Efficacy of Pressure Biofeedback Guided Deep Cervical Flexor Training on Forward Head Posture in Visual Display Terminal Operators

Nezamuddin, M.; Khan, Sohrab Ahmad; Hameed, Unaise Abdul; Anwer, Shahnawaz; Equebal, Ameed

doi:10.5958/j.0973-5674.7.4.138

Cited by 6 publications

(7 citation statements)

References 17 publications

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“…Intervention. Conventional exercises [32,40] included stretching and strengthening exercises under supervision of a physiotherapist. They comprised of stretching of Sternocleidomastoid, Upper trapezius, Levator scapulae and Pectoralis muscles; and strengthening for cervical flexors, middle and lower Trapezius, and Serratus anterior.…”

Section: Cranio-cervical Flexion Testmentioning

confidence: 99%

“…Studies in patients with neck pain have also shown impaired activation and poor endurance of these muscles [1,15]. Previous studies on DCF muscle training have been shown to decrease neck pain and improve functional disability and ability to maintain upright neutral posture in patients with similar problems [1,15,[31][32][33]. It would be interesting to see if DCF training can improve FHP in addition to these effects.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain: An Observational Study

Alghadir

Iqbal

2021

BioMed Research International

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Background. Teaching is one of the professions where incidence and prevalence of neck pain is high. Prolonged use of computers, which has further increased due to online teaching amid pandemic, is known to cause neck pain and alter posture, while people with forward head posture (FHP) are prone to develop neck pain and related disability. Research has shown that impairment of deep cervical flexor (DCF) muscles leads to insufficiency in coordination, activation, overload, and poor support on cervical structures that further lead to development of neck pain and altered neck posture. The objective of this study was to see the effect of DCF muscle training using pressure biofeedback on pain and FHP in school teachers with neck pain. Methods. This observational study was conducted at medical center in school premises. Fifty-five school teachers aged between 25 and 40 years with experience of more than 5 years were invited to participate in this study. Subjects were divided in two groups. Both the groups received conventional exercises while in experimental group DCF muscle training using pressure biofeedback was given additionally. Pain and FHP were assessed using NPRS and cranio-vertebral angle using digital photograph technique, respectively, at baseline and end of four weeks of treatment. Results. Although pain and FHP improved in both the groups, mean improvement in both the measures was more in the group that also received DCF training using pressure biofeedback. Conclusions. This study shows that although pain and FHP improved following conventional exercises in school teachers with neck pain, mean improvement was more significant among those who received additional DCF muscle training using pressure biofeedback.

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Section: Cranio-cervical Flexion Testmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain: An Observational Study

Alghadir

Iqbal

2021

BioMed Research International

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“…In addition to impaired activation, poor endurance has also been demonstrated in DCF muscles in such cases [ 18 ]. Such weakening of the anterior cervical flexor muscles can affect the head and neck posture [ 19 – 22 ]. Craniocervical flexion (CCF) has been reported to isolate DCF muscle activation [ 23 , 24 ], and Jull et al have endorsed a specific exercise protocol that involves static contraction of DCF muscles at the submaximal level to improve their function [ 10 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Deep Cervical Flexor Muscle Training on Neck Pain, Functional Disability, and Muscle Endurance in School Teachers: A Clinical Trial

