Effect of forward head posture on diaphragmatic excursion in subjects
with non-specific chronic neck pain. A case-control study

Ahmad, Ahmad; Kamel, Khaled Mahmoud; Mohammed, Reda Gomaa

doi:10.5114/pq.2020.95769

Cited by 7 publications

(6 citation statements)

References 41 publications

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“…Additionally, Ahmed et al compared the excursion of the diaphragm in patients with nonspeci c chronic neck pain in two groups, with FHP and with normal head posture. The results showed decreased diaphragmatic excursion in patients with nonspeci c chronic neck pain with FHP, but the difference was not statistically signi cant from the other group [55].…”

Section: Discussionmentioning

confidence: 68%

Comparison of breathing pattern and diaphragmatic motion in patients with unilateral cervical radiculopathy and asymptomatic group

Yousefiyan,

Yoosefinejad,

Jalli

et al. 2023

Preprint

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Background: Recently, there has been growing interest in the research and management of respiratory dysfunctions in patients with neck pain. Although patients with cervical radiculopathy (CR) are predominantly managed as neuromusculoskeletal patients, currently, there is evidence that they also have pulmonary dysfunction. Although many studies have investigated respiratory dysfunction in patients with chronic neck pain, this is the first study to examine the respiratory motion of the diaphragm in CR. The purpose of this study was to compare the breathing pattern and diaphragmatic excursion in patients with unilateral CR with those in an asymptomatic group. Methods: Twenty-five patients with unilateral CR and 25 asymptomatic individuals between 30 and 55 years old participated in this study. Diaphragmatic motion, breathing pattern, active cervical range of motion (ACROM) and kinesiophobia were investigated in both groups by using fluoroscopy, manual assessment of respiratory motion (MARM), cervical range of motion device, and Tampa Scale of Kinesiophobia (TSK) questionnaire. Statistical significance was set at 0.05. Results: No statistically significant differences were found between the two groups with regard to sex, age and body mass index (BMI). The mean excursion of the hemi diaphragm on the involved side (the side of CR) was significantly lower than that on the uninvolved side in patients with unilateral CR with a large effect size. The excursion of the involved hemi diaphragm in patients was reduced compared to the matched hemi diaphragm in the control group. There was no significant difference between the hemi diaphragm excursion in the control group. The results of the MARM variables showed that the volume of breathing and the percentage rib cage motion in normal and deep breathing were significantly different between the two groups, but there was no significant difference in the balance of breathing between the two groups. Additionally, the CROM was reduced in these patients in comparison to the control group, and it was less on the involved side than on the uninvolved side. Conclusion: The results of this study revealed a dysfunctional breathing pattern in normal and deep breathing and a unilateral reduction in diaphragmatic excursion on the side of radiculopathy in patients with unilateral CR compared to the control group.

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Section: Discussionmentioning

confidence: 68%

Comparison of breathing pattern and diaphragmatic motion in patients with unilateral cervical radiculopathy and asymptomatic group

Yousefiyan,

Yoosefinejad,

Jalli

et al. 2023

Preprint

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“…in conclusion, whole body muscle retraining occurs and hence improves CVA. A recent study even reported a decreased diaphragmatic excursion in subjects with FHP with a non-specific chronic neck pain as compared with people with normal head posture [34].…”

Section: Discussionmentioning

confidence: 90%

Exercises in the management of forward head posture: much needed posture care for online way of life

Joshi¹,

Chawla²,

Pawalia³

2022

Physiother Quart.

