[Purpose] This study aimed to simultaneously investigate the activities of the
sternocleidomastoid muscle and scalenus anterior muscle, which are agonists of neck and
breathing accessory muscles, by implementing breathing exercises. [Subjects and Methods]
Thirteen subjects were selected for the experimental group, which performed feedback
respiratory exercises with McKenzie exercises, and 12 subjects were selected for the
control group, which performed McKenzie exercises alone. The intervention program was
performed for 30 minutes a session, once a day, four times a week, and for 2 weeks before
conducting the experiment. Before intervention, muscle activity was measured using surface
electromyogram, and the neck disability index was evaluated. [Results] There were
meaningful differences in activities of the sternocleidomastoid muscle and the scalenus
anterior muscle, craniovertebral angle, and neck disability index within both the
experimental group and control group after intervention. There also were meaningful
differences in sternocleidomastoid muscle and neck disability index changes between
groups. [Conclusion] Neck flexors as accessory respiratory muscle can affect inefficient
respiratory imbalance of forward head posture patients. Multimodal intervention method
should be studied continually and not be exposed to upper chest breathing patterns by
preventing such phenomenon.