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Effects of Sling-Based Shoulder Stabilization Exercise on Pain, Postural Alignment, Cervical Range of Motion, and Disability in Patients with Neck Pain and Forward Head and Rounded Shoulder Posture: A Randomized Controlled Trial

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2026, 21(2), pp.77~91
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : January 2, 2026
  • Accepted : April 15, 2026
  • Published : May 31, 2026

Sunghyeon Kim ORD ID 1 Jongchan Baek 2 Shin Hojin ORD ID 3

1가천대학교
2비에스재활병원 물리치료팀
3안산대학교

Accredited

ABSTRACT

PURPOSE: This study examined the clinical effects of sling-based shoulder stabilization exercise on pain, postural alignment, cervical range of motion, and functional disability in patients with neck pain accompanied by forward head posture (FHP) and rounded shoulder posture (RSP). METHODS: In this randomized controlled trial, forty patients with neck pain and concomitant FHP and RSP completed the study. All participants received standardized conventional physical therapy, followed by either sling-based or conventional shoulder stabilization exercise, three times per week for four weeks. The outcomes included the pain intensity assessed using the visual analogue scale at rest and during cervical movements, postural alignment, cervical range of motion, and functional disability assessed by the Neck Disability Index. The group-by-time effects were analyzed using repeated-measures analysis of variance. RESULTS: Both groups showed significant improvements in pain intensity, postural alignment, cervical range of motion, and functional disability over time. Compared with the control group, the sling group showed greater reductions in movement-related pain at follow-up, along with greater improvements in the Neck Disability Index scores and right lateral flexion range of motion. CONCLUSION: Both interventions improved the pain, posture, cervical mobility, and disability in patients with neck pain accompanied by FHP and RSP. On the other hand, sling-based exercise provided additional benefits in reducing movement-evoked pain and improving specific cervical movements, indicating its potential value in clinical management.

Citation status

* References for papers published after 2024 are currently being built.

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