Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with F orward H ead Posture

Seung-Hwan Lee (이승환); Byoung-Ha Yoo (유병하); Hyun-Seo Pyo (표현서); Dongyeop Lee (이동엽); Hong Ji Heon (홍지헌); JaeHo Yu (유재호); Kim Jin Seop (김진섭); Seong-Gil Kim (김성길)

Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with F orward H ead Posture

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2022, 17(4), pp.1-13
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : October 17, 2022
Accepted : November 14, 2022
Published : November 30, 2022

Seung-Hwan Lee ¹, Byoung-Ha Yoo ¹, Hyun-Seo Pyo ¹, Dongyeop Lee ², Hong Ji Heon ², JaeHo Yu ², Kim Jin Seop ², Seong-Gil Kim ²

¹선문대
²선문대학교

Accredited

ABSTRACT

PURPOSE: This study examined the effects of the craniovertebral angle, proprioception (joint error test), and the upper trapezius on the muscle tone when comparing cervical stabilization and scapula stabilization exercises and when two exercises were performed together. METHODS: The participants in this study agreed in advance, and this study was carried out by recruiting 27 university students in their twenties with mild frontal posture. The subjects were assigned randomly to three groups that performed cervical stabilization exercises, scapular stabilization exercises, and both cervical and scapular stabilization exercises. One-way repeated ANOVA was used to analyze the evaluation values of the 1st, 3rd, and 6th weeks of exercise intervention within the group, and one-way ANOVA was used to compare the difference in the effects of exercise intervention among the three groups. RESULTS: Proprioception was significantly different in the cervical stabilization exercises (CSE) group and the cervical stabilization exercises + Scapular stabilization exercises (CSE+SSE) groups at three weeks, and there was a significant difference between the scapular stabilization exercises (SSE) group and the CSE+SSE group (p < .05). At six weeks, there was a significant difference between the CSE group and the CSE+SSE group, and there was a significant difference between the SSE group and the CSE+SSE group (p < .05). There was a significant difference between three and six weeks in the CSE group (p < .05). In the SSE group, there was a significant difference between pre and six weeks, and between three and six weeks (p < .05). In the CSE+SSE group, there was a significant difference between pre and three weeks, and between pre and six weeks (p < .05). On the other hand, there were no significant differences between CVA and muscular tone in all three groups (P > .05). CONCLUSION: In all groups, the proprioception (joint error test) showed significant improvement, and the CSE+SSE group showed greater improvement than the other groups. As a result, the appropriate combination of neck stabilization exercise and scapular stabilization exercise effectively improved proprioception in the presence of forward head posture (FHP).

KEYWORDS

Cervical Stabilization Exercise, CVA, Forward head posture, Muscle tone, Proprioception, Scapular Stabilization Exercise

Citation status

* References for papers published after 2023 are currently being built.

[journal] Yoo WG / 2010 / Effect of different seat support characteristics on the neck and trunk muscles and forward head posture of visual display terminal workers / Work 36(1) : 3~8

[journal] Cho CY / 2008 / Survey of faulty postures and associated factors among Chinese adolescents / J Manipulative Physiol Ther 31(3) : 224~229

[journal] 박순애 / 2008 / Daily Living Habits and Knowledge of Good Posture among the Middle School Students / 한국사회체육학회지 / 한국사회체육학회 (33) : 603~614

[journal] Grimmer KA / 1999 / The associations between adolescent head-on-neck posture, backpack weight, and anthropometric features / Spine 24(21) : 2262~2267

[journal] Chansirinukor W / 2001 / Effects of backpacks on students: Measurement of cervical and shoulder posture / J Physiother 47(2) : 110~116

[journal] 최영준 / 2011 / Effect of Cervical and Thoracic Stretching and Strengthening Exercise Program on Forward Head Posture / 한국콘텐츠학회 논문지 / 한국콘텐츠학회 11(10) : 293~300

[journal] De-la-Llave-Rincón AI / 2009 / Increased forward head posture and restricted cervical range of motion in patients with carpal tunnel syndrome / JOSPT Cases 39(9) : 658~664

[journal] Yip CH / 2008 / The relationship between head posture and severity and disability of patients with neck pain / Man Ther 13(2) : 148~154

[journal] Panjabi MM / 1992 / The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis / J Spinal Disord 5(4) : 390~397

[journal] 정다운 / 2017 / Changes in Cervicocephalic Joint Position Sense in Sustained Forward Head Posture / 대한통합의학회지 / 대한통합의학회 5(2) : 11~17

[journal] Kim EK / 2016 / Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture / J Phys Ther Sci 28(10) : 2929~2932

[journal] Cheng CH / 2010 / Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain / J Electromyogr Kinesiol 20(5) : 1014~1020

[journal] de Vries J / 2015 / Joint position sense error in people with neck pain: A systematic review / Man Ther 20(6) : 736~744

[journal] Gunaydin OE / 2022 / Four weeks of exercise regimen for sedentary workers with rounded shoulder posture: A randomized controlled study / Sao Paulo Med J

[journal] Izraelski J / 2012 / Assessment and treatment of muscle imbalance:The Janda approach / J Can Chiropr Assoc 56(2) : 158~

[journal] Moon SB / 2007 / Effects of cervical extension exercise and Mckinzie exercise on the pain and cervical muscle strength in patients with cervicalgia / Korean Journal of Sports Science 16(3) : 687~698

[journal] Chiu TT / 2005 / A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain / Spine 30(1) : E1~E7

[journal] Falla D / 2006 / An endurancestrength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain / Cli Neurophysiol 117(4) : 828~837

[journal] Özdemir F / 2021 / Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study / Turk J Phys Med Rehabil 67(1) : 77~83

[journal] obush DC / 1996 / The lennie test for measuring scapular position in healthy young adult females: A reliability and validity study / J Orthop Sports Phys Ther 23(1) : 39~50

[journal] Culham E / 1993 / Functional anatomy of the shoulder complex / J Orthop Sports Phys Ther 18(1) : 342~350

[journal] 배원식 / 2016 / Comparison between McKenzie Stretch Exercise and Scapula Stability Exercise on Neck Muscle Activation in the Forward Head Posture / 대한통합의학회지 / 대한통합의학회 4(1) : 13~20

[journal] Park SW / 2015 / Effect of forward head posture on scapula stability exercise and McKenzie stretch exercise / J Korean Soc Integr Med 3(4) : 61~67

[journal] Lee MY / 2014 / Characteristics of cervical position sense in subjects with forward head posture / J Phys Ther Sci 26(11) : 1741~1743

[journal] Kocur P / 2019 / Influence of forward head posture on myotonometric measurements of superficial neck muscle tone, elasticity, and stiffness in asymptomatic individuals with sedentary jobs / J Manipulative Physiol Ther 42(3) : 195~202

[journal] Kang NY / 2021 / Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability:A randomized-controlled trial / Turk J Phys Med Rehabil 67(3) : 291~299

[journal] Kim BG / 2004 / The influence of Lumbar stabilizing exercise for Lumbosacral region angle / J Kor Phys Ther 16(4) : 613~631

[journal] Cho J / 2017 / Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial / BMC Musculoskelet Disord 18(1) : 525~

[journal] Kang JI / 2018 / Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture / J Phys Ther Sci 30(6) : 804~808

[journal] Park SH / 2020 / Effects of lower trapezius strengthening exercises on pain, dysfunction, posture alignment, muscle thickness and contraction rate in patients with neck pain;randomized controlled Trial / Med Sci Monit 26 : e920208~

This paper was written with support from the National Research Foundation of Korea.

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45