Effectiveness of Therapeutic Exercise on Forward Head Posture: A Systematic Review and Meta-analysis

Sheikhhoseini, Rahman; Shahrbanian, Shahnaz; Sayyadi, Parisa; O’Sullivan, Kieran

doi:10.1016/j.jmpt.2018.02.002

Cited by 86 publications

(88 citation statements)

References 25 publications

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“…Based on our findings, CVA and SA changed moderately (moderate effect sizes) in both exercise groups, whereas changes in kyphosis and CA were small. The current results are inconsistent with a meta-analysis that showed the CVA might respond more to corrective exercise programs [19].…”

Section: Modern Rehabilitationcontrasting

confidence: 97%

“…The results provide preliminary evidence that shortened-length training might be slightly more effective for CVA, too. This is consistent with other study results reporting that corrective exercises can alter upper body posture [19,[30][31][32].…”

Section: Modern Rehabilitationsupporting

confidence: 94%

“…Also, a recent meta-analysis finding support corrective exercises to promote upper body posture in subjects with FHP (the level of evidence of 1a for CVA) [19]. Based on our findings, CVA and SA changed moderately (moderate effect sizes) in both exercise groups, whereas changes in kyphosis and CA were small.…”

Section: Modern Rehabilitationsupporting

confidence: 81%

“…A commonly advocated approach is exercise that stretches the upper trapezius, sternocleidomastoid, and levator scapula muscles, and strengthens deep cervical flexors [15][16][17][18]. A recent meta-analysis showed high heterogeneity in the results of randomized controlled trials examining the effects of different exercise regimens to manage FHP [19]. Therefore, additional research is needed to evaluate if some exercise programs are more effective for FHP.…”

Section: Introductionmentioning

confidence: 99%

“…Although many studies have investigated the effect of different exercises (through range exercises) on subjects with FHP, no research has studied the effects of strengthening exercises in shortened length positions of these subjects [19]. Therefore, we designed the shortenedlength exercises to emphasis on muscle strengthening while muscle overloading was performed in muscle shortened length.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Through-Range Versus Shortened-Length Exercise Training on Upper Quarter Posture Among Students With Forward Head Posture: A Randomized Clinical Trial

et al. 2019

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The purpose of this study was to investigate the effects of shortened-length versus through-range exercise training on upper quarter posture in primary school students with Forward Head Posture (FHP). Materials and Methods: Sixty pain-free participants with FHP were randomly allocated to one of three groups; shortened-length training (n=20), through-range training (n=20), and notreatment control group (n=20). The shortened-length and through-range groups participated in training programs 3 times per week for 8 weeks. Upper quarter postures, including Craniovertebral Angle (CVA), Shoulder Angle (SA), Cranial Angle (CA), and thoracic kyphosis were measured by photogrammetry before and after the training. The confidence level was set at 95% (P<0.05). Results: After training, both exercise groups showed significant changes in CVA (P=0.001), SA (P=0.001), CA (P=0.001), and thoracic kyphosis (P=0.001) compared to the control group. Furthermore, CVA changed more in the shortened-length exercise group compared to the through-range exercise group (P=0.003) (effect size= 0.446). Conclusion: Both through-range and shortened-length exercises altered upper quarter alignment. The shortened-length training resulted in a larger change in CVA. These changes were small, and more studies are needed to investigate the effects of such training programs among people with pain.

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Section: Modern Rehabilitationcontrasting

confidence: 97%