An Overview of the Impact of Exercise Protocols on Correcting Forward Head ‎Abnormalities

Document Type : Review Article

Authors

1 Department of Sport Injuries and Corrective Exercise, Faculty of Sports Sciences, University of Tehran, Kish International Campus, Iran

2 Department of Sport Injuries and Corrective Exercise, Faculty of Sports Sciences, University of Tehran, Tehran, Iran

Abstract

Purpose:
The forward head is one of the most common defective postures that causes muscle imbalance in the neck area. In this anomaly, the center of gravity of the head shifts forward and increases the torque force on the spine and neck joints. The present study is a review of the effect of training protocols in correcting forward head deformities.
Methods:
From internal and external search engines (e.g. Scopus, Semantic Scholar, Google Scholar, PubMed, ISC, SID, Magiran, Irandoc, Doaj with time limit between 2015 to 2019 and keywords, Protocol, Corrective Exercise, Forward Head Posture for search engines External. The present study was a systematic review of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. (
Results:
A total of 11 articles were selected based on inclusion criteria from 250 searched articles. These studies mainly examined the effect of training protocols on the amount of forward angle of the head, people with head forward.
Conclusion:
According to the research results, correction exercises are a simple, effective and non-invasive method to correct forward head deformity, therefore therapists can use these exercises as a suitable training protocol in correcting forward head angle.

