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Upper cervical and upper thoracic spine mobilization versus deep cervical flexors exercise in individuals with forward head posture: A randomized clinical trial investigating their effectiveness.
- Source :
-
Journal of Back & Musculoskeletal Rehabilitation . 2019, Vol. 32 Issue 4, p595-602. 8p. - Publication Year :
- 2019
-
Abstract
- BACKGROUND: Although commonly utilized treatments, no study has directly compared the effectiveness of joint mobilization and stabilization exercise in individuals with forward head posture (FHP). OBJECTIVE: This study aimed to investigate the effects of upper cervical and upper thoracic spine mobilization versus deep cervical flexors exercise (DCFE) in individuals with FHP. METHODS: Thirty-one participants with FHP were randomized into the mobilization (n = 15) or exercise (n = 16) group. The treatment period was 4 weeks with follow-up assessment at 4 weeks and 6 weeks after the initial examination. Outcomes assessed included the craniovertebral angle (CVA), numeric pain rating scale (NPRS), respiratory function, and the global rating of change (GRC). RESULTS: Participants in the mobilization group demonstrated significant improvements (p < 0.05) in CVA, NPRS, and respiratory function, as compared to those in the exercise group. In addition, 9 of 15 (60%) participants in the mobilization group, as compared to 4 of 16 participants (25%) in the exercise group, had a GRC score of + 4 or higher. CONCLUSIONS: The combination of upper cervical and upper thoracic spine mobilization indicated better overall short-term outcomes in CVA, NPRS, respiratory function, and GRC compared with DCFE in individuals with FHP. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10538127
- Volume :
- 32
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Journal of Back & Musculoskeletal Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 137798310
- Full Text :
- https://doi.org/10.3233/BMR-181228