Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 6 Issue 3

The Effectiveness of Craniocervical Flexor Exercise on Craniovertebral Angle in Subjects with Forward Head Posture a Systematic Review

Ahmad AA Aljuaid1*, Marwan M Alharbi2, Mohamed M Salem2, Ismail Abdullah Khadrawi1 and Saad Abdullah Alamri3

1Department of Physical Therapy, King Abdullah Medical City, Makkah, Saudi Arabia, Physiotherapist (King Abdullah Medical City)
2College of applied medical science, Physical therapy department, Umm Al Qura University, Makkah, Saudi Arabia
3Physiotherapy Department, Hera General Hospital, Mecca, Saudi Arabia

*Corresponding Author: Ahmad AA Aljuaid, Department of Physical Therapy, King Abdullah Medical City, Makkah, Physiotherapist (King Abdullah Medical City), Saudi Arabia.

Received: January 09, 2023; Published: February 20, 2023

Abstract

Background: The effectiveness of craniocervical flexor exercise on the craniovertebral angle in Subjects with forward head posture is a field that has drawn a lot of research interest. Therefore, this study aimed to conduct, for the first time, a systematic review to investigate the short-term effect of craniocervical flexor exercise on the craniovertebral angle of individuals with forward head postures.

Purpose: To explore the effect of craniocervical flexor exercise on forward head posture and investigate the short-term effect of deep cervical flexor exercise to increase the craniovertebral angle.

Design: Systematic review.

Methods: This systematic was performed based on PRISMA guidelines. Related resources about this topic were collected from different databases, which are: (PubMed, PEDRo, and Google Scholar). PEDro scale was used for examining methodological quality.

Results: Eight studies were included in our qualitative research. Craniocervical flexion exercise with pressure biofeedback was found to have different effects among studies on the craniovertebral angle compared with control or other interventions.

Conclusions: The current study's findings suggested that craniocervical flexion exercise may improve craniovertebral angle in subjects with forward head posture.

Keywords: Craniocervical Flexor Exercise; Deep Cervical Flexor Exercise; Pressure Biofeedback; Craniovertebral Angle; Forward Head Posture

