Effectiveness of Cervical Stabilisation Exercises on Respiratory Strength in Chronic Neck Pain Patients with Forward Head Posture- A Pilot Study

Pawaria, Sonia; Sudhan, Dharmpal Singh; Kalra, Sheetal

doi:10.7860/jcdr/2019/39813.12777

Cited by 8 publications

(27 citation statements)

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“…The reduction of forward head posture also leads to improvement in inspiratory muscle strength and pulmonary function when compared to the subjects who received the only conventional Physiotherapy intervention. In a pilot study, it has been observed that cervical stabilization improved the respiratory strength and craniovertebral angle in chronic neck pain patients with forward head posture [21]. Results of the present study revealed that reduction of forward head posture with cervical stabilization exercises improve the pulmonary functions by correcting the altered biomechanics of cervical and thoracic spine which in turns improve the thoracoabdominal mobility and efficacy of diaphragm can be improved.…”

Section: Discussionmentioning

confidence: 46%

Effectiveness of Cervical Stabilization Exercises With Feedback on Respiratory Status in Chronic Neck Pain Patients With Forward Head Posture

Pawaria

Sudan

Kalra

et al. 2019

International Journal of Physiotherapy

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Background: Chronic neck pain is observed to be commonly kindred with forward head posture (FHP). Rib cage mechanics is found to be altered that decreases thoracic mobility. This reduced mobility of thorax reduces the effectiveness of diaphragm, intercostals, and abdominal muscles in terms of ventilation. Therefore this study was done to evaluate the effectiveness of exercises meant for enhancing the stability of the neck with feedback on neck stabilization exercises with feedback in improving the respiratory status. Methods:This was an experimental study. Based on inclusion & exclusion criteria, 100 subjects(54 males and 46 females)enrolled for the study, which was further allotted into Experimental and Control groups. The experimental group was given Cervical Stabilization Exercise with feedback in addition to routine Physiotherapy treatment. Control group was given only regular Physiotherapy treatment for six weeks. The digital camera assessed the FHP by measuring of Craniovertebral Angle (CVA). Spirometry assessed pulmonary function (FEV1) and Micro RPM assessed inspiratory muscle strength (PImax). All measurements were taken on the day of study, on 3rd and 6th week.Results: Significant reduction in forward head posture measured by improvement in Craniovertebral angle, improvement in Inspiratory muscle strength (PIMax) and pulmonary functions (FEV1) were found in the group that received cervical stabilization exercises with feedback along with the conventional Physiotherapy (p< 0.05). Therefore it is suggested that cervical stabilization exercises correct the head posture and helps to improve the biomechanics of respiratory muscles. Conclusion:Cervical stabilization exercise is an effective approach to correct the forward head posture, and it should be included in the intervention measures of patients with forward head posture.

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Section: Discussionmentioning

confidence: 46%

Effectiveness of Cervical Stabilization Exercises With Feedback on Respiratory Status in Chronic Neck Pain Patients With Forward Head Posture

Pawaria

Sudan

Kalra

et al. 2019

International Journal of Physiotherapy

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“…A moderate effect size [SMD (95% CI) = 0.44 (0.1 to 0.79), favoring MT] with statistical significance (p = 0.008) and no statistical heterogeneity was noted, based, however, on very low-quality evidence (Table 3B). The effects of SE with conventional physiotherapy compared to conventional physiotherapy on maximum inspiratory pressure (PImax) were evaluated by two studies [33,34] including 120 participants in total (Figure 6). A large effect size [SMD (95% CI) = 2.1 (0.2 to 4.0), favoring SE] with a statistical significance (p < 0.001) was noted but with high statistical heterogeneity (I 2 = 87%) and based on very low-quality evidence (Table 3C).…”

Section: Effects Of Mt On Respiratory Outcomesmentioning

confidence: 99%

The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis

et al. 2022

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Patients with nonspecific chronic neck pain (NSCNP) exhibit respiratory dysfunction. This systematic review aimed to analyze randomized controlled trials (RCTs) investigating the effect of spinal and/or diaphragmatic and/or specific stabilization exercise manual therapy and/or respiratory exercises on musculoskeletal and respiratory diagnostic outcomes in patients with NSCNP. A systematic search and selection of RCTs was performed in three scientific databases (Pubmed, Scopus, and Physiotherapy Evidence Database (PEDro)) and one search engine (Google Scholar) from inception to April 2022. Relevant studies published in the English language were extracted, evaluated, and independently rated for methodological quality (PEDro scale). The quality of the evidence was assessed with the GRADE approach. Out of 1089 studies collected in total, 1073 were excluded (i.e., did not meet the inclusion criteria or were duplicates). Sixteen RCTs were finally included, rated on 5.62/10 (PEDro score) on average for methodological quality. Overall, there was sparse evidence that spinal and/or diaphragmatic manual therapy and/or trunk stabilization exercises and/or respiratory exercises significantly improved pain, disability, and respiratory outcomes in patients with NSCNP immediately post-treatment. However, the clinical heterogeneity between studies was significant, and the level of certainty of the evidence was low to very low. More, high-quality RCTs are required, contributing to the holistic diagnostic monitoring and management of patients with NSCNP.

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“…Thoracic spine extension exercises 3 exercise in which various structures that make up the spine are trained to be placed in a neutral position, and thus, the muscles that stabilize the spine by improving flexibility, endurance, and muscle strength are rebuilt [27]. Previous studies reported that cervical stabilization exercises can control FHP [6]. Stretching can increase muscle flexibility [31].…”

Section: Thoracic Spine Extension Exercisesmentioning

confidence: 99%

“…FHP is a poor habitual neck posture that is defined by the forward translation of the cervical vertebrae and hyperextension of the upper cervical vertebrae [2]. Continuous FHP adds the load to posterior cervical structures for instance, ligament and transforms scapular kinetics and kinematics [3], affects the quality of life and activities of daily living [30] Previous research demonstrated that cervical stabilization exercises have a positive effect on FHP [4][5][6][7]. Thoracic stretching exercises can improve postural alignment related to FHP.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Cervical Stabilization Exercises with Thoracic Spine Extension Exercises on Forward Head Posture

Li-jun¹,

Kim²

2021

saj

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Effectiveness of Cervical Stabilisation Exercises on Respiratory Strength in Chronic Neck Pain Patients with Forward Head Posture- A Pilot Study

Cited by 8 publications

References 0 publications

Effectiveness of Cervical Stabilization Exercises With Feedback on Respiratory Status in Chronic Neck Pain Patients With Forward Head Posture

Effectiveness of Cervical Stabilization Exercises With Feedback on Respiratory Status in Chronic Neck Pain Patients With Forward Head Posture

The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis

The Effect of Cervical Stabilization Exercises with Thoracic Spine Extension Exercises on Forward Head Posture

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