Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45
-
pISSN : 1975-311X / eISSN : 2287-7215
- https://journal.kci.go.kr/kspm
KJCKorea
Journal Central
Effects of Therapeutic Exercise on Posture, Pain and Asymmetric Muscle Activity in a Patient with Forward Head Posture: case report
- Journal of the Korean Society of Physical Medicine
- Abbr : J Korean Soc Phys Med
- 2016, 11(1), pp.71-82
- DOI : 10.13066/kspm.2016.11.1.71
- Publisher : The Korean Society of Physical Medicine
- Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Yoo Kyung Tae 1, Lee, Ho-seong 2
1남서울대학교
2단국대학교
Accredited
ABSTRACT
PURPOSE: The purpose of this case report was to determine the effect of therapeutic exercise on posture, pain, and muscle activity in two patients with forward head posture (FHP).
METHODS: A-31-year-old male (patient A) and a 19-year-old women (patient B) presented with FHP, neck pain, and headache. The therapeutic exercise program consisted of cervical mobilization, deep cervical flexors strengthening, and cervical extensors stretching, for 40 min/d, 2 d/week, for 8 weeks. Neck pain (VAS), neck disability (NDI), cervical range of motion (CROM), lateral view of cervical spine X-ray (indicating the FHP), and asymmetrical neck and shoulder muscular activity ratio were measured before, after 4 weeks, and after 8 weeks of corrective exercise.
RESULTS: VAS and NDI decreased in patients A and B after exercise compared to before the program. CROM increased in patients A and B at flexion, extension, side bending, and rotation after exercise compared to before the program. FHP decreased in patients A and B at distance after exercise compared to before the program. In addition, asymmetrical neck and shoulder muscles activity ratio improved in patients A and B after exercise compared to before the program.
CONCLUSION: We demonstrated in a case report that therapeutic exercise increases ROM, decreases pain and disability of neck, FHP, and asymmetry muscle activity ratio in patients with FHP. These finding have clinical implications for therapeutic exercise in patients with FHP.
Statistics
-
408 Viewed
-
2 Downloaded
Tools
Issue List
Citation status
* References for papers published after 2023 are currently being built.
[journal]
Andersen LL
/ 2011
/ Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
/ BMC Musculoskelet Disord
12
: 169~
[journal]
Blangsted AK
/ 2008
/ One-year randomized controlled trial with different physicalactivity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers
/ Scand J Work Environ Health
34(1)
: 55~65
[book]
Boyle K
/ 2012
/ Low Back Pain
/ InTech
: 293~332
[journal]
Bronfort G
/ 2001
/ A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain
/ Spine
26(7)
: 788~797
[journal]
Chen J
/ 1999
/ Meta-analysis of normative cervical motion
/ Spine
24(15)
: 1571~1578
[journal]
Cheng CH.
/ 2010
/ Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain
/ Journal of Electromyography and Kinesiology
20(5)
: 1014~1020
[journal]
Cibulka MT
/ 2010
/ Symmetrical and asymmetrical hip rotation and its relationship to hip rotator muscle strength
/ Clin Bio mech
25
: 56~62
[journal]
Corrêa EC
/ 2007
/ Efficacy of physical therapy on cervical muscle activity and on body posture in school-age mouth breathing children
/ Int J Pediatr Otorhinolaryngol
71(10)
: 1527~1535
[journal]
Diab AA
/ 2012
/ The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy : a randomized trial
/ Clin Rehabil
26(4)
: 351~361
[journal]
Diab AA
/ 2012
/ The role of forward head correction in management of adolescent idiopathic scoliotic patients : a randomized controlled trial
/ Clin Rehabil
