Open Access
Subscription Access
Open Access
Subscription Access
Efficacy of Pressure Biofeedback Guided Deep Cervical Flexor Training on Forward Head Posture in Visual Display Terminal Operators
Subscribe/Renew Journal
Background: Visual Display Terminal (VDT) has become an activity in daily work. VDT use has been associated with forward head posture. Long duration of VDT use is associated with prolonged period of holding a static posture which is most pronounced in neck and shoulder region, resulting in increased forward neck flexion and increased static muscle tension in this region and consequently resulting in a higher risk of VDT related muscular disorders.
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
Visual Display Terminal, Forward Head Posture, Deep Cervical Flexor
Subscription
Login to verify subscription
User
Font Size
Information
- 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: 569
PDF Views: 0