Keywords

References

  1. Ghafouri H, Moghaddas Tabrizi Y, Minonejad H,  Mansoori MH. Study and comparison of lordosis, kyphosis and forward angles of table tennis players with the softness of Iranian non-athlete community 2019; 7 (13) :76-67. [Persian]
  2. Bandy WD, Irion JM, Briggler M. The effect of time and frequency of static stretching on flexibility of the hamstring muscles. Physical therapy 1997; 77(10): 1090-1096.
  3. Rezvankhah N, Golsefidi R, Emami Hashemi SA. Effect of four Weeks of Corrective Exercises on Forward Head Angle and Spirometry Parameters of Female College Students. J Rehab Med 2016; 4(4): 125-132. [Persian]
  4. Jafarnezhadg A.A, Salahi S, Heshmati S. Electromyography Activity of Selected Muscles during Running in Boys (Aged Range between 10-12 Years) with Forward Head Posture during Running. J Rehab Med 2019; 8(2): 7-16. [Persian]
  5. Hajihosseini E, Norasteh A A, Shamsi A, Daneshmandi H, et al. The effect of 6 weeks strength training, stretching and comprehensive corrective exercises on forward head incorrect posture. mrj 2016; 9 (S1): 38-48. [Persian]
  6. Kinesiology of the musculoskeletal system: foundations for rehabilitation, London: Mosby Elsevier 2010; 7-11.
  7. Yip CHT, Chiu TTW, Poon ATK. The relationship between head posture and severity and disability of patients with neck pain. Manual therapy 2008; 13 (2): 148-154.
  8. Saman Salehi, Mohamad Akbari, Jamshidi Ali Ashraf. Effect of Exercise Therapy on Head, Neck Range of Motion, and Craniovertebral Angle in Subjects with Forward Head Posture. J Rehab Med 2017; 6(2): 180-187. [Persian]
  9. Stranjalis G, Kalamatianos T, Stavrinou LC, Tsamandouraki K, et al. Neck pain in a sample of Greek urban population (fifteen to sixty-five years): analysis according to personal and socioeconomic Spine 2011; 36(16): 1098-1104.
  10. Griegle-Morris P, Larson K, Mueller-Klaus K, Oatis CA. Incidence of common posture abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther 1992; 72: 425-431.
  11. Raufi Z, Ahmadi A  , Maroofi N , Sarrafzadeh J, et al.  Comparison of neck position reconstruction error in patients with headache with neck pain and without neck pain. J Rehab Med 2016; 139(26): 73-83. [Persian]
  12. Jafarnejadgaro AA,   Sorkheh E, Salahi Motasag S, Saki F. Comparison of neck position reconstruction error in patients with headache with neck pain and without neck pain. J Rehab Med. 2018; 17(2): 145-147. [Persian]
  13. Alizade M H, Gheitasi M. Fundamental Concepts of Corrective Exercises 2018; 95. [Persian]
  14. Roshani S, Rostamizalani F, Ghanizade N, Mohammad Ali nasab Firozjah E, Sokhtezari Z. Study of the Persistence Effect of two Exercises Controlling the Scapula and Corrective Movements on Neck Pain and Angle of Head in Males with forward Head. Sjimu 2019;  27 (1): 148-160. [Persian]
  15. Roshani S, Mahdavinejad R, Ghanizadehesar N. The Effect of a NASM-Based Training Protocol on Upper Cross Syndrome in Paraplegia Spinalcord Injury Patients. sjimu 2018; 25 (6): 73-85. [Persian]
  16. Kiwanlu F, Seyed Ahmadi M, Pejhan A. Radiographic components of forward head position and its relationship with gender and height 2010; 17 (4): 266-273.
  17. 17. Rostami Zalani F , Ashraf M.J , Ghasemi GH.A, Comparison of the effect of traditional and corrective exercises of the American National Academy on neck pain and head angle in male students. 2017; 6 (4): 22-30. [Persian]
  18. 18. Page P. Cervicogenic headaches: an evidence-led approach to clinical management. International journal of sports physical therapy 2011; 6(3): 254.
  19. 19. Alvandi F, Letafatkar A. The Effect of Respiratory Exercises on Pain, Disability, Proprioception and Forward Head Angle in Female Patients with chronic Neck Pain. JAP 2018; 9 (1): 44-54. [Persian]
  20. Neuman DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation, London: Mosby Elsevier 2010; 7-11.
  21. Tokpınar A, Ulger H, Yılmaz S, Acer N, et al. Examination of ınclinations in spine at childhood and adolescence stage. Folia Morphol (Warsz) 2019; 78(1): 47-53.
  22. Morningstar M, Pettibon BR, Remz CL. The pettibon system: A neurophysiologic approach to spine and posture correction. 2011.
  23. kash patel. Corrective Exercise a Practical Approach. 2005.
  24. Asar Sh, Jalalpour Sh, Ayoubi F, Rahmani MR, et al. PRISMA; Preferred Reporting Items for Systematic Reviews and Meta-Analyses. J RafsanjanUniv Med Sci 2016; 15(1): 63-80. [Persian]