26(12)
: 1123~1132
[journal]
Evans R
/ 2002
/ Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain
/ Spine
27(21)
: 2383~2389
[journal]
Fernández-de-las-Peñas C
/ 2008
/ Cross-sectional area of cervical multifidus muscle in females with chronic bilateral neck pain compared to controls
/ J Orthop Sports Phys Ther
38(4)
: 175~180
[journal]
Fernández-de-las-Peñas C
/ 2005
/ Validity of the lateral gliding test as tool for the diagnosis of intervertebral joint dysfunction in the lower cervical spine
/ J Manipulative Physiol Ther
28(8)
: 610~616
[journal]
Ferrario VF
/ 2007
/ The use of surface electromyography as a tool in differentiating temporomandibular disorders from neck disorders
/ Man Ther
12(4)
: 372~379
[journal]
Finley MA
/ 2003
/ Effect of sitting posture on 3-dimensional scapular kinematics measured by skin-mounted electromagnetic tracking sensors
/ Arch Phys Med Rehabil
84
: 563~568
[journal]
Ganesh GS
/ 2015
/ Effectiveness of mobilization therapy and exercises in mechanical neck pain
/ Physiother Theory Pract
31(2)
: 99~106
[journal]
공원태
/ 2010
/
The Effects of Cervical ROM and Muscle Endurance on Cervical Joint Mobilization of Normal Adults
/ 대한물리의학회지
/ 대한물리의학회
5(1)
: 7~13
[journal]
Gupta BD
/ 2013
/ Effect of Deep Cervical Flexor Training vs. Conventional Isometric Training on Forward Head Posture, Pain, Neck Disability Index In Dentists Suffering from Chronic Neck Pain
/ J Clin Diagn Res
7(10)
: 2261~2264
[journal]
Harman K
/ 2005
/ Effectiveness of an exercise program to improve forward head posture in normal adults : a randomized, controlled 10-week trial
/ J Manual Manip Ther
13
: 163~176
[journal]
황보각
/ 2012
/
Effects of Self-stretching Exercise and Upper Thoracic Joint Mobilization on Range of Motion and Pain of the Patients with Chronic Neck Pain
/ 대한물리의학회지
/ 대한물리의학회
7(4)
: 509~514
[journal]
Iizuka Y
/ 2015
/ Association between neck and shoulder pain, back pain, low back pain and body composition parameters among the Japanese general population
/ BMC Musculoskelet Disord
16(1)
: 333~
[journal]
Inami S
/ 2001
/ Immunohistochemical demonstration of nerve fibers in the synovial fold of the human cervical facet joint
/ J Orthop Res
19
: 593~596
[journal]
Johnston V
/ 2008
/ Neck movement and muscle activity characteristics in female office workers with neck pain
/ Spine
33(5)
: 555~563
[journal]
Jull G
/ 2002
/ A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache
/ Spine
27(17)
: 1835~1843
[journal]
Jull GA
/ 2009
/ The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain
/ Man Ther
14(6)
: 696~701
[journal]
Jung-Ho Kang
/ 2012
/
The Effect of The Forward Head Posture on Postural Balance in Long Time Computer Based Worker
/ Annals of Rehabilitation Medicine
/ 대한재활의학회
36(1)
: 98~104
[journal]
Kim MH
/ 2008
/ Changes in neck muscle electromyography and forward head posture of children when carrying schoolbags
/ Ergonomics
51(6)
: 890~901
[journal]
Kogawa EM
/ 2006
/ Evaluation of maximal bite force in temporomandibular disorders patients
/ J Oral Rehabil
33(8)
: 559~565
[journal]
Law EY
/ 2013
/ Measurement of cervical range of motion(CROM)by electronic CROM goniometer : a test of reliability and validity
/ J Back Musculoskelet Rehabil
26(2)
: 141~148
[journal]
Lee B
/ 2015
/ The effects of stretching exercise for upper trapezius on the asymmetric rate of bite force
/ J Phys Ther Sci
27(7)
: 2159~2162
[journal]
이강진
/ 2015
/
Effect of Active Intervention after Kaltenborn’s Cervical Joint Mobilization on The Cervical Spine Alignment and Muscle Activity in Patients with Forward Head Posture
/ 대한물리의학회지
/ 대한물리의학회
10(2)
: 17~27
[journal]
Lee MY.
