Predictor variables for forward scapular posture including posterior shoulder tightness

Lee, Ji Hyun; Cynn, Heon Seock; Yi, Chung Hwi; Yoon, Tae Lim

doi:10.1016/j.jbmt.2014.04.010

Cited by 31 publications

(29 citation statements)

References 46 publications

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“…43 The aforementioned studies hence provide evidence of an association between FHP and rounded shoulders, 5,52 between FHP and thoracic kyphosis, 27,46 and between rounded shoulders and thoracic kyphosis. 19,25,26 To the best of our knowledge, only 4 papers were found that best supported the objective of this review. As can be observed in Tables 1 and 2, there is heterogeneity in the methods employed by these studies to observe posture; thus, we could not reach a definitive conclusion regarding the cause of FHP, FSP, or thoracic kyphosis, that is, what happens first among the 3 and what happens next.…”

Section: Discussionmentioning

confidence: 92%

“…51 FSP can be associated with FHP, 52 increased thoracic kyphotic posture, 19,25,26 or both 12,15 (Table 3). The scapula has been found to be anteriorly tilted, downwardly rotated, and protracted during elevation of the arm in persons with FHP.…”

Section: Discussionmentioning

confidence: 99%

“…Figure 5 illustrates the numbers of articles retrieved, read, and rejected. Only 4 research studies 12,[25][26][27] were found to best explain the objective of this study. Other studies used in this review do not explain any relationship among the 3 pathologies, that is, FHP, FSP, and increased kyphosis of the thoracic spine, but instead focus on 1 of the pathologies.…”

Section: Methodsmentioning

confidence: 99%

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Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature

Singla

Veqar

2017

Journal of Chiropractic Medicine

160

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Objective: The purpose of this review was to explore the association between forward head posture, rounded shoulders, and increased thoracic kyphosis. Methods: The PubMed, ERIC, and Cochrane databases were searched using the key words posture, head, shoulder, forward scapular posture, and thoracic kyphosis through December 2016. Results: Our initial search yielded 6840 research studies, 6769 of which were excluded because they either were duplicates or did not satisfy the inclusion criteria. After the abstracts of the remaining studies were read, 15 were assessed for eligibility, and only 4 papers were included in the present review. Cervical lordosis values were found to be significantly associated with thoracic kyphosis values. Also, there were significant correlations between rounded shoulders and increased thoracic kyphosis. Conclusion: Forward head posture, rounded shoulders, and increased thoracic kyphosis can exist alone or in any combination. (J Chiropr Med 2017;16:220-229)

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature

Singla

Veqar

2017

Journal of Chiropractic Medicine

160

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“…An abducted or forward scapula or a rounded shoulder lengthens the UT, [23,82] resulting in a decreased PPT, in accordance with increasing tension in the UT. [21] In the normal alignment of the scapula in the transverse plane, it is tilted 30° in the anterior to frontal plane.…”

Section: Discussionmentioning

confidence: 99%

Predictors of upper trapezius pain with myofascial trigger points in food service workers

Hwang

Jeon

et al. 2017

Medicine

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Shoulder pain occurs commonly in food service workers (FSWs) who repetitively perform motions of the upper limbs. Myofascial trigger points (MTrPs) on the upper trapezius (UT) are among the most common musculoskeletal shoulder pain syndromes. This study determined the psychological, posture, mobility, and strength factors associated with pain severity in FSWs with UT pain due to MTrPs.In this cross-sectional study, we measured 17 variables in 163 FSWs with UT pain due to MTrPs: a visual analog scale (VAS) pain score, age, sex, Borg rating of perceived exertion (BRPE) scale, beck depression inventory, forward head posture angle, rounded shoulder angle (RSA), shoulder slope angle, scapular downward rotation ratio, cervical lateral-bending side difference angle, cervical rotation side difference angle, glenohumeral internal rotation angle, shoulder horizontal adduction angle, serratus anterior (SA) strength, lower trapezius (LT) strength, bicep strength, and glenohumeral external rotator strength, in 163 FSWs with UT pain due to MTrPs.The model for factors influencing UT pain with MTrPs included SA strength, age, BRPE, LT strength, and RSA as predictor variables that accounted for 68.7% of the variance in VAS (P < .001) in multiple regression models with a stepwise selection procedure. The following were independent variables influencing the VAS in the order of standardized coefficients: SA strength (β = −0.380), age (β = 0.287), BRPE (β = 0.239), LT strength (β = −0.195), and RSA (β = 0.125).SA strength, age, BRPE, LT strength, and RSA variables should be considered when evaluating and intervening in UT pain with MTrPs in FSWs.