References

  1. Hanten WP., et al. “Total head excursion and resting head posture: normal and patient comparisons”. Archives of Physical Medicine and Rehabilitation 81.1 (2000): 62-66.
  2. Lee MY., et al. “Characteristics of cervical position sense in subjects with forward head posture”. Journal of Physical Therapy Science 26.11 (2014): 1741-1743.
  3. Berg HE., et al. “Dynamic neck strength training effect on pain and function”. Archives of Physical Medicine and Rehabilitation 75.6 (1994): 661-665.
  4. Cailliet R. “Neck and Arm Pain (Pain Series)”. Philadelphia: FA Davis and Co (1999).
  5. Salahzadeh Z., et al. “Assessment of forward head posture in females: observational and photogrammetry methods”. Journal of Back and Musculoskeletal Rehabilitation 27.2 (2014):  131-139.
  6. Janwantanakul P., et al. “Risk factors for the onset of nonspecific low back pain in office workers: a systematic review of prospective cohort studies”. Journal of Manipulative and Physiological Therapeutics 35.7 (2012): 568-577.
  7. Szeto GP and Lee R. “An ergonomic evaluation comparing desktop, notebook, and subnotebook computers”. Archives of Physical Medicine and Rehabilitation 83.4 (2002):  527-532.
  8. Iqbal ZA., et al. “Effect of deep cervical flexor muscles training using pressure biofeedback on pain and disability of school teachers with neck pain”. Journal of Physical Therapy Science 25.6 (2013): 657-661.
  9. Dalton M. “The effect of age on cervical posture in a normal population”. Grieve's modern manual therapy: the vertebral column (1994).
  10. Roddey TS., et al. “The effect of pectoralis muscle stretching on the resting position of the scapula in persons with varying degrees of forward head/rounded shoulder posture”. Journal of Manual and Manipulative Therapy 10.3 (2002): 124-128.
  11. Jull G., et al. “A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache”. Spine 27.17 (2002): 1835-1843.
  12. Jull GA., et al. “The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain”. Manual Therapy 14.6 (2009): 696-701.
  13. Basmajian JV. “Muscle Alive”. Baltimore: Williams and wilkins Co (1979): 175-293.
  14. Mayoux-Benhamou MA., et al. “Longus colli has a postural function on cervical curvature”. Surgical and Radiologic Anatomy 16.4 (1994): 367-371.
  15. Gupta BD., et al. “Effect of deep cervical flexor training vs. conventional isometric training on forward head posture, pain, neck disability index in dentists suffering from chronic neck pain”. Journal of Clinical and Diagnostic Research: JCDR 7.10 (2013):  2261.
  16. Rizo AMH., et al. “Immediate effects of the suboccipital muscle inhibition technique in craniocervical posture and greater occipital nerve mechanosensitivity in subjects with a history of orthodontia use: a randomized trial”. Journal of Manipulative and Physiological Therapeutics 35.6 (2021): 446-453.
  17. Falla D and Farina D. “Neural and muscular factors associated with motor impairment in neck pain”. Current Rheumatology Reports 9.6 (2007): 497-502.
  18. Quek J., et al. “Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults”. Manual Therapy 18.1 (2013): 65-71.
  19. Kim KH., et al. “The effects of horse-riding simulator exercise and Kendall exercise on the forward head posture”. Journal of Physical Therapy Science 27.4 (2015): 1125-1127.‏
  20. Moher D., et al. “Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement”. PLOS Medicine 6.7 (2009): e1000097.‏
  21. Carr LT. “The Strengths and Weaknesses of Quantitative and Qualitative Research: What Method for Nursing?” Journal of Advanced Nursing 20.4 (1994): 716-721.
  22. Parahoo K. “Nursing Research: Principles, Process, and Issues. 3rd edition”. Basingstoke: Palgrave Macmillan (2014).
  23. CRD. “Systematic Reviews: CRD's Guidance for Undertaking Reviews in Health Care”. York: University of York NHS Centre for Reviews and Dissemination (2008).
  24. Cynthia D Mulrow. “Rationale for Systematic Reviews”. BMJ: British Medical Journal 309.6954 (1994): 597-599.
  25. Saini M and Shlonsky A. “Systematic Synthesis of Qualitative Research”. US: Oxford University Press (2012).
  26. Van Tulder M., et al. “Updated method guidelines for systematic reviews in the cochrane collaboration back review group”. Spine 28.12 (2003): 1290-1299.‏
  27. Furlan AD., et al. “2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group”. Spine 34.18 (2009): 1929-1941.‏
  28. Edwards P., et al. “Increasing response rates to postal questionnaires: a systematic review”. BMJ 324.7347 (2002): 1183.‏
  29. Kilpeläinen TO., et al. “Physical activity attenuates the influence of FTO variants on obesity risk: a meta-analysis of 218,166 adults and 19,268 children”. PLoS Medicine 8.11 (2011): e1001116.‏
  30. Siu C and Comerasamy H. “Doing a Research Project in Nursing and Midwifery: A Basic Guide to Research Using the Literature Review Methodology”. Sage (2013).
  31. de Morton NA. “The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study”. Australian Journal of Physiotherapy 55.2 (2009):  129-133.
  32. Lee CH., et al. “Reliability of forward head posture evaluation while sitting, standing, walking, and running”. Human Movement Science 55 (2017): 81-86.‏
  33. Cho J., et al. “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”. Journal of Back and Musculoskeletal Rehabilitation 32.4 (2019):  595-602.
  34. Karthikeyan M. “Effect of Craniocervical Flexor Training and Cervical Flexor Training on Sitting Neck Posture in Patients with Chronic Neck Pain; comparative study”. Indian Journal of Physical Therapy 2.1.
  35. Sikka I., et al. “Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly”. BioMed Research International (2020).
  36. Kang DY. “Deep cervical flexor training with a pressure biofeedback unit is an effective method for maintaining neck mobility and muscular endurance in college students with forward head posture”. Journal of Physical Therapy Science 27.10 (2015): 3207-3210.
  37. Suvarnnato T., et al. “Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial”. Journal of Pain Research 12 (2019): 915.
  38. Park SK., et al. “Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache”. Journal of Physical Therapy Science 29.10 (2017): 1836-1840.‏
  39. Gizzi L., et al. “Experimental muscle pain impairs the synergistic modular control of neck muscles”. PloS One 10.9 (2015):  e0137844.‏
  40. Janda V. “Muscles and motor control in cervicogenic disorders: assessment and management”. Physical Therapy of the Cervical and Thoracic Spine (1994).‏
  41. O'Leary S., et al. “Specificity in retraining craniocervical flexor muscle performance”. Journal of Orthopaedic and Sports Physical Therapy 37.1 (2007): 3-9.‏
  42. O'Leary S., et al. “Training mode-dependent changes in motor performance in neck pain”. Archives of Physical Medicine and Rehabilitation 93.7 (2012): 1225-1233.‏
  43. O'leary S., et al. “Muscle dysfunction in cervical spine pain: implications for assessment and management”. Journal of Orthopaedic and Sports Physical Therapy 39.5 (2009): 324-333.‏
  44. Mayoux-Benhamou MA., et al. “Longus colli has a postural function on cervical curvature”. Surgical and Radiologic Anatomy 16.4 (1994): 367-371.‏
  45. Sheikhhoseini R., et al. “Effectiveness of therapeutic exercise on forward head posture: a systematic review and meta-analysis”. Journal of Manipulative and Physiological Therapeutics 41.6 (2018): 530-539.‏
  46. Ferguson CJ. “An effect size primer: A guide for clinicians and researchers”. Professional Psychology: Research and Practice 40.5 (2009): 532-538.
  47. Higgins JP., et al. “Measuring inconsistency in meta-analyses”. BMJ 327.7414 (2003): 557-560.

Citation

Citation: Ahmad AA Aljuaid., et al. “The Effectiveness of Craniocervical Flexor Exercise on Craniovertebral Angle in Subjects with Forward Head Posture a Systematic Review”. Acta Scientific Orthopaedics 6.3 (2023): 156-165.

Copyright

Copyright: © 2023 Ahmad AA Aljuaid., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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