Browse > Article
http://dx.doi.org/10.18857/jkpt.2020.32.5.319

Dorsal Neck Muscle Fatigue Affects Cervical Range of Motion and Proprioception in Adults with the Forward Head Posture  

Yeo, Sang-Seok (Department of Physical Therapy, College of Health & Welfare, Dankook University)
Kwon, Jung-Won (Department of Physical Therapy, College of Health & Welfare, Dankook University)
Publication Information
The Journal of Korean Physical Therapy / v.32, no.5, 2020 , pp. 319-324 More about this Journal
Abstract
Purpose: This study was to investigate the effect of dorsal neck muscle fatigue on the cervical range of motion (CROM) and proprioception in adults with the forward head posture (FHP). Methods: Thirty pain-free subjects were enrolled in this study. All subjects were measured the forward head angle by taking the capture of the sagittal plane of their upper body to determine the FHP. Subjects were distributed into two groups: the FHP group (n=14) and Control group (n=16). All subjects were measured the CROM and the Head repositioning accuracy (HRA) for joint proprioception before and after inducing muscle fatigue of the dorsal neck. The CROM and HRA were measured in neck flexion, extension, right-left lateral flexion, and right-left rotation. Sorenson's test was used to induce muscle fatigue of the dorsal neck. Results: Total CROMs were significantly decreased after dorsal neck muscle fatigue in both groups (p<0.05). Total HRAs were significantly increased after dorsal neck muscle fatigue in the FHP group (p<0.05), but there were no significant differences in the control group (p>0.05). Total CROM changes were not significant differences between groups (p>0.05), but total HRA changes were significant differences between groups (p<0.05) except for right and left lateral flexion (p>0.05). Conclusion: Immediate CROM and proprioception reduction after the dorsal neck muscle fatigue were observed in adults with the FHP. Therefore, FHP can significantly affect the CROM and positioning consistency of cervical proprioception.
Keywords
Muscle fatigue; Forward head posture; Proprioception; Range of motion;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Haughie LJ, Fiebert IM, Roach KE. Relationship of forward head posture and cervical backward bending to neck pain. J Man Manip Ther. 1995;3(3):91-7.   DOI
2 Pinsault N, Vuillerme N. Degradation of cervical joint position sense following muscular fatigue in humans. Spine. 2010;35(3):294-7.   DOI
3 Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci. 2014;26(11):1741-3.   DOI
4 Lee H, Nicholson LL, Adams RD. Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain. J Manipulative Physiol Ther. 2005;28(1):25-32.   DOI
5 Nimbarte AD, Zreiqat MM, Chowdhury SK. Cervical flexion-relaxation response to neck muscle fatigue in males and females. J Electromyogr Kines. 2014;24(6):965-71.   DOI
6 Rowe PC, Marden CL, Flaherty MA et al. Impaired range of motion of limbs and spine in chronic fatigue syndrome. J Pediatr. 2014;165(2):360-6.   DOI
7 Descarreaux M, Lafond D, Cantin V. Changes in the flexion-relaxation response induced by hip extensor and erector spinae muscle fatigue. BMC Musculoskelet Disord. 2010;11(1):112.   DOI
8 Lee HM, Liau JJ, Cheng CK et al. Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech. 2003;18(9):843-7.   DOI
9 Voight ML, Hardin JA, Blackburn TA et al. The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther. 1996;23(6):348-52.   DOI
10 Carpenter JE, Blasier RB, Pellizzon GG. The effects of muscle fatigue on shoulder joint position sense. Am J Sports Med. 1998;26(2):262-5.   DOI
11 Ryu H. Effects of core exercise and neck stabilizing exercise on proprioception and balance in children with cerebral palsy due to premature birth. Daegu University. Dissertation of Doctorate Degree. 2015.
12 Lee H. The effects of the cervical stabilizing exercise on cervical proprioception, shoulder strength and hand grip strength. Daegu University. Dissertation of Master's Degree. 2012.
