한국전문물리치료학회지 (Physical Therapy Korea)

  • 제30권4호
  • /
  • Pages.261-267
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  • 2023
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  • 1225-8962(pISSN)
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  • 2287-982X(eISSN)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
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Effect of Exercise Intervention on Craniovertebral Angle and Neck Pain in Individuals With Forward Head Posture in South Korea: Literature Review

  • Gyu-hyun Han (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Chung-hwi Yi (Department of Physical Therapy, College of Software and Digital Healthcare Convergence, Yonsei University) ;
  • Seo-hyun Kim (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Su-bin Kim (Department of Physical Therapy, The Graduate School, Yonsei University)
  • 투고 : 2023.11.07
  • 심사 : 2023.11.14
  • 발행 : 2023.11.20
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초록

Forward head posture (FHP) is a musculoskeletal disorder that causes neck pain. Several exercise interventions have been used in South Korea to improve craniovertebral angle (CVA) and relieve neck pain. There has been no domestic literature review study over the past 5 years that has investigated trends and effects of exercise intervention methods for CVA with neck pain. This domestic literature review aimed to evaluate the trends and effects of exercise interventions on CVA and neck pain in persons with FHP. A review of domestic literature published in Korean or English language between 2018 and 2022 was performed. Literature search was conducted on Google Scholar and Korea Citation Index by using the following keywords: "exercise," "exercise therapy," "exercise program," "forward head posture," and "neck pain." Ten studies were included in this review. All of the studies showed positive improvements after intervention programs that included exercises. Notably, four of these studies demonstrated significant differences in results between the experimental and control groups. Among the 10 studies, nine measured visual analogue scale or numerical rating scale scores and reported significant reductions in pain following interventions, including exercise programs. Five of these studies showed significant differences in results between the experimental and control groups. Furthermore, six studies that used neck disability index exhibited a significant decrease in symptoms after implementing intervention programs that included exercise, and significant differences in results were found between the experimental and control groups. This domestic literature review provides consistent evidence to support the application of various exercise intervention programs to improve CVA and relieve neck pain from FHP. Further studies are warranted to review the effects of various exercise interventions on FHP reported not only in domestic but also in international literature.

