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

Singla, Deepika; Veqar, Zubia

doi:10.1016/j.jcm.2017.03.004

Cited by 128 publications

(79 citation statements)

References 45 publications

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“…It is also speculated that there is an indirect relationship in the development of shoulder syndrome (29) induced by changes in scapular kinematics. Another point of discussion in the literature is the relation of the protruding shoulders, associated to the alteration in the scapular kinematics presenting a correlation with the increase of the thoracic kyphosis, however it is not known to report the existence of cause and effect relationships in this relation (30) . According to Kebaetse, Mcclure and Pratt (31) evaluated the effect of the thoracic posture on the scapular kinematics and the active range of motion of the shoulder.…”

Section: Discussionmentioning

confidence: 99%

Association between the increased thoracic curvature and the prevalence of pain in the shoulder complex on roping practitioners

Santos¹,

Dhein²,

Torre³

2020

mtprehabjournal

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Background:The roping practice is a sporting the practitioner aims to throw a type of rope with a loop over the head or around the horns of the steer during the horse riding. The movement of looping is performed by repeated rotations of the shoulder above the shoulder girdle line, and this action, associated with changes in the thoracic spine, can overwhelm the structures of the shoulder complex and the muscles. Objective: Analyze the association between changes in increased thoracic curvature and the prevalence of pain in the shoulder complex in roping practitioners. Methods: The sample was intentionally with 20 male roping practitioners who were submitted to assessment of shoulder pain using the shoulder pain and disability index (spadi), three shouder's orthopedic test, the jobe's test, the yergason's test, the neer's test, and also the measurement of the thoracic curvature angle through the flexicurve method. The statistical data were processed using the SPSS version 20.0, and the Chi-Squared test was applied to evaluate the association between the variables. The level of significance adopted was 5%. Results: 70% of the sample presented pain in the shoulder joint complex and 45% of the practitioners presented hyperkyphosis. There is a moderate association between the variables (p = 0.008 / contingency coefficient = 0.510). Conclusion: The results showed a moderate association between the prevalence of pain in the shoulder complex and the increase of the thoracic curvature angle.

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Section: Discussionmentioning

confidence: 99%

Association between the increased thoracic curvature and the prevalence of pain in the shoulder complex on roping practitioners

Santos¹,

Dhein²,

Torre³

2020

mtprehabjournal

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show abstract

“…Poor posture is regarded as prolonged deviations from the neutral spine, and it usually can be characterized by the forward head posture, rounded shoulders, and increased thoracic kyphosis (Singla and Veqar, 2017;Wong and Wong, 2008). Due to bad habits, poor posture is commonly observed in various scenarios in daily life.…”

Section: Introductionmentioning

confidence: 99%

Effective Assessments of a Short-duration Poor Posture on Upper Limb Muscle Fatigue before Physical Exercise

Robinson

Tan

et al. 2020

Preprint

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A forward head and rounded shoulder posture is a poor posture that is widely seen in everyday life. It is known that sitting in such a poor posture with long hours will bring health issues such as muscle pain. However, it is not known whether sitting in this poor posture for a short period of time will affect human activities. This paper investigates the effects of a shortduration poor posture before some typical physical activities such as push-ups. The experiments are set up as follows. Fourteen male subjects are asked to do push-ups until fatigue with two surface electromyography (sEMG) at the upper limb. Two days later, they are asked to sit in this poor posture for 15 mins with 8 sEMG sensors located at given back muscles. Then they do the push-ups after the short-duration poor posture. The observations from the median frequency of sEMG signals at the upper limb indicate that the short-duration poor posture does affect the fatigue procedure of push-ups. A significant decreasing trend of the performance of push-ups is obtained after sitting in this poor posture. Such effects indicate that some parts of the back muscles indeed get fatigued with only 15 minutes sitting in this poor posture. By further investigating the time-frequency components of sEMG of back muscles, it is observed that the low and middle frequencies of sEMG signals from the infraspinatus muscle of the dominant side are demonstrated to be more prone to fatigue with the poor posture. Although this study focuses only on push-ups, similar experiments can be arranged for other physical exercises as well. This study provides new insights into the effect of a short-duration poor posture before physical activities. These insights can be used to guide athletes to pay attention to postures before physical activities to improve performance and reduce the risk of injury.

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“…n Forward Head Posture (FHP), the head is located forward relative to the vertical line of gravity, which may result in increased cervical lordosis and positional changes in the craniocervical region [1,2]. Poor school ergonomics is one of several risk factors implicated in developing FHP [3,4].…”

Section: Introductionmentioning

confidence: 99%

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

Cited by 128 publications

References 45 publications

Association between the increased thoracic curvature and the prevalence of pain in the shoulder complex on roping practitioners

Association between the increased thoracic curvature and the prevalence of pain in the shoulder complex on roping practitioners

Effective Assessments of a Short-duration Poor Posture on Upper Limb Muscle Fatigue before Physical Exercise

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

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