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Introduction. Forward head posture is a common postural deviation in people of all ages; however, the new online way of life could accentuate this disorder. it involves hyperextension of upper cervical vertebrae (C1-C3) and flexion of lower cervical vertebrae (C4-C7). The aim of the study was to examine the effect of different exercises on forward head posture. Methods. The electronic databases of PubMed and Cochrane Library (Embase, ClinicalTrials.gov, and international Clinical Trials Registry Platform) were comprehensively searched for randomized controlled trials or clinical trials that investigated different exercises for forward head posture published between January 1, 2010 and March 31, 2020. The studies had to examine at least 1 of the following outcomes: pain, forward head posture parameters, Neck disability index, balance, and cervical position sense. PEdro score was used to assess the methodological quality of these studies. Results. overall, 19 studies were found that met the inclusion and exclusion criteria. on assessing by PEdro scale, the methodological quality of the studies was 7/10. Conclusions. Stabilizing exercises and posture correction exercises are effective for the management of forward head posture. Adding manual therapy with these exercises could also be an effective way to treat forward head posture.

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“…Sixty-three studies appeared to be eligible at preliminary review, but were deemed ineligible for the following reasons: Does not independently analyze breathing/IAQ -back/neck pain relationship (N = 11) [115][116][117][118][119][120][121][122][123][124][125], duplicate data report (N = 6) [126][127][128][129][130][131], independent effects of breathing exercise that cannot be determined (N = 5) [132][133][134][135][136], missing or discrepant data that preclude interpreting eligibility or analysis (N = 7) [137][138][139][140][141][142][143], no between-group comparison for relevant outcomes (N = 6) [144][145][146][147][148][149], no comparator to analyze breathing/IAQ -back/neck pain relationship (N = 8) [150][151][152][153][154][155][156][157], no relevant therapies or outcomes (N = 18) [158]…”

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confidence: 99%

Impact of Indoor Air Quality and Breathing on Back and Neck Pain: A Systematic Review

Gherscovici,

Mayer

2023

Cureus

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Back pain and neck pain are important public health concerns and are among the most common and disabling conditions globally. However, the relationships among indoor air quality (IAQ), breathing parameters (pulmonary function, respiratory disorders), and back pain and neck pain have not been adequately assessed. The purpose of this study was to systematically review the literature about the impact of IAQ and breathing parameters on back pain and neck pain (PROSPERO ID: CRD42022380515). CINAHL, EMBASE, PEDRo, and PubMed databases were searched through January 19, 2023. Inclusion criteria for study eligibility were observational studies (except case reports) or randomized controlled trials (RCTs), published in peer-reviewed journals in the English language, human research, original research, examined the relationships between IAQ, or breathing parameters with back pain or neck pain. Review procedures were conducted and reported according to PRISMA recommendations. Empirical evidence statements were developed for observational studies, and grades of evidence statements were developed for RCTs. Sixty-seven eligible studies were found (54 observational studies and 13 RCTs) that enrolled 345,832 participants. None of the studies assessed the combined impact of IAQ and breathing parameters on back pain or neck pain. No level 1 studies were found, which precludes making strong statements about causality and strong recommendations about the efficacy of IAQ and breathing exercise interventions for reducing pain and disability related to back pain and neck pain. Evidence indicates that poor IAQ and respiratory disorders are related to an increased risk of back pain and neck pain. Conflicting evidence exists about the association between pulmonary function with back pain and neck pain. Evidence for breathing exercise interventions was mixed with numerous limitations. This review provides preliminary evidence on the relationships of IAQ and breathing parameters with back pain and neck pain, which can be used to guide future research and clinical implementation efforts. Assuming positive findings in subsequent research, a wide range of stakeholders involved with this complex human-building-environment interface can be equipped to address IAQ and breathing parameters, along with other established risk factors to help those suffering from back pain and neck pain.

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Effect of forward head posture on diaphragmatic excursion in subjects with non-specific chronic neck pain. A case-control study

Cited by 7 publications

References 41 publications

Comparison of breathing pattern and diaphragmatic motion in patients with unilateral cervical radiculopathy and asymptomatic group

Comparison of breathing pattern and diaphragmatic motion in patients with unilateral cervical radiculopathy and asymptomatic group

Exercises in the management of forward head posture: much needed posture care for online way of life

Impact of Indoor Air Quality and Breathing on Back and Neck Pain: A Systematic Review

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