kspm.2014.9.1.107
  11. Wickstrom BM, Oakley PA, Harrison DE. Non-surgical relief of cervical radiculopathy through reduction of forward head posture and restoration of cervical lordosis: a case report. J Phys Ther Sci 2017;29(8):1472-4. https://doi.org/10.1589/jpts.29.1472
  12. Han SW, Kim JY, Kang MS, Kwon MY, Kim DH, Kim MA, et al. The effect of sling and mat exercise during 6 weeks on cervical coordination, muscle strength, and muscle endurance. J KSSPT 2007;3(1):37-46.
  13. Morningstar MW. Cervical hyperlordosis, forward head posture, and lumbar kyphosis correction: a novel treatment for mid-thoracic pain. J Chiropr Med 2003;2(3):111-5. https://doi.org/10.1016/S0899-3467(07)60055-X
  14. Kim EK. Comparison of vital capacity and balance between elderly women and young women with forward head postures according to the use of figure-8 brace. J Korean Phys Ther 2019;31(4):248-53. https://doi.org/10.18857/jkpt.2019.31.4.248
  15. Puckree T, Lauten VA, Moodley S, Naidoo J, Ramsammy K. Thoracolumbar corsets alter breathing pattern in normal individuals. Int J Rehabil Res 2005;28(1):81-5. https://doi.org/10.1097/00004356-200503000-00012
  16. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. 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
  17. Kang D, Oh T. Comparison of the muscle activity in the normal and forward head postures based on the pressure level during cranio-cervical flexion exercises. J Korean Phys Ther 2019;31(1):1-6. https://doi.org/10.18857/jkpt.2019.31.1.1
  18. 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
  19. Ozkal O, Topuz S, Karahan S, Erdem MM, Konan A, Yasti AC. Clinical predictors of pulmonary functions, respiratory/peripheral muscle strength and exercise capacity at discharge in adults with burn injury. Disabil Rehabil 2020. [Epub]. https://doi.org/10.1080/09638288.2020.1720320.
  20. Lee J, Han D. Effect of the trunk forward bending angle in sitting position on slow vital capacity. J Phys Ther Sci 2017;29(12):2220-3. https://doi.org/10.1589/jpts.29.2220
  21. Shim YJ, Moon OK, Choi WS, Kim BK. Effects of the inspiratory muscle strengthening training on the respiratory functions and the quality of life in patients with cervical spinal cord injury patients. J Korea Inst Electron Commun Sci 2013;8(11):1785-92. https://doi.org/10.13067/JKIECS.2013.8.11.1785
  22. Eston RG, Williams JG. Reliability of ratings of perceived effort regulation of exercise intensity. Br J Sports Med 1988;22(4):153-5. https://doi.org/10.1136/bjsm.22.4.153
  23. Song KJ, Choi BW, Choi BR, Seo GB. Cross-cultural adaptation and validation of the Korean version of the neck disability index. Spine (Phila Pa 1976) 2010;35(20):E1045-9. https://doi.org/10.1097/BRS.0b013e3181df78e9
  24. Lee HJ. Cross-cultural adaptation of Korean language versions of neck pain and disability questionnaires and their psychometric testing. Korean J Meridian Acupoint 2007;24(2):99-112.
  25. Lanza F de C, de Camargo AA, Archija LR, Selman JP, Malaguti C, Dal Corso S. Chest wall mobility is related to respiratory muscle strength and lung volumes in healthy subjects. Respir Care 2013;58(12):2107-12. https://doi.org/10.4187/respcare.02415
  26. Kim EK, Lee DK. Effect of scapular brace on the pulmonary function and foot pressure of elderly women with forward head posture. J Korean Phys Ther 2018;30(4):141-5. https://doi.org/10.18857/jkpt.2018.30.4.141
  27. Kim SY, Kim NS, Jung JH, Jo MR. Effect of forward head posture on respiratory function in young adults. J Korean Soc Phys Ther 2013;25(5):311-5.
  28. Ley R. Breathing and the psychology of emotion, cognition, and behavior. In: Timmons BH, Ley R editors. Behavioral and psychological approaches to breathing disorders. Boston: Springer; 1994;81-95.
  29. Kim SY, Jung JH, Kim NS. The effects of McKenzie exercise on forward head posture and respiratory function. J Korean Phys Ther 2019;31(6):351-7. https://doi.org/10.18857/jkpt.2019.31.6.351
  30. Kim BB, Lee JH, Jeong HJ, Cynn HS. Can suboccipital release followed by cranio-cervical flexion exercise improve shoulder range of motion, pain, and muscle activity of scapular upward rotators in subjects with forward head posture? Phys Ther Korea 2016;23(2):57-66. https://doi.org/10.12674/ptk.2016.23.2.057
  31. Park HK, Kim TH, Kim DW. The immediate effect of the backward walking exercise and verbal command on the forward head posture of college students in their 20s. Phys Ther Korea 2020;27(3):185-90. https://doi.org/10.12674/ptk.2020.27.3.185