Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture

Background: Forward head posture (FHP) is common postural malalignment. FHP is described relatively extension to upper cervical and lower cervical is relatively flexion. Although several researchers mentioned the lower cervical flexion posture in FHP, most of the studies related to FHP is focused...

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Main Authors: Ji-yeon Eun, Oh-yun Kwon, Ui-jae Hwang, Sung-hoon Jung, Sun-hee Ahn
Format: Article
Language:English
Published: Korean Research Society of Physical Therapy 2020-11-01
Series:Physical Therapy Korea
Subjects:
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author Ji-yeon Eun
Oh-yun Kwon
Ui-jae Hwang
Sung-hoon Jung
Sun-hee Ahn
author_facet Ji-yeon Eun
Oh-yun Kwon
Ui-jae Hwang
Sung-hoon Jung
Sun-hee Ahn
author_sort Ji-yeon Eun
collection DOAJ
description Background: Forward head posture (FHP) is common postural malalignment. FHP is described relatively extension to upper cervical and lower cervical is relatively flexion. Although several researchers mentioned the lower cervical flexion posture in FHP, most of the studies related to FHP is focused on the deep cervical flexor function. Objects: The purposes of present study is to compare the cervical strength (upper cervical extension [UCE], lower cervical extension [LCE], upper cervical flexion [UCF], lower cervical flexion [LCF]) between individuals with and without FHP. Methods: Fifty-one participants are recruited. Participants who have the craniovertebral angle (CVA) less than 48 degree were classified to the FHP group (n = 24) and the others were included in without FHP group (n = 27). The cervical strength (UCE, LCE, UCF, LCF) were measured using Smart KEMA strength sensor and the strength data was normalized by body weight. All strength measurement conducted at head and neck neutral position in sitting. Independent t-test was used to compare the cervical strength between individuals with and without FHP. Results: The mean value of CVA was greater in without FHP group than with FHP group (p < 0.000). The strength value of UCF (p < 0.002) and LCE (p < 0.001) was significant less in FHP group than without FHP group. But no significant differences were seen in the LCF and UCE strength between two groups. Conclusion: UCF and LCE weakness in FHP group should be considered to evaluate and manage the individuals with FHP.
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spelling doaj.art-7b938486b3984c7ea13014fbf030942c2024-04-05T03:07:41ZengKorean Research Society of Physical TherapyPhysical Therapy Korea1225-89622287-982X2020-11-0127427227710.12674/ptk.2020.27.4.272Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head PostureJi-yeon Eun0https://orcid.org/0000-0002-4146-7534Oh-yun Kwon1https://orcid.org/0000-0002-9699-768XUi-jae Hwang2https://orcid.org/0000-0002-2050-5503Sung-hoon Jung3https://orcid.org/0000-0002-3704-1514Sun-hee Ahn4https://orcid.org/0000-0001-7660-8598Department of Physical Therapy, Graduate School, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, College of Health Science, Laboratory of Kinetic Ergocise Based on Movement Analysis, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, Graduate School, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, Graduate School, Yonsei University, Wonju, KoreaDepartment of Physical Therapy, Graduate School, Yonsei University, Wonju, KoreaBackground: Forward head posture (FHP) is common postural malalignment. FHP is described relatively extension to upper cervical and lower cervical is relatively flexion. Although several researchers mentioned the lower cervical flexion posture in FHP, most of the studies related to FHP is focused on the deep cervical flexor function. Objects: The purposes of present study is to compare the cervical strength (upper cervical extension [UCE], lower cervical extension [LCE], upper cervical flexion [UCF], lower cervical flexion [LCF]) between individuals with and without FHP. Methods: Fifty-one participants are recruited. Participants who have the craniovertebral angle (CVA) less than 48 degree were classified to the FHP group (n = 24) and the others were included in without FHP group (n = 27). The cervical strength (UCE, LCE, UCF, LCF) were measured using Smart KEMA strength sensor and the strength data was normalized by body weight. All strength measurement conducted at head and neck neutral position in sitting. Independent t-test was used to compare the cervical strength between individuals with and without FHP. Results: The mean value of CVA was greater in without FHP group than with FHP group (p < 0.000). The strength value of UCF (p < 0.002) and LCE (p < 0.001) was significant less in FHP group than without FHP group. But no significant differences were seen in the LCF and UCE strength between two groups. Conclusion: UCF and LCE weakness in FHP group should be considered to evaluate and manage the individuals with FHP.headneckposture
spellingShingle Ji-yeon Eun
Oh-yun Kwon
Ui-jae Hwang
Sung-hoon Jung
Sun-hee Ahn
Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture
Physical Therapy Korea
head
neck
posture
title Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture
title_full Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture
title_fullStr Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture
title_full_unstemmed Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture
title_short Comparison of Upper and Lower Cervical Muscle Strengths Between Subjects With and Without Forward Head Posture
title_sort comparison of upper and lower cervical muscle strengths between subjects with and without forward head posture
topic head
neck
posture
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