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“…28 RSP decreases the subacromial space in the glenohumeral joint due to the anterior displacement of the scapula. 20 Lee et al 46 RSP and those factors should be a focus when managing RSP. 46 In addition, Thigpen et al 39 compared the muscle activity in individuals with and without FHRSP during over head task.…”

Section: Forward Head and Rounded Shoulder Posturementioning

confidence: 99%

The Effects of an Exercise and Kinesiotape Intervention on Forward HeadRounded Shoulder Posture and Scapular Dyskinesis

Klawiter¹

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Context: Forward head and rounded shoulder posture as well as scapular dyskinesis are forms of improper posture that have been linked to neck and shoulder pain. Treatment for forward head posture (FHP), rounded shoulder posture (RSP), and scapular dyskinesis has consisted of an exercise protocol. Kinesiotape (KT) has recently been used as a treatment method but there is a lack of research on the effectiveness, or whether exercise or KT is better than the other. Objective: The objective of the study was to compare a KT intervention to a strengthening and stretching program for correction of FHP, RSP, and scapular dyskinesis in a healthy, nonathletic, college age population. Design: The study was a repeated measures pre/post-test design. Setting: The testing and interventions took place at an athletic training research lab at a DI mid-Atlantic university. Only one clinician administered the testing and interventions. Patients and Other Participants: The study included 20 healthy college students that are premajor and major athletic training students. There were 10 subjects (7 females, 3 males, 20.30±.82 yrs, 171.07±11.82 cm, 79.47±13.79 kg) in the exercise group and 10 subjects (7 females, 3 males, 20.40±1.43 yrs, 166.61±11.99 cm, 69.40±11.48 kg) in the kinesiotape group. Inclusion criteria for the study contained those subjects who were healthy with no history of upper extremity injury or surgery within six months leading up to the study and students with status as pre-major or major students in the undergraduate athletic training program and were classified as having FHP, RSP, and/or scapular dyskinesis. Exclusion criteria for the study contained those subjects currently engaged in a glenohumeral joint or cervical training program, current glenohumeral joint, neck, arm hand, or back injuries, or surgery involving the glenohumeral joint, arm, hand, back, or neck within six months of the study. Interventions: There were two intervention groups undergoing a four-week program. One group participated in a strengthening and stretching exercise protocol, while the other group had KT applied to the upper back and shoulders for a duration of five days with two days of no tape in a seven-day period. Main Outcome Measures: The dependent variables measured were forward head posture as assessed by the craniovertebral angle (CVA) in degrees, rounded shoulder posture as assessed by the forward shoulder angle (FSA) in degrees, and scapular dyskinesis as assessed using scapular dyskinesis scoring (0-3) for each scapula. Results: Negative, weak, correlations with high p-values were found between cell phone use and CVA, RSA, and scapular dyskinesis score as well as between computer use and CVA and scapular dyskinesis score, while a positive, weak correlation with a high p-value between computer use and RSA. There was no statistically significant group, time, or group x time interaction for the CVA and RSA measurements. There was a statistically significant time main effect for the scapular dyskinesis score (F=12.570, p<.01) but not...

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Predictor variables for forward scapular posture including posterior shoulder tightness

Cited by 31 publications

References 46 publications

Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature

Association Between Forward Head, Rounded Shoulders, and Increased Thoracic Kyphosis: A Review of the Literature

Predictors of upper trapezius pain with myofascial trigger points in food service workers

The Effects of an Exercise and Kinesiotape Intervention on Forward HeadRounded Shoulder Posture and Scapular Dyskinesis

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