EFFECTS OF CRANIOCERVICAL FLEXION EXERCISES AND SCAPULAR STABILIZATION EXERCISES IN NECK PAIN AND FORWARD HEAD POSTURE AMONG FEMALES WEARING HEADSCARVES

Authors

  • Sanjeela Abbas 1Postgrade Student Riphah College of Rehabilitation & Allied Health Sciences, Lahore, Pakistan
  • Rabiya Noor Associate Professor, Riphah College of Rehabilitation & Allied Health Sciences, Lahore, Pakistan
  • Muhammad Salman Bashir Professor, Riphah College of Rehabilitation & Allied Health Sciences, Lahore, Pakistan
  • Tehreem Mukhtar Assistant Professor, Riphah College of Rehabilitation & Allied Health Sciences, Lahore, Pakistan

Keywords:

Head posture, craniocervical, scapular stabilization exercises, range of motion, neck disability index, Numeric pain rating scale, flexion exercises, plumb line, goniometer, craniovertebral angle

Abstract

Background: In neck related problems, limited cervical ranges are considered a major contributor leading to forward head posture and increased disability.

Methodology: The study design was a randomized clinical trial. Total of 50 subjects were recruited that fulfilled the selection criteria. Subjects were divided into two groups. Craniocervical flexion exercises group A (n=25) and Scapular stabilization exercises group B (n=25). Numeric Pain Rating Scale (NPRS) and Neck Disability Index (ND1) were subjective while the goniometer and plumb line were used as objective modes of assessment. Baseline and after 4 weeks of treatment values were assessed by using SPSS 21.

Results: Both groups showed improvement in plumb line values, forward head posture and cervical spine mobility. NPRS, and NDI score values after the 4-week exercise program showed significant results (p-value<0.05). Outcomes except for plumb line value and NDI score indicated statistically significant improvement in the Craniocervical flexion exercise group than the scapular stabilization exercise group (p-value<0.05). However, in NPRS no statistical difference (p-value>0.05) was found between the two groups.

Conclusion: Only females were recruited. Further studies can correlate with spatiotemporal features. The idea and conceptual framework were original.

References

Nejati P, Lotfian S, Moezy A, Moezy A, Nejati M. The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Medical journal of the Islamic Republic of Iran 2014; 28:26.

Lindstrøm R, Schomacher J, Farina D, Rechter L, Falla D. Association between neck muscle coactivation, pain, and strength in women with neck pain. Manual therapy. 2011;16(1):80-6.

Motialla T, Haghighi FM, Ghanbari A, Moezi SA, Saadat Z. The correlation between forward head posture and trigger points in trapezius muscle in subjects with chronic neck pain. Journal of Research in Rehabilitation Sciences. 2013;8(6): 989-97.

Seo SC, Choi JY, Joo MY, Kim JH, Chang SK. Effects of sling exercise and McKenzie exercise program on neck disability, pain, muscle strength and range of motion in chronic neck pain. Physical Therapy Rehabilitation Science 2012;1(1):40-8.

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. Journal of physical therapy science 2015;28(3):951-55.

Demaille-Wlodyka S, Chiquet C, Lavaste JF, Skalli W, Revel M, Poiraudeau S. Cervical range of motion and cephalic kinesthesis: ultrasonographic analysis by age and sex. Spine. 2007;32(8): 254-61.

Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. European spine journal. 2006;15(6): 834-48.

Chiu TTW, Law EYH, Chiu THF. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. Journal of Orthopaedic & Sports Physical Therapy 2005;35(9): 567-71.

Kang JI, Choi HH, Jeong DK, Choi H, Moon YJ, Park JS. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. Journal of Physical Therapy Science 2018;30(6): 804-8.

Gurudut P, Welling A, Chodankar A. Effect of self-care exercises in forward head posture on craniovertebral angle and craniocervical flexion endurance: A pilot study. Indian Journal of Physical Therapy and Research. 2020;2(1): 25.

