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      Deep cervical flexor training with a pressure biofeedback unit is an effective method for maintaining neck mobility and muscular endurance in college students with forward head posture

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          Abstract

          [Purpose] This study investigated the effects of deep cervical flexor training on maintaining forward head posture, muscular endurance, and cervical mobility. It also examined the effectiveness of deep cervical flexor training with a pressure biofeedback unit. [Subjects and Methods] Twenty college students were recruited and randomly assigned to groups that underwent either deep cervical flexor training with a pressure biofeedback unit (experimental group, n=10) or conventional deep cervical flexor training (control group, n=10). The craniovertebral angle of each subject was measured with a lateral-view picture. Neck mobility was assessed using a cervical range of motion device and muscular endurance was measured using a pressure biofeedback unit. Both groups performed conventional deep cervical flexor exercises three times a week for six weeks. The experimental group underwent a pressure biofeedback unit training was 5 to10 minutes/day, thrice a week. [Results] Cervical range of motion in the experimental group increased significantly between the end of training and the end of the four week detraining period, compared to that in control group. [Conclusion] Deep cervical flexor training with a pressure biofeedback unit is a useful method for maintaining neck mobility and muscular endurance in people with forward head posture.

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          Increased forward head posture and restricted cervical range of motion in patients with carpal tunnel syndrome.

          Case control study.
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            Efficacy of neck stabilization exercises for neck pain: a randomized controlled study.

            To determine the efficacy of neck stabilization exercises in the management of neck pain. Sixty patients with neck pain were randomized to 3 groups, as follows: group 1--physical therapy agents including transcutaneous electrical nerve stimulation, continuous ultrasound and infra-red irradiation; group 2--physical therapy agents + isometric and stretching exercises; and group 3--physical therapy agents + neck stabilization exercises. The exercises were performed as a home training programme following a 3-week supervised group exercise. The patients were evaluated with a visual analogue scale, by intake of paracetamol, Neck Disability Index, Beck Depression Scale and range of motion in the 3 planes at baseline and at months 1, 3, 6, 9 and 12. Compared with baseline, all groups showed a significant decrease in visual analogue scale scores during the first 6 months. However, this improvement was maintained only in group 3 at 9 and 12 months, with a significant difference among the groups (p<0.05). During the study, the improvement in disability was marked in group 3 with respect to Neck Disability Index, Beck Depression Scale and range of motion in the frontal plane (p<0.05). This study demonstrates the superiority of the neck stabilization exercises, with some advantages in the pain and disability outcomes, compared with isometric and stretching exercises in combination with physical therapy agents for the management of neck pain.
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              The effect of forward head posture on muscle activity during neck protraction and retraction

              [Purpose] The present study was performed to investigate whether forward head posture (FHP) affects muscle activity. [Subjects and Methods] Twenty subjects attending Y university in Gyeongsangnam-do, Republic of Korea. They were divided into two groups according to craniovertebral angle: a control group (n=10) and a FHP group (n=10). Electromyography electrodes were attached to the upper fibers of the trapezius, middle fibers of the trapezius, the splenii (splenius capitis and splenius cervicis), and the sternocleidomastoid (SCM) muscle to measure muscle activity during the neck protraction and retraction. [Results] EMG activities of the middle trapezius, splenii, and SCM muscle showed significant differences between the control group and the FHP group. However, the EMG activity of the upper trapezius muscle showed no significant difference between the two groups during neck protraction and retraction. [Conclusion] The results suggest that FHP alters the muscle activity in neck protraction and retraction.
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                Author and article information

                Journal
                J Phys Ther Sci
                J Phys Ther Sci
                JPTS
                Journal of Physical Therapy Science
                The Society of Physical Therapy Science
                0915-5287
                2187-5626
                30 October 2015
                October 2015
                : 27
                : 10
                : 3207-3210
                Affiliations
                [1) ] Department of Physical Therapy, DongJu College, Republic of Korea
                Author notes
                Corresponding author. Dong Yeon Kang, Department of Physical Therapy, DongJu College: 55th-gil, Sari-ro, Saha-gu, Busan 604-715, Republic of Korea. (E-mail: dongyeon68@ 123456hanmail.net )
                Article
                jpts-2015-484
                10.1589/jpts.27.3207
                4668167
                26644676
                ddb49124-cfcf-48ab-82db-2a15419ce938
                2015©by the Society of Physical Therapy Science. Published by IPEC Inc.

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.

                History
                : 12 June 2015
                : 16 July 2015
                Categories
                Original Article

                forward head posture,deep cervical flexor,pressure biofeedback unit

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