IJPR.2021.125

Type of Article:  Original Research

Volume 9; Issue 4 (July 2021)

Page No.: 3863-3869

DOI: https://dx.doi.org/10.16965/ijpr.2021.125

Effectiveness of Selected Exercise Programme on Cervical Range of Motion in Patients with Thoracic Kyphosis & Forward Head Posture

Monika Dhiman 1, Maman Paul *2.

1 MPT-Orthopedics, Department of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab, India.

*2 Assistant Professor, Department of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab, India.

Corresponding author: Dr. Maman Paul PhD. (Assistant Professor), Department of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab- 143005, India. E-Mail: mamanpaul02@gmail.com

ABSTRACT

Background: Altered postural behaviours result in Forward head posture and thoracic kyphosis making it amenable to correction. The biomechanical strain, in presence of reduced strength of the core stabilizing musculature, in particular, if it is repeated or prolonged, is the predominant explanation for symptoms associated with forward head posture and thoracic kyphosis i.e., neck pain and reduced cervical range of motion. Objective: The aim of the present study was to investigate and compare the effect of postural awareness and conventional exercises on the cervical range of motion in patients with thoracic kyphosis and forward head posture.

Methodology: This experimental study was conducted on 60 subjects both male and female of age group 20-35yrs. Subjects were randomly divided into two groups consisting of 30 subjects each. Group A received hot pack and postural advice and Group B received hot pack and stretching and strengthening exercises. All the subjects received a total intervention of 4 days (alternate days) per week for 4 weeks.

Results: Intra-group significant differences were obtained between pre- and post-treatment for all evaluated variables (p˂0.01) in both groups. The inter-group comparison showed significant differences (p˂0.01) between post-treatment variables of Group A and Group B where, Group B showed greater improvement than Group A. Conclusion: The treatment given to both the groups together can be used to improve cervical range of motion, thoracic kyphosis, and forward head posture. This study may serve as a guideline for physiotherapists when making decisions regarding possible interventions.

Key words: Cervical range of motion, Craniovertebral angle, Forward head posture, Kyphosis index, Neck disability index, Thoracic kyphosis.

REFERENCES

[1]. Kendall F and McCreary E. Muscles: Testing and Function with Posture and Pain. 5th ed. PA: Lippincott Williams and Wilkins; 2005.
[2]. Lau M, Wing T & Lam H. The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain-a randomized controlled trial. Man Ther 2011; 16(2): 141-7.
[3]. Janda V. Muscles and motor control in cervicogenic disorders: Assessment and management. Physical therapy of the cervical and thoracic spine. 2nd ed. New York: Churchill Livingstone; 1994. p. 195–216.
[4]. Mense S, Simons DG. Reflexly mediated and postural muscle pain. eds. Muscle Pain: Understanding its Nature, Diagnosis and Treatment. Philadelphia, PA: Lippincott Williams & Wilkins 2001: 131-157.
[5]. Harman K, Hubley L & 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(3): 163–176.
[6]. Griegel-Morris P, Larson K, Mueller-Klaus K, Oatis C. Incidence of common postural abnormalities in the cervical, shoulder and thoracic regions and their association with pain in two age groups of health subjects. Phys Ther 1992; 72: 425-431.
[7]. Hertling D, Kessler RM. Management of common musculoskeletal disorders: physical therapy principles and methods. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006.
[8]. Liu S, Diebo BG, Henry JK, Smith JS, Hostin R, Cunningham ME. et al. The benefit of non-operative treatment for adult spinal deformity: identifying predictors for reaching a minimal clinically important difference. Spine J 2016; 16: 210-18.
[9]. Katzman WB, Vittinghoff E, Lin F, Schafer A, Long RK, Wong S, Gladin A, Fan B, Allaire B, Kado DM, Lane NE. Targeted spine strengthening exercise and posture training program to reduce hyperkyphosis in older adults: results from the study of hyperkyphosis, exercise, and function (SHEAF) randomized controlled trial. Osteoporos Int 2017; 28: 2831–2841.
[10]. Kisner C. Therapeutic Exercise: Foundations and techniques 7th Edition; 2018.
[11]. Cleland, J. A., Fritz, J. M., Whitman, J. M., & Palmer, J. A. The Reliability and Construct Validity of the Neck Disability Index and Patient Specific Functional Scale in Patients with Cervical Radiculopathy. Spine 2006; 31(5): 59-602.
[12]. Farooq M, Khan G. Reliability of the universal goniometer for assessing active cervical range of motion in asymptomatic healthy persons. Pak J Med Sci 2016; 32(2): 457-461.
[13]. June Q, Yong-Hao P, Ross A.C, Adam L.B. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. Man Ther 2012; 18(1): 65-71.
[14]. Marcio J.S, Neeta K, Alenxander S. A. The role of anticipatory postural adjustments in compensatory control of posture. J Electromyogr Kinesiol 2010; 20(3): 388-397.
[15]. Zabiholah T, Reza R, Hooman M, Shahnaz S. The effect of spine strengthening exercises and posture training on Functional Thoracic Hyper Kyphosis in young indiviuals. J Adv Med Biomed Res 2019; 27(121): 23-31.
[16]. Tae-Woon K, Da-In A, Hye-Yun L, Ho-Young J, Dong-Hyun K. Effects of elastics band exercise on subjects with rounded shoulder posture and forward head posture. The J Physi Ther Sci 2016; 28: 1733-1737.
[17]. Barrett E, McCreesh K, Lewis J. Intrarater and Interrater Reliability of the Flexicurve Index, Flexicurve Angle, and Manual Inclinometer for the Measurement of Thoracic Kyphosis. Rehabil Res Pract Volume 2013; Article ID 475870.

Cite this article: Monika Dhiman, Maman Paul.  Effectiveness of Selected Exercise Programme on Cervical Range of Motion in Patients with Thoracic Kyphosis & Forward Head Posture. Int J Physiother Res 2021;9(4):3863-3869. DOI: 10.16965/ijpr.2021.125