13 Stapley PJ, Beretta MV, Dalla Toffola E et al. Neck muscle fatigue and postural control in patients with whiplash injury. Clin Neurophysiol. 2006;117(3):610-22.   DOI
14 Schieppati M, Nardone A, Schmid M. Neck muscle fatigue affects postural control in man. Neuroscience. 2003;121(2):277-85.   DOI
15 Al SAif AA, Al SenAny S. Determine the effect of neck muscle fatigue on dynamic visual acuity in healthy young adults. J Phys Ther Sci. 2015;27(1):259-63.   DOI
16 Schmid M, Schieppati M. Neck muscle fatigue and spatial orientation during stepping in place in humans. J Appl Physiol. 2005;99(1):141-53.   DOI
17 Weon JH, Oh JS, Cynn HS et al. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. J Bodyw Mov Ther. 2010;14(4):367-74.   DOI
18 Stanton TR, Leake HB, Chalmers KJ et al. Evidence of impaired proprioception in chronic, idiopathic neck pain: systematic review and meta-analysis. Phys Ther. 2016;96(6):876-87.   DOI
19 Fitz-Ritson D. Phasic exercises for cervical rehabilitation after "whiplash" trauma. J Manipulative Physiol Ther. 1995;18(1):21.
20 Jull G, Falla D, Treleaven J et al. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res. 2007;25(3):404-12.   DOI
21 Revel M, Minguet M, Gergoy P et al. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: A randomized controlled study. Arch Phys Med Rehabil. 1994;75(8):895-9.   DOI
22 Fernandez-de-Las-Penas C, Cuadrado M, Pareja J. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia. 2006;26(9):1061-70.   DOI
23 Nam KS, Kwon JW. The effects of head position in different sitting postures on muscle activity with/without forward head and rounded shoulder. J Korean Phys Ther. 2014;26(3):140-6.
24 Reece A. Investigating the effects of subclinical neck pain, cervical treatment, and neck muscle fatigue on wrist joint position sense. Brock University. Dissertation of Master's Degree. 2019.
25 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):163-76.   DOI
26 Lee SM, Lee CH, O'Sullivan D et al. Clinical effectiveness of a pilates treatment for forward head posture. J Phys Ther Sci. 2016;28(7):2009-13.   DOI
27 Peolsson A, Kjellman G. Neck muscle endurance in nonspecific patients with neck pain and in patients after anterior cervical decompression and fusion. J Manipulative Physiol Ther. 2007;30(5):343-50.   DOI
28 Enoka RM, Stuart DG. Neurobiology of muscle fatigue. J Appl Physiol. 1992;72(5):1631-48.   DOI
29 Alsen P, Brink E, Persson LO. Living with incomprehensible fatigue after recent myocardial infarction. J Adv Nurs. 2008;64(5):459-68.   DOI
30 Portero R, Quaine F, Cahouet V et al. Influence of cervical muscle fatigue on musculo-tendinous stiffness of the head-neck segment during cervical flexion. PloS one. 2015;10(9):e0139333.   DOI
31 Kwon MS, Lee SH, Cho IR et al. Electromyography comparison of normal chair-desk system and assistant chair-desk system on fatigue. J Phys Ther Sci. 2015;27(10):3171-5.   DOI
32 Reddy RS, Maiya AG, Rao SK. Effect of dorsal neck muscle fatigue on cervicocephalic kinaesthetic sensibility. Hong Kong Physiother J. 2012;30(2):105-9.   DOI
33 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.   DOI
34 Garrett TR, Youdas JW, Madson TJ. Reliability of measuring forward head posture in a clinical setting. J Orthop Sports Phys Ther. 1993;17(3):155-60.   DOI
35 Salahzadeh Z, Maroufi N, Ahmadi A et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskelet Rehabil. 2014;27(2):131-9.   DOI
36 Sharpe MH, Miles TS. Position sense at the elbow after fatiguing contractions. Exp Brain Res. 1993;94(1):179-82.
37 Skinner H, Wyatt M, Hodgdon J et al. Effect of fatigue on joint position sense of the knee. J Orthop Res. 1986;4(1):112-8.   DOI
38 Yong MS, Lee HY, Lee MY. Correlation between head posture and proprioceptive function in the cervical region. J Phys Ther Sci. 2016;28(3):857-60.   DOI
39 Ha SY, Sung YH. A temporary forward head posture decreases function of cervical proprioception. J Exerc Rehabil. 2020;16(2):168.   DOI