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참고문헌

  1. Haldeman S, Carroll L, Cassidy JD. Findings from the bone and joint decade 2000 to 2010 task force on neck pain and its associated disorders. J Occup Environ Med 2010;52(4):424-7. https://doi.org/10.1097/JOM.0b013e3181d44f3b
  2. Kang JH, Park RY, Lee SJ, Kim JY, Yoon SR, Jung KI. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med 2012;36(1):98-104. https://doi.org/10.5535/arm.2012.36.1.98
  3. Yoo WG, Kim MH. Effect of different seat support characteristics on the neck and trunk muscles and forward head posture of visual display terminal workers. Work 2010;36(1):3-8. https://doi.org/10.3233/WOR-2010-1002
  4. Health Insurance Review & Assessment Service (HIRA). Key statistical indicators of medical expenses in the first quarter of 2019. HIRA; 2019.
  5. Ministry of Science and ICT. Health problems due to overuse of the internet (2010). Korean Statistical Information Service [Internet]. 2015 Oct 22 [cited 2023 Sep 4]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=127&tblId=DT_12019_B200A&vw_cd=MT_ZTITLE&list_id=110_12019_007&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1&path=%25EC%25A0%2595%25EB%25B3%25B4%25ED%2586%25B5%25EC%258B%25A0%2520%253E%2520%25EC%258A%25A4%25EB%25A7%2588%25ED%258A%25B8%25ED%258F%25B0%25EA%25B3%25BC%25EC%259D%2598%25EC%25A1%25B4%25EC%258B%25A4%25ED%2583%259C%25EC%25A1%25B0%25EC%2582%25AC%2520%253E%25202010%25EB%2585%2584%25EC%259D%25B8%25ED%2584%25B0%25EB%2584%25B7%2520%25EA%25B3%25BC%25EB%258B%25A4%25EC%2582%25AC%25EC%259A%25A9%25EC%259C%25BC%25EB%25A1%259C%2520%25EC%259D%25B8%25ED%2595%259C%2520%25EA%25B1%25B4%25EA%25B0%2595%2520%25EC%2583%2581%2520%25EB%25AC%25B8%25EC%25A0%259C%282010%29
  6. Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskelet Rehabil 2014;27(2):131-9. https://doi.org/10.3233/BMR-130426
  7. Chansirinukor W, Wilson D, Grimmer K, Dansie B. Effects of backpacks on students: measurement of cervical and shoulder posture. Aust J Physiother 2001;47(2):110-6. https://doi.org/10.1016/S0004-9514(14)60302-0
  8. Jung SY, Kim SH, Seo YS, Lee AR, Lim KB, Jang DS, et al. The effect comparison of Mckenzie exercise and conservative physical therapy on acute neck pain. J Korean Soc Sports Phys Ther 2011;7(1):9-16.
  9. Kapreli E, Vourazanis E, Strimpakos N. Neck pain causes respiratory dysfunction. Med Hypotheses 2008;70(5):1009-13. https://doi.org/10.1016/j.mehy.2007.07.050
  10. Moore MK. Upper crossed syndrome and its relationship to cervicogenic headache. J Manipulative Physiol Ther 2004;27(6):414-20. https://doi.org/10.1016/j.jmpt.2004.05.007
  11. Yoo HS, Ro HL. Systematic review on physical therapy intervention method and muscle activity applied to the forward head posture: focused on domestic literature. J Spec Educ Rehabil Sci 2021;60(1):355-71.
  12. Deshpande V, Bathia K, Kanase S, Pawar A, Jain P, Patel G. Effect of McKenzie approach and neck exercises on forward head posture in young adults. Indian J Public Health Res Dev 2019;10(7):123-7. https://doi.org/10.5958/0976-5506.2019.01548.1
  13. Han SW, Kim JY, Kang MS, Kwon MY, Kim DH, Kim MA, et al. The effect of sling and mat exercise during 6 weeks on cervical coordination, muscle strength, and muscle endurance. J Korean Soc Sports Phys Ther 2007;3(1):37-46.
  14. Yang S, Seo DK, Lee BK. The effect of deep neck flexor exercise and thoracic mobilization exercise on forward head posture and neck pain in chronic stroke. J Converg Inf Technol 2019;9(12):208-15.
  15. Na JG, Lee HS, Park SW. Effects of exercise type on neck disability, pain, and postural changes in subjects with forward head posture: systematic review and meta-analysis. J Korean Soc Phys Med 2018;13(3):121-32. https://doi.org/10.13066/kspm.2018.13.3.121
  16. Song GB, Kim JJ, Kim KR, Kim GY. The effects of neck stabilization exercise and proprioceptive neuromuscular facilitation on neck alignment, NDI, and static balance in adults with forward-head posture in a sitting position. PNF Mov 2020;18(1):11-22.
  17. Hyun AH, Choi DH. Effects of the real-time un-tact cervical stabilization exercise and active stretching on the cranial vertebral angle, range of motion, neck disability index and numerical rating scale in chronic cervical pain of office women: post COVID-19 exercise program. Sports Sci 2021;39(1):197-204. https://doi.org/10.46394/ISS.39.1.23
  18. Park SH, Jung SH. Effects of a complex exercise program using dynamic taping on patients with tension-type headache and chronic neck pain with forward head posture. J Korean Soc Integr Med 2022;10(4):23-34.
  19. Kim K, Kang NY. Effects of combined cervical stabilization and stretching exercises on craniovertebral angle, respiration, disability, and range of motion in office workers with forward head posture: a randomized control trial. J Korean Soc Integr Med 2022;10(3):13-25.
  20. Kang NY, Kim K. Effects of a combination of scapular stabilization and thoracic extension exercises on respiration, pain, craniovertebral angle and cervical range of motion in elementary school teachers with a forward head posture: a randomized controlled trial. J Korean Soc Phys Med 2022;17(2):29-40. https://doi.org/10.13066/kspm.2022.17.2.29
  21. Nam KW, Kim SH, Seo DY. Effects of self-stretching and joint mobilization to upper thoracic vertebrae in craniovertebral angle and autonomic system function in chronic cervical pain. J Korean Soc Phys Med 2018;13(2):61-8. https://doi.org/10.13066/kspm.2018.13.2.61
  22. Kim B, Kang T. Effects of cervical stabilization exercise using PNF on posture and function disability of chronic neck pain patients with forward head posture. Korean J Neuromuscul Rehabil 2022;12(2):33-42.
  23. Kim HS, Park JY. The effect of horseback riding simulat or, sling and Kendall exercise on a cranio-vertebral angle and neck pain in young adults with forward head posture. JKAIS 2020;21(6):468-74.
  24. Park SE, Lee HR, Park SJ. The effect of corrective exercise and TECAR therapy on neck alignments and pain in forward head posture patients. J Digit Converg 2018;16(11):543-51.
  25. Seo H, Min KB, Kim SH, Kim CK. The effect of self-stretching on forward head posture and neck pain. Korean J Growth Dev 2020;28(1):17-22. https://doi.org/10.34284/KJGD.2020.02.28.1.17
  26. Sheikhhoseini R, Shahrbanian S, Sayyadi P, O'Sullivan K. Effectiveness of therapeutic exercise on forward head posture: a systematic review and meta-analysis. J Manipulative Physiol Ther 2018;41(6):530-9. https://doi.org/10.1016/j.jmpt.2018.02.002