Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults

Quek, June; Pua, Yong-Hao; Clark, Ross; Bryant, Adam

doi:10.1016/j.math.2012.07.005

Cited by 191 publications

(162 citation statements)

References 58 publications

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“…The maximal neck extension angle was lower in the N-WC than in the S-WC and the cervical ROM was larger, likely because the cervical moment arm was lower. Previous studies have reported that cervical ROM decreases as FHP increases [20,28], and that cervical ROM is lower in FHP than in a neutral posture [9,14,20]. CES activity was higher in the N-WC than in the S-WC.…”

Section: Discussionmentioning

confidence: 64%

“…Head-neck alignment was close to neutral in the N-WC, whereas the head was positioned anteriorly the trunk in the S-WC. FHP increases with age [20,21] and is higher in elderly than in young individuals [20][21][22][23]. FHP causes the posterior neck muscles to shorten, increases the load on the joints and ligaments, and weakens the muscles [6,24].…”

Section: Discussionmentioning

confidence: 99%

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The effect of a newly developed wheelchair with thoracic and pelvic support on cervical movement and muscle activity in healthy elderly women

Sawada

Hatta

Kishigami

et al. 2015

European Geriatric Medicine

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Background: As the population ages, the number of elderly individuals using a wheelchair is increasing. A standard wheelchair with a vertical backrest (S-WC) pushes on a kyphotic spine and exacerbates forward head posture. Forward head posture limits cervical movement. We used a new wheelchair (N-WC) that does not exacerbate thoracic kyphosis. The N-WC does not have a flat backrest, but has a support belt for the thorax and pelvis. The purpose of this study was to compare head-neck angle, cervical range of motion, and cervical muscle activity in the N-WC and the S-WC in healthy elderly women. Methods: We measured head-neck alignment, trunk tilt angle, cervical muscle activity, and pressure distribution on the backrest. Data from 17 subjects were analyzed. Results: Head-neck angle was close to neutral in the N-WC. The trunk was tilted further back and the area over which pressure was distributed on the backrest was expanded in the N-WC. Cervical range of motion and cervical muscle activity during neck extension were significantly greater in the N-WC than in the S-WC, but during neck flexion, there was no significant difference between the wheelchairs. Conclusion: In the N-WC, head-neck alignment was close to the neutral posture because the wheelchair support belt accommodated kyphosis and did not push the spine forward, so cervical muscle activity may be reduced when at rest. These results suggest that the N-WC prevented forward head posture and improved cervical movement and muscle activity. (C) 2014 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

The effect of a newly developed wheelchair with thoracic and pelvic support on cervical movement and muscle activity in healthy elderly women

Sawada

Hatta

Kishigami

et al. 2015

European Geriatric Medicine

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“…thoracic kyphosis) were not specifically addressed prior to movement testing and thus may have confounded the results of some cMCD tests, such as active cervical rotation in sitting (Quek et al, 2013).…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Inter-and intra-tester reliability of a battery of cervical movement control dysfunction tests

Segarra¹,

Dueñas

Torres

et al. 2015

Manual Therapy

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Please cite this article as: Segarra V, Dueñas L, Torres R, Falla D, Jull G, Lluch E, Inter-and intratester reliability of a battery of cervical movement control dysfunction tests, Manual Therapy (2015), doi: 10.1016/j.math.2015.01.007. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…9 One of the many reasons for cervical spine dysfunction in females could be due to the misalignment of cervical and thoracic curveswhich could be result of faulty postures developed in females from their early adolescence due to breast development and joint laxity 10 thus inclining their posture towards relative thoracic kyphosis leading to compensatory changes in the cervical spine resulting in forward head posture and neck pain. 11,12 In addition to above reason Geertje et.al (1992) reported association of neck pain with psychological risk factors. However the psychological factors were not learnt in our study.…”

Section: Discussion:-mentioning

confidence: 98%

Effect of Snags Technique on Heart Rate Among Patients With Upper Cervical Dysfunction.

Bpt¹,

Arora²,

Agarwal³

2017

IJAR

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Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults

Cited by 191 publications

References 58 publications

The effect of a newly developed wheelchair with thoracic and pelvic support on cervical movement and muscle activity in healthy elderly women

The effect of a newly developed wheelchair with thoracic and pelvic support on cervical movement and muscle activity in healthy elderly women

Inter-and intra-tester reliability of a battery of cervical movement control dysfunction tests

Effect of Snags Technique on Heart Rate Among Patients With Upper Cervical Dysfunction.

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