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http://dx.doi.org/10.20540/JIAPTR.2020.11.1.1960

Effects of Dynamic Exercise Program Using Thera-Band on Craniovertebral Angle in Adults with Forward Head Posture  

Shin, Hyungsoo (Department of Physical Therapy, Kyungwoon University)
Kim, Kihyun (Department of Physical Therapy, Kyungwoon University)
Jung, Namjin (Department of Physical Therapy, Kyungwoon University)
Publication Information
Journal of International Academy of Physical Therapy Research / v.11, no.1, 2020 , pp. 1960-1968 More about this Journal
Abstract
Background: The alignment of the neck and shoulder is important in people with forward head posture. However, previous studies have mainly conducted fragmentary studies on the neck and shoulders, and studies on the combined movement of the neck and shoulders are incomplete. Objective: To investigate the effects of 6 week dynamic exercise program using Thera-band on craniovertebral angle (CVA) in adults with forward head posture. Design: Quasi-experimental study. Methods: The study was conducted on 24 adults with forward head posture and experimented with neck and shoulder exercises and divided them into groups of neck exercises, shoulder exercises, and neck and shoulder exercises to measure CVA values before and after the experiment. The neck exercise program included flexion and extension muscles of the neck and shoulder exercises included dynamic exercise of the upper extremities such as the trapezius muscles and serratus anterior muscle. The CVA results were measured using PA200. Results: Following the interventions, neck exercise group showed significant improvement in CVA (P<.05), but shoulder exercise group and combined exercise group did not show any significant results (P>.05). However, both groups showed some positive results. Significant differences were seen in the comparisons between the three groups (P<.05), and the results of the post-hoc test showed significant differences in neck exercise group and shoulder exercise, neck exercise and combine exercise group. Conclusion: This study suggested that the Thera-band neck exercise is beneficial for foward head posture patients and is expected to be used in clinical trials.
Keywords
Forward head posture; Thera-band, Dynamic exercise; Stabilization exercise;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Mekhora K, Liston CB, Nanthavanij S, Cole JH. The effect of ergonomic intervention on discomfort in computer users with tension neck syndrome. Int J Ind Ergon. 2000;26(3):367-379.   DOI
2 Health Insurance Review & Assessment Service. 2012.
3 Kuo YL, Tully EA, Galea MP. Video analysis of sagittal spinal posture in healthy young and older Adults. J Manipulative Physiol Ther. 2009;32(3):210-215.   DOI
4 Lee BK, Nam KS, Yi CH. A Study of Spinal Curvature in Female and Male University students. Phys Ther Korea. 1998;5(2):72-87.
5 Griegel-Morris P, Larson K, Mueller-Klaus K, Oatis CA. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther. 1992;72(6):425-431.   DOI
6 Park SH, Kang JH. The effect of wearable sensor wear on muscular activity of the head posture during smartphone use. Convergence Society for SMB. 2017;7(5):47-51.   DOI
7 McKenzie R. The cervical and thoracic spine: mechanical diagnosis and therapy. New Zealand: Spinal Publications; 1990.
8 Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation. Elsevier Health Sciences; 2013.
9 Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine. 2002;27(7):694-701.   DOI
10 Janda V. Evaluation of muscular imbalance. In: Liebenson C, ed. Rehabilitation of the spine: a practitioner's manual. Baltimore: Lippincott Williams and Wilkins; 1996.
11 Kwon HC, Jeong DH. The Effect of the Ratio of Standing to Sitting Height on the Spinal Forward Bending Range of Motion in Normal Subjects. Phys Ther Korea. 2001;8(2):55-63.
12 Cha JH. Effect of Neck and Shoulder Stabilization Exercise Using Thera-bands on the Pain, Alignment, and Muscle Thickness of Forward Head Posture Subjects [thesis]. Daegu: Daegu University; 2017.
13 Berolo S, Wells RP, Amick III BC. Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: A preliminary study in a Canadian university population. Applied Ergonomics. 2011;42(2):371-378.   DOI
14 Falla D. Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther. 2004;9(3):125-133.   DOI
15 Kendall FP, McCreary EK, Provance PG, Rodgers M, Romani WA. Muscles testing and function with posture and pain. US: Lippincott williams & wilkins Ltd; 2005:9-118.
16 Saring-Bahat, H. Evidence for exercise therapy in mechanical neck disorders. Spine. 2003;8(1):10-20.
17 Mennell, J. M. The Validation of the diagnosis "Joint dysfunction" in the synovial joint of the cervical spine. J Manipulative Physiol Ther. 1990;13 :7-12.
18 Choi J. Effect of Kinesiolology taping and Posture Stabilizing Exercise on Pain, Craniovertebral Angle, Proprioception in Adults with Forward Head Posture. JIAPTR. 2019;10(3):1862-1867.   DOI
19 Cools AM, Dewitte V, Lanszweert F, et al. Rehabilitation of scapular muscle balance which exercises to prescribe? Am J Sports Med. 2007;35(10):1744-1751.   DOI
20 Kendall FP, McCreary EK, Provance PG, Rodgers M, Romani WA. Muscles: testing and function. Baltimore: Williams&Wilkins; 1993.
21 Lucas C, Van Ettekoven H. Efficacy of physiotherapy including a craniocervical training programme for forward head posture; a randomized clinical trial. Cephalalgia. 2006;26(8):983-991.   DOI
22 Han SW, Kim JY, Kang MS, et al. The effect of sling and mat exercise during 6 weeks on cervical coordination, muscle strength, and muscle endurance. Korean Soc Sport Phys Ther. 2007;3(1):37-46.
23 Salahzadeh Z, Maroufi N, Ahmadi A, et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskeletal Rehabil. 2014;27(2):131-139.   DOI
24 Son NY, Lee JS, Kim JH. Effects of the Upright Body Type Exercise Program on Postures and Foot Balance in Female High School Students. KJSB. 2014;24(1):75-83.
25 Kim EJ, Kim JW, Park BR. Effects of Sling Exercise Program on Muscle Activity and Cervical Spine Curvature of Forward Head Posture. Jour of KoCon a. 2011;11(11):213-220.
26 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 and sport sci. 1998;17(1):70-90.
27 Kang NY. A Study on the Effects of Scapula Stabilization Exercise and Thoracic Spine Extension Exercise on Craniovertebral angle, Neck Disability Index, and Respiratory for Office Workers with Forward Head Postures [thesis]. Daegu: Daegu University; 2018.
28 Lee KJ, Han HY, Cheon SH, Park SH, Yong MS. The effect of forward head posture on muscle activity during neck protraction and retraction. J Phys Ther Sci. 2015;27(3):977-979.   DOI
29 Lee WS. Effects of Improving Posture of Scapula Stability Home Exercise Program using Thera-band on Forward Head Position of Tension-type Headache [thesis]. Yongin: Dankook University; 2012.
30 Cho WH, Lee WY, Choi HK. An Investigation on the Biomechanical Effects of turtle-neck Syndrome through EMG Analysis. Jonrnal of KSPE, 2008:195-196.