Iqbal

Alghadir

Anwer

2021

BioMed Research International

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Background. Neck pain (NP) is a common work-related disorder, with high prevalence in the profession of teaching. The daily duties of a school teacher involve head-down postures while reading and writing, which expose them to the risk of developing NP. Deep cervical flexor (DCF) muscles have been reported to have lower endurance in patients with cervical impairment, which has additionally been associated with disability. There is limited evidence regarding the efficacy of training of DCF muscles in occupational NP. The objective of this study was to investigate the effects of DCF muscle training on pain, muscle endurance, and functional disability using pressure biofeedback in school teachers with NP. Methods. Sixty-five teachers (age, 25-45 years) with more than 5 years of teaching experience participated in this study. They were randomly divided into two groups: the experimental (E) and control (C) groups. In the E group, the subjects underwent DCF muscle training using pressure biofeedback in addition to conventional exercises for neck pain, while those in the C group underwent conventional exercises only. Pain, muscle endurance, and disability were measured at day 0 (before the treatment) and days 14 and 42 after the treatment. Endurance of DCF muscles was measured by the craniocervical flexion test using pressure biofeedback, pain intensity was measured using the numeric pain rating scale, and functional disability was assessed using the neck disability index questionnaire. This study was performed in accordance with CONSORT guidelines. Results. On day 0, there were no significant differences in the age, pain, muscle endurance, and disability levels between the groups. After initiating the intervention, although there were improvements in both groups, there was a statistically significant improvement in muscle endurance, pain, and disability in subjects who received additional training with pressure biofeedback. Conclusions. Besides increasing muscle endurance, specific training of DCF muscles in addition to conventional exercises can improve neck pain and functional disability. These results should be further correlated clinically. A dedicated time for exercises at school could help prevent the development of NP in teachers. This trial is registered with ClinicalTrials.gov NCT03537300 May 24, 2018 (retrospectively registered).

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“…Studies have proved, strengthening of deep neck flexors along with scalene muscle stretch, to be effective in correcting forward head posture [6,7]. Sphygmomanometer is been found to be reliable for training and assessing muscle strengths of neck muscles, abdominals, quadriceps and hamstrings [8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

“…Studies also prove that scapular dyskinesia leads to altered proprioception of the shoulder joint [17]. Few studies favor the results that proprioception is decreased specifically in overhead athletes [8]. Sherrington (1906) first defined proprioception as the sense of position, posture, and movement [18].…”

Section: Introductionmentioning

confidence: 99%

Forward Head Posture Correction Versus Shoulder Stabilization Exercises Effect on Scapular Dyskinesia and Shoulder Proprioception in Athletes an Experimental Study

Thakur

Motimath

Raghavendra

2016

International Journal of Physiotherapy

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Background: Forward head posture (FHP), the most common deviation from the normal curvature in cervical spine. Craniocervical flexor muscle strengthening is frequently used treatment for FHP. Scapular dykinesia (SD) is the alteration in the normal static or dynamic motion of the scapula during coupled scapulohumeral movements. Shoulder stabilization exercises are an effective treatment for SD. As both FHP and SD are related to each other, the objective of the study was to find and compare the effect of FHP correction and shoulder stabilization exercises on SD and shoulder proprioception.Methods: 40 athletes (18-30yrs) were recruited. Subjects were randomly allocated into two groups. Group A received deep neck flexor strengthening and anterior scalene stretch, group B received shoulder stabilizing exercises. Paired t test and chi-square test were used to judge the statistical significant difference. The level of significance was set at p < 0.05. All data was analyzed using SPSS program version 12.Result: No statistical significant difference was found between the groups for the 4 outcome variables, but significant improvement was seen within the groups. Shoulder proprioception was found to be significant between the groups where group B (p =<0.001) showed better improvement than group A (p = <0.017). Conclusion:Both FHP correction as well as shoulder stabilization exercises were equally effective in correction of scapular dyskinesia and shoulder proprioception. Shoulder stabilization exercises showed slightly better improvement than FHP correction group in reducing proprioception errors. Also neck strength values were found to be clinically significant for deep neck strengthening group.

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Efficacy of Pressure Biofeedback Guided Deep Cervical Flexor Training on Forward Head Posture in Visual Display Terminal Operators

Cited by 6 publications

References 17 publications

Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain: An Observational Study

Effect of Deep Cervical Flexor Muscle Training Using Pressure Biofeedback on Pain and Forward Head Posture in School Teachers with Neck Pain: An Observational Study

Efficacy of Deep Cervical Flexor Muscle Training on Neck Pain, Functional Disability, and Muscle Endurance in School Teachers: A Clinical Trial

Forward Head Posture Correction Versus Shoulder Stabilization Exercises Effect on Scapular Dyskinesia and Shoulder Proprioception in Athletes an Experimental Study

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