/ 2014
/ Characteristics of cervical position sense in subjects with forward head posture
/ J Phys Ther Sci
26(11)
: 1741~1743
[journal]
Lynch SS
/ 2010
/ The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers
/ Internet Br J Sports Med
44(5)
: 376~381
[journal]
Morningstar MW
/ 2003
/ Spinal manipulation and anterior headweighting for the correction of forward head posture and cervical hypolordosis : A pilot study
/ J Chiropr Med
2(2)
: 51~54
[journal]
Mostamand J
/ 2013
/ Evaluating the head posture of dentists with no neck pain
/ J Bodyw Mov Ther
17(4)
: 430~433
[journal]
Nam SH
/ 2013
/ The intra- and inter-rater reliabilities of the forward head posture assessment of normal healthy subjects
/ J Phys Ther Sci
25
: 737~739
[journal]
Ning X
/ 2011
/ Influence of asymmetry on the flexion relaxation response of the low back musculature
/ Clin Biomech
26(1)
: 35~39
[journal]
O’ Leary s
/ 2007
/ Specific therapeutic exercise of the neck induces immediate local hypoalgesia
/ J Pain
8(11)
: 832~839
[journal]
Paris SV
/ 1990
/ Cervical symptoms of forward head posture
/ Top Geriatr Rehabil
5(4)
: 11~20
[journal]
Pearson AM
/ 2004
/ Facet joint kinematics and injury mechanisms during simulated whiplash
/ Spine
29
: 390~397
[journal]
Ries LG
/ 2008
/ Asymmetric activation of temporalis, masseter, and sternocleidomastoid muscles in temporomandibular disorder patients
/ Cranio
26(1)
: 59~64
[journal]
Roddey T
/ 2002
/ The effects of pectoralis muscle stretching on the resting position of the scapula in persons with varying degrees of forward head/rounded shoulder posture
/ J Man Manip Ther
10
: 124~128
[journal]
Salahzadeh Z
/ 2014
/ Assessment of forward head posture in females : observational and photogrammetry methods
/ J Back Musculoskelet Rehabil
27(2)
: 131~139
[journal]
Schroeder H
/ 1991
/ Causes and signs of temporomandibular joint pain and dysfunction : an electromyographical investigation
/ J Oral Rehabil
18(4)
: 301~310
[report]
SENIAM
/ 1999
/ European Recommendations for Surface ElectroMyoGraphy, results of the SENIAM project
/ Roessingh Research and Development
[journal]
Silva AG
/ 2009
/ Head posture and neck pain of chronic nontraumatic origin : a comparison between patients and pain-free persons
/ Arch Phys Med Rehabil
90
: 669~674
[journal]
선안
/ 2014
/
Radiologic Assessment of Forward Head Posture and Its Relation to Myofascial Pain Syndrome
/ Annals of Rehabilitation Medicine
/ 대한재활의학회
38(6)
: 821~826
[journal]
Szeto GP
/ 2005
/ EMG median frequency changes in the neck-shoulder stabilizers of symptomatic office workers when challenged by different physical stressors
/ J Electromyogr Kinesiol
15
: 544~555
[journal]
Tousignant M
/ 2006
/ Criterion validity study of the cervical range of motion(CROM)device for rotational range of motion on healthy adults
/ J Orthop Sports Phys Ther
36(4)
: 242~248
[journal]
van der Windt DA
/ 2000
/ Occupational risk factors for shoulder pain : a systematic review
/ Occup Environ Med
57(7)
: 433~442
[journal]
Vernon H
/ 1991
/ The Neck Disability Index : a study of reliability and validity
/ J Manipulative Physiol Ther
14(7)
: 409~415
[journal]
Wang CH
/ 1999
/ Stretching and strengthening exercises: their effect on threedimensional scapular kinematics
/ Arch Phys Med Rehabil
80
: 923~929
[journal]
양노열
/ 2014
/
Effects of Visual Biofeedback on Movement Patterns of Neck Lateral Bending and Muscle Activation of Sternocleidomastoid during Neck Rotation in Adults with Forward Head Posture
/ 대한물리의학회지
/ 대한물리의학회
9(4)
: 425~432
[journal]
Yoo WG
/ 2014
/ Comparison of Orbicularis Oculi Muscle Activity during Computer Work with Single and Dual Monitors
/ J Phys Ther Sci
26(11)
: 1807~1808
[journal]
윤기현
/ 2013
/
Effect of CranioCervical Flexion Exercise Using Sling on Thickness of Sternocleidomastoid Muscle and Deep Cervical Flexor Muscle
/ 대한물리의학회지
/ 대한물리의학회
8(2)
: 253~261