Lee KS. Effect of a Five-week Scapular Correction Exercise in Patients with Chronic Mechanical Neck Pain. The Journal of Korean Physical Therapy 2020;32(2):126-31.

Lee JC. Effect of strengthening and elongation exercises of upper extremity muscle to forward head posture correction. International journal of advanced smart convergence. 2018;7(1):33-41.

Kang NY, Kim K. Effects of a Combination of Scapular Stabilization and Thoracic Extension Exercises on Respiration, Pain, Craniovertebral Angle and Cervical Range of Motion in Elementary School Teachers with a Forward Head Posture: A Randomized Controlled Trial. Korean Society of Physical Medicine 2022;17(2):29-40.

Pacheco J, Raimundo J, Santos F, Ferreira M, Lopes T, Ramos L, et al. Forward head posture is associated with pressure pain threshold and neck pain duration in university students with subclinical neck pain. Somatosensory & Motor Research 2018;35(2): 103-8.

Alqabbani S. The Effects of Wearing Headscarves on Cervical Spine Proprioception and Range of Motion. Bains G, Daher, Noha S.Johnson, Eric, , editor: Loma Linda University Libraries; 2017.

Kaliyaperumal AB, Sekar K, Manickavelu P, Senthilmurugan S. Effect of Muscle Energy Technique and Stabilization Exercise on Forward Neck and Rounded Shoulder for Elite Swimmers. Indian Journal of Physiotherapy & Occupational Therapy Print-(ISSN 0973-5666) and Electronic–(ISSN 0973-5674) 2023;17(1):1-6.

Dunleavy K, Goldberg A. Comparison of cervical range of motion in two seated postural conditions in adults 50 or older with cervical pain. Journal of Manual & Manipulative Therapy 2013;21(1):33-9.

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):148-54.

Lopez-de-Uralde-Villanueva I, Beltran-Alacreu H, Paris-Alemany A, Angulo-Diaz-Parreno S, La Touche R. Relationships between craniocervical posture and pain-related disability in patients with cervico-craniofacial pain. Journal of pain research. 2015;8: 449-58.

Sjölander P, Michaelson P, Jaric S, Djupsjöbacka M. Sensorimotor disturbances in chronic neck pain—range of motion, peak velocity, smoothness of movement, and repositioning acuity. Manual therapy 2008;13(2):122-31.

Lee H, Nicholson LL, Adams RD, Bae S-S. Proprioception and rotation range sensitization associated with subclinical neck pain. Spine 2005;30(3): 60-7.

Jull G, Falla D, Vicenzino B, Hodges P. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Manual therapy 2009;14(6):696-701.

Kim JC, Yi CH, Kwon OY, Oh DW, Jeon HS. Strength and endurance of the deep neck flexors of industrial workers with and without neck pain. Journal of the Ergonomics Society of Korea 2007;26(4):25-31.

Kim JY, Kwag KI. Clinical effects of deep cervical flexor muscle activation in patients with chronic neck pain. Journal of physical therapy science 2016;28(1):269-73.

Wegner S, Jull G, O’Leary S, Johnston V. The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain. Manual therapy 2010;15(6): 562-6.

Kim D, Cho M, Park Y, Yang Y. Effect of an exercise program for posture correction on musculoskeletal pain. J Phys Ther Sci 2015; 27(6):1791-4.

Additional Files

Published

2024-01-05

How to Cite

Abbas, S., Rabiya Noor, Bashir, M. S. ., & Mukhtar, T. (2024). EFFECTS OF CRANIOCERVICAL FLEXION EXERCISES AND SCAPULAR STABILIZATION EXERCISES IN NECK PAIN AND FORWARD HEAD POSTURE AMONG FEMALES WEARING HEADSCARVES. Pakistan Journal of Rehabilitation, 13(1), 43–50. Retrieved from http://ojs.zu.edu.pk/ojs/index.php/pjr/article/view/1926

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.