  25. Jahanbakhsh-Nik S, Sokhangouei Y, Moradi-Semsani M. A Comparative Study on the Effect of Correctional Exercises and Taping on the Improvement of Head-form in Girl Students. J Isfahan Med Sch 2019; 37(533): 784-91. [Persian]
  26. Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study 2019; 18: 20(1):86. [Persian]
  27. Shih, Hs, Chen SS, Cheng SC, Chang HW, et al. Effects of Kinesio taping and exercise on forward head posture. 2017; 30(4): 725-733.
  28. Miguel Ruivo R, Pezarat-Correia P, Isabel Carita A, Effects of a Resistance and Stretching Training Program on Forward Head and Protracted Shoulder Posture in Adolescents 2016; 40: 1-10.
  29. Im B, Kim Y, Chung Y, Hwang S. Effects of scapular stabilization exercise on neck posture and muscle activation in individuals with neck pain and forward head posture. J Phys Ther Sci 2016; 28(3): 951-955.
  30. Lee DY, Nam CW, Sung YB, Kim K, et al. Changes in rounded shoulder posture and forward head posture according to exercise methods. Journal of physical therapy science 2017; 29(10): 1824-1827.
  31. Lee SM, Lee CH, O’Sullivan D, Jung JH, et al. Clinical effectiveness of a Pilate's treatment for forward head posture. Journal of physical therapy science. 2016; 28(7): 2009-2013.
  32. Lee CY: Postural patterns of daily life of male high school students by positional distortion. Unpublished master’s thesis, Korea National University of Education, Cheongwon-Gun, 2004.
  33. Alizadeh M.H, Rajabi R, Gheytasi M and Minoonejad H. Movement therapy (Exercise therapy). Tehran university publishers; 2013. [Persian]
  34. Beneka A, Malliou P, Gioftsidou A. Neck pain and office workers: An exercise program for the workplace. ACSM’s Health & Fitness J 2014; 18(3): 18-24.
  35. Christensen JO, Knardahl S. Work and neck pain: a prospective study of psychological, social, and mechanical risk factors. Pain 2010; 151(1): 162-173.
  36. Yoo W-G, Kim M-H. Effect of different seat support characteristics on the neck and trunk muscles and forward head posture of visual display terminal workers. Work: A Journal of Prevention, Assessment and Rehabilitation 2010; 36(1): 3-8.
  37. Park HC, Kim YS, Seok S, Lee SK, et al. The effect of complex training on the children with all of the deformities including forward head, rounded shoulder posture, and lumbar lordosis. Journal of Exercise Rehabilitation 2014; 10(3): 172-175.
  38. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of spinal disorders & techniques 1992; 5(4): 383-389.
  39. Quek J, Pua YH, Clark RA, Bryant AL. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults. J Musculoskeletal Physiotherapy Science and Practice 2013; 18(1): 65-71.
  40. Sarig-Bahat H. Evidence for exercise therapy in mechanical neck disorders. Manual therapy 2003; 8(1): 10-20.
  41. Clark M, Lucett S. NASM essentials of corrective exercise training: Lippincott Williams & Wilkins; 2010; 2(2): 99-230.
  42. Wilke H-J, Wolf S, Claes LE, Arand M, Wiesend A, et al. Stability Increase of the Lumbar Spine with Different Muscle Groups: A Biomechanical In Vitro Study. Spine 1995; 20(2): 192-197.
  43. Sliwinski, Kufel W, Halat B, Michalak B, Szczegielniak J, Kiebzak W, et al. Kinesiotaping application in children with scoliosis. Polish Journal of Physiotherapy 2007; 7(3): 370-375.
  44. Greig AM, Bennell KL, Briggs AM, Hodges PW. Postu560 ral taping decreases thoracic kyphosis but does not influencetrunk muscle electromyographic activity or balance in women 561 with osteoporosis. Manual Therapy 2008; 13(3): 249-257.
  45. Gak HB, Lee JH, Kim HD. Efficacy of kinesiology taping 555 for recovery of dominant upper back pain in female seden556 tary worker having a rounded shoulder posture. Technology 557 and health care: official journal of the European Society for 558 Engineering and Medicine 2013; 21(6): 607-612.
  46. Yoo WG. Effect of the Neck Retraction Taping (NRT) on for- 503 ward Head Posture and the Upper Trapezius Muscle during 504 Computer Work. Journal of Physical Therapy Science 2013; 505 25(5): 581-582.
  47. Paoloni M, Bernetti A, Fratocchi G, Mangone M, et al. Kinesio Taping applied to lumbar 584 muscles influences clinical and electromyographic character- 585 istics in chronic low back pain patients. European Journal of 586 Physical and Rehabilitation Medicine 2011; 47(2): 237-244.
  48. Yilmaz F, Yilmaz A, Merdol F, Parlar D, et al. Efficacy of dynamic lumbar stabilization exercise in lumbar microdiscectomy. J Rehabil Med 2003; 35(4): 163-167. [Persian]
