Efficacy of Pressure Biofeedback Guided Deep Cervical Flexor Training on Forward Head Posture in Visual Display Terminal Operators
Subscribe/Renew Journal
Purpose of the study: To determine whether there is an improvement in forward head posture after 4 weeks of deep cervical flexor training in 20 to 35 years VDT Operators.
Subjects: Thirty subjects of age group 20 to 35 years both male and female with FHP
Study design: Randomized control trial
Method and material: Subjects were assigned on the basis of sample of convenience and randomly allocated into two groups experimental group: receiving deep cervical flexor training and conventional exercise and control group: conventional exercise only.
Results: Intergroup comparison showed statistically nonsignificant difference in FHP (p=0.31). Intragroup comparison showed statistically highly significant difference in C V Angle (p
Keywords
- Hunting W, Laubli TH, et al, Postural and visual loads at VDT work places. Ergonomics 1981; 24(12):917-931.
- Griegel-Morris P, Larson K et al, Incidence of common postural abnormalities in the cervical, shoulder & thoracic region and their association with pain in two age group of healthy subjects. Physical therapy 1992; 72 (6): 425 431.
- Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia, 1993;13:272-284.
- Silverman JL, Rodriquez AA, et al. Quantitative cervical flexor strength in healthy subjects and in subjects with mechanical neck pain. APMR 1991;72: 679-681.
- Ariens GAM, Bongers PM, et al. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Occup Environ Med 2001; 58:200–207.
- Sterling M, Jull G, Vicenzino B. Development of motor system dysfunction following whiplash injury. Pain 2003;103:65-73.
- Chris Ho Ting Yipa, Thomas Tai Wing Chiub et al. The relationship between head posture and severity and disability of patients with neck pain. Manual Therapy 2008;13: 148–154.
- Osmotherly, P., Attia, J. The interplay of static and dynamic Postural factors in neck pain. Hong Kong Physiotherapy J 2008; 26: 9-17.
- Won-gyu Yoo, et al. Effects of Slump Sitting Posture on the Masticatory, Neck, Shoulder, and Trunk Muscles Associated With Work-Related Musculoskeletal Disorder. Korea Physical Therapy 2006; 13(4): 39-46.
- Falla D, Jull G, Hodges PW. Feed forward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 2004; 157: 43-48.
- Falla D, Bilenkij G, Jull G. Patients with chronic neck pain demonstrates altered patterns of muscle activation during performance of a functional upper limb task. Spine 2004;29: (13):1436-40.
- Szeto GP, Straker LM, O’Sullivan PB. A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work,2: neck and shoulder kinematics. Man Ther, 2005;10(4): 281-91.
- Falla D, Jull G. Effect of Neck Exercise on Sitting Posture in Patients with Chronic Neck Pain. Physical Therapy 2007; 87(4):408 -417
- Kendall FP, McCreary EK. Muscles: Testing and Function. 3rd ed. Baltimore, Md: Williams & Wilkins; 1983:116( 27);112-113
- Raine S, Twomey LT, et al. Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehab. 1997; 78:1215- 1223.
- Braun BL, Amundson LR. Quantitative assessment of head and shoulder posture. Arch Phys Med Rehab 1989;70:322-329.
- Brunton J et al, Reliability of Measuring Natural Head Posture using the Craniovertebral Angle. Proceedings of the Irish Ergonomics Society Annual Conference 2003, 37-41.
- Fernandez-de-las-Penas et al. Forward head posture and neck mobility in chronic tension type headache a blinded controlled study. Cephalgia,2005 ; 26,314-319
- Fernández-de-las-Peñas C, et al. Trigger Points in the Suboccipital Muscles and Forward Head Posture in Tension-Type Headache. The Journal of Head and Face Pain, 2006;46(3):454-460
- Falla D, Jull G, Dall’Alba P et al. An electromyographic analysis of the deep cervical flexor muscles during cranio-cervical flexion. Phys Ther 2003;83:899-906.
- Jull G, Kristjansson E, Dall’Alba P. Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Manual Therapy 2004b; 9:89–94.
- Falla D, Jull G, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activation of the deep neck flexor muscles during performance of the craniocervical flexion test. Spine 2004; 29 (19) :2108–2114.
- Jull G, O’Leary S, Falla D. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. Journal of Manipulative and Physiological Therapeutics September 2008;525-53.
- Jull G, Barrett C, Magee R, Ho P. Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia 1999;19(3):179-185.
- Falla D, Jull G, Hodges P. An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clinical Neurophysiology 2006;117:828–837.
- Falla D. Unravelling the complexity of muscle impairment in chronic neck pain. Manual Therapy. 2004; 9:125–133
- Boyd Clark LC, Briggs CA, et al. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine 2002; 27(7):694- 701
- Jull G, Falla D, Treleaven J, et al. Retraining cervical joint position sense: The effect of two exercise regimes. J Orthop Res. 2007;404-412.
Abstract Views: 593
PDF Views: 0