Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture

Eun-Kyung Kim, Jin Seop Kim, Eun-Kyung Kim, Jin Seop Kim

Abstract

[Purpose] The present study aimed to examine the correlation between rounded shoulder posture, neck disability indices and the degree of forward head posture. [Subjects and Methods] Subjects aged 19-24 years were selected for this study, and the craniovertebral angle was used to measure the degree of forward head posture in the standing and seated positions. Vernier calipers were used to measure rounded shoulder posture in the supine position, and neck pain and functional disability were assessed using neck disability indices. [Results] Angle and neck disability indices in both standing and sitting posture positions exhibited a significant inverse relationship. However, no significant correlation was detected between the craniovertebral angle and rounded shoulder posture for the standing and sitting posture positions. [Conclusion] In conclusion, it was demonstrated in the present study that, depending on the degree of forward head posture, changes were detected in the neck disability indices. However, even an increase in the forward head tilt angle did not lead to rounded shoulder posture. Therefore, maintaining proper posture may prevent postural pain syndrome, functional disability, and postural deformity.

Keywords: Forward head posture; Neck disability index; Rounded shoulder posture.

References

    1. Cho CY: Survey of faulty postures and associated factors among Chinese adolescents. J Manipulative Physiol Ther, 2008, 31: 224–229.
    1. Szeto GP, Straker L, Raine S: A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl Ergon, 2002, 33: 75–84.
    1. Park SY, Yoo WG: Effects of the sustained computer work on upper cervical flexion motion. J Phys Ther Sci, 2014, 26: 441–442.
    1. Harrison DE, Harrison DD, Betz JJ, et al. : Increasing the cervical lordosis with chiropractic biophysics seated combined extension-compression and transverse load cervical traction with cervical manipulation: nonrandomized clinical control trial. J Manipulative Physiol Ther, 2003, 26: 139–151.
    1. Cailliet R: Softtissue pain and disability. 2nd ed. Philadelphia: F.A. Davis co, 1998.
    1. Fernández-de-las-Peñas C, Alonso-Blanco C, Cuadrado ML, et al. : Forward head posture and neck mobility in chronic tension-type headache: a blinded, controlled study. Cephalalgia, 2006, 26: 314–319.
    1. Silva AG, Punt TD, Sharples P, et al. : Head posture and neck pain of chronic nontraumatic origin: a comparison between patients and pain-free persons. Arch Phys Med Rehabil, 2009, 90: 669–674.
    1. Yip CH, Chiu TT, Poon AT: The relationship between head posture and severity and disability of patients with neck pain. Man Ther, 2008, 13: 148–154.
    1. Janda V: Muscles and motor control in cervicogenic disorders. New York: Churchill Livingstone, 1994.
    1. Sahrmann SA: Diagnosis and treatment of movement impairment syndromes. St. Louis: Mosby, 2002.
    1. Lukasiewicz AC, McClure P, Michener L, et al. : Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther, 1999, 29: 574–583, discussion 584–586.
    1. 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 Manual Manip Ther, 2005, 13: 163–176.
    1. Raine S, Twomey LT: Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehabil, 1997, 78: 1215–1223.
    1. Vernon H, Mior S: The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther, 1991, 14: 409–415.
    1. Shumway-Cook A, Woollacott M: Motor Control: Translating researchinto clinical practice, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2007.
    1. Kendall FP, McCreary EK, Provance PG, et al. : Muscle testing and function with posture and pain, 5th ed. Baltimore: Lippincott Williams & Wilkins, 2005.
    1. Nemmers TM, Miller JW, Hartman MD: Variability of the forward head posture in healthy community-dwelling older women. J Geriatr Phys Ther, 2009, 32: 10–14.
    1. Kim SY, Kim NS, Kim LJ: Effects of cervical sustained natural apophyseal glide on forward head posture and respiratory function. J Phys Ther Sci, 2015, 27: 1851–1854.
    1. Gore DR, Sepic SB, Gardner GM: Roentgenographic findings of the cervical spine in asymptomatic people. Spine, 1986, 11: 521–524.
    1. Neumann DA: Kinesiology of the musculoskeletal system: Foundations for rehabilitation, 2nd ed. Missouri: Mosby, 2010.
    1. Lewis JS, Valentine RE: The pectoralis minor length test: a study of the intra-rater reliability and diagnostic accuracy in subjects with and without shoulder symptoms. BMC Musculoskelet Disord, 2007, 8: 64–73.
    1. Wong CK, Coleman D, diPersia V, et al. : The effects of manual treatment on rounded-shoulder posture, and associated muscle strength. J Bodyw Mov Ther, 2010, 14: 326–333.
    1. Martín-Herrero C, Rodrigues de Souza DP, Alburquerque-Sendín F, et al. : [Myofascial trigger points, pain, disability and quality of sleep in patients with chronic tension-type headache: a pilot study]. Rev Neurol, 2012, 55: 193–199.

Source: PubMed

3
Se inscrever