  49. Bakhtiary AH, Safavi-Farokhi Z, Rezasoltani A. Lumbar stabilizing exercises improve activities of daily living in patients with lumbar disc herniation. J Back Musculoskeletal Rehabil 2005; 18: 55-60[Persian]
  50. McQuade KJ, Smidt GL. Dynamic scapulohumeral rhythm: the effects of external resistance during elevation of the arm in the scapular plane. J Orthop Sports Phys Ther. 1998; 27:125-131.
  51. Lehman GJ, Buchan DD, Lundy A. Variations in muscle activation levels during traditional latissimus dorsi weight training exercises: an experimental study. Dyn Med. 2004; 3:4.
  52. Lim JY, Lee JS, Mun BM, Kim TH. A comparison of trapezius muscle activities of different shoulder abduction angles and rotation conditions during prone horizontal abduction. Phys Ther Sci 2015; 27(1): 97-100.
  53. Lynch SS, Thigpen CA, Mihalik JP, Prentice WE, et al. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. Br J Sports Med 2010; 44(5): 376-381.
  54. Khosrokiani Z, Letafatkar A, Sokhanguie Y. Long-term effect of directionmovement control training on female patients with chronic neck pain. J Bodywork Mov Ther. 2018; 22(1): 217-224. [Persian]
  55. Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. Phys Ther Sci 2015; 27(5):1609-1611.
  56. Thooms EJ. Effectiveness of manual therapy for cervical radiculopathy, a review. Thoom Chiro Man Ther 2016; 24: 45.
  57. Hakkinen A, Salo P, Tarvainen U, Wiren K, et al. Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain. J Rehabil Med 2007; 39: 575-579.
  58. Wolsko PM, Eisenberg DM, Davis RB, Kessler R, et al. Patterns and perceptions of care for treatment of back and neck pain: results of a national survey. Spine 2003; 28: 292-297.
  59. Howe DH, Newcombe RG, Wade MT. Manipulation of the cervical spine–a pilot study. J R Coll Gen Pract 1983; 33(254): 574-579.
  60. Grimmer-Somers K. An investigation of poor cervical resting posturer. Aust Physiother 1997; 43(1): 7-16.
  61. Van Niekerk S, Louw Q, Vaughan C, Grimmer-Somers K, Schreve K. Photographic measurement of upper-body sitting posture of high school students: a reliability and validity study. BMC Musculoskelet Disord 2008; 9: 113.
  62. Detsch C, Luz AH, Candotti CT. Prevalência de alterações posturais em escolares do ensino médio em uma cidade no Sul. do Brasil. Pan Am J Public Health 2007; 21(4): 231-238.
  63. Dobbins M, DeCorby K, Robeson P, Husson H, Tirilis D. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6-18. Cochrane Database Syst Rev 2009; 1: CD007651.
  64. Janssen I, Leblanc A. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Physical Activity 2010; 7: 40.
  65. Asheghan M, Hashemi S E, Sobhani V, Shakibaee A, et al. The Relationship between Forward Head Position and Dorsal Kyphosis with non-specific Chronic Low Back Pain in Military Mans. J Mil Med. 2021; 23 (2) :186-193. [Persian]
  66. Thigpen CA, Padua DA, Michener LA. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. J Electromyogr Kinesiol 2010, 20: 701-709.
  67. Gong WT, Jun IS, Choi YR: An analysis of the correlation between humeral head anterior glide posture and elbow joint angle, forward head posture and glenohumeral joint range of motion. J Phys Ther Sci 2013; 25: 489-491.
  68. Holtermann A, Mork PJ, Andersen LL, et al. The use of EMG biofeedback for learning of selective activation of intramuscular parts within the serratus anterior muscle: a novel approach for rehabilitation of scapular muscle imbalance. J Electromyogr Kinesiol 2010; 20: 359-365.
  69. Lindstrøm R, Schomacher J, Farina D. Association between neck muscle coactivation, pain, and strength in women with neck pain. Man Ther 2011, 16: 80-86.
  70. Wegner S, Jull G, O’Leary S. The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain. Man Ther 2010, 15: 562-566.
  71. Mckenzie R: Treat your own neck. Spinal Publications, 1997.
  72. Mckenzie R: The cervical and thoracic spine: mechanical diagnosis and therapy. Ortho Physic Ther 1990.
  73. Kendall, Florence P, Henry O: Muscles: testing and function with posture and pain. 2005.
  74. Ehrlich R, Garlick D, Ninio M. The effect of jaw clenching on the electromyographic activities of 2 neck and 2 trunk muscles. J Orofac Pain 1999; 13: 115-120
  75. Janda V: Muscles and Motor Control in Cervicogenic Disorders: Assessment and Management. New York: Churchill Livingstone, 1994.
Journal of Paramedical Sciences & Rehabilitation
Volume 10, Issue 3
December 2021
Pages 113-125

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