Effectiveness of Trunk Control and Scapular Stabilisation Exercises among IT Professionals with Forward Head Posture
Abstract
Introduction: As technology advances, the use of computers will further rise to lead to many musculoskeletal problems. Prolonged sitting at work or improper posture of the head during work may lead to forward head posture (FHP) among office employees, particularly among information technology (IT) professionals.
Aim: This study aimed to determine the effectiveness of trunk control and scapular stabilisation exercises as compared to scapular stabilisation exercises alone in increasing the endurance of cervical muscles and the craniovertebral angle (CVA) of IT professionals with FHP.
Materials and Methods: The study included 34 IT professionals with FHP between the ages of 25 and 35 years. Patients who fulfilled the study criteria were recruited and assessed for CVA and endurance test time for cervical muscles. The subjects were divided into two groups for the intervention (Group A and Group B). Group A performed scapular stabilisation exercises and Group B performed trunk control and scapular stabilisation exercises. The participants were re-assessed to obtain the data.
Result: The results of the study showed that both interventions led to a significant reduction in FHP. However, Group B showed a significantly greater reduction in FHP than Group A.
Conclusion: The study concluded that trunk control and scapular stabilisation exercises constitute an effective intervention for FHP. The intervention had a positive effect on neck alignment by increasing the CVA and endurance of cervical muscles.
How to cite this article:
Gandhi HM, Yadav T. Effectiveness of Trunk Control and Scapular Stabilisation Exercises among IT Professionals with Forward Head Posture. Chettinad Health City Med J. 2023;12(4):47-52.
DOI: https://doi.org/10.24321/2278.2044.202371
References
Pascarelli EF, Hsu YP. Understanding work-related upper extremity disorders: clinical findings in 485 computer users, musicians, and others. J Occup Rehabil. 2001 Mar;11(1):1-21. [PubMed] [Google Scholar]
Nejati P, Lotfian S, Moezy A, Nejati M. The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health. 2015;28(2):295-303. [PubMed] [Google Scholar]
Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 3rd ed. Elsevier Health Sciences; 2016. 417 p. [Google Scholar]
Singla D, Veqar Z. Association between forward head, rounded shoulders, and increased thoracic kyphosis: a review of the literature. J Chiropr Med. 2017 Sep;16(3):220-9. [PubMed] [Google Scholar]
Lee KJ, Han HY, Cheon SH, Park SH, Yong MS. The effect of forward head posture on muscle activity during neck protraction and retraction. J Phys Ther Sci. 2015 Mar;27(3):977-9. [PubMed] [Google Scholar]
Limon S, Valinsky LJ, Ben-Shalom Y. Children at risk: risk factors for low back pain in the elementary school environment. Spine (Phila Pa 1976). 2004 Mar 15;29(6):697-702.[PubMed] [Google Scholar]
Kang JI, Choi HH, Jeong DK, Choi H, Moon YJ, Park JS. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci. 2018 Jun;30(6):804-8. [PubMed] [Google Scholar]
Kim CH, Shim JH. Comparison of the effects of cervical mobilization technique, neuromuscular release, and cervical traction on cervical alignment and muscle activity in people with forward head posture. Kor J Neuromusc Rehabil. 2016;6:9-18.
Lynch SS, Thigpen CA, Mihalik JP, Prentice WE, Padua D. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. Br J Sports Med. 2010 Apr;44(5):376-81. [PubMed] [Google Scholar]
Caneiro JP, O’Sullivan P, Burnett A, Barach A, O’Neil D, Tveit O, Olafsdottir K. The influence of different sitting postures on head/neck posture and muscle activity. Man Ther. 2010 Feb;15(1):54-60. [PubMed] [Google Scholar]
Yoon HK, Lee HG. Effect of push up plus on sling and stable surface on muscle activity and lung function in adults with forward head posture. J Korea Acad Ind Coop Soc. 2017;18(4):624-31. [Google Scholar]
De Mey K, Danneels L, Cagnie B, Bosch LV, Flier J, Cools AM. Kinetic chain influences on upper and lower trapezius muscle activation during eight variations of a scapular retraction exercise in overhead athletes. J Sci Med Sport. 2013 Jan;16(1):65-70. [PubMed] [Google Scholar]
Park HK, Han KJ. Effects of UT pain and head position on scapular upward rotator activities during shoulder abduction on the scapular plane. Kor J Neuromusc Rehabil. 2017;7:14-20.
Ganu S, Gor U. Effects of abdominal control feedback and scapular stabilization exercise on chronic neck pain. Int J Health Sci Res. 2021;11(6):318-25. [Google Scholar]
Vega Toro AS, Cools AM, de Oliveira AS. Instruction and feedback for conscious contraction of the abdominal muscles increases the scapular muscles activation during shoulder exercises. Man Ther. 2016 Sep;25:11-8. [PubMed] [Google Scholar]
Kang FJ, Ou HL, Lin KY, Lin JJ. Serratus anterior and upper trapezius electromyographic analysis of the push-up plus exercise: a systematic review and metaanalysis. J Athl Train. 2019 Nov;54(11):1156-64. [PubMed] [Google Scholar]
Waje MS, Satralkar AN. Effects of suboccipital muscle energy technique (MET) versus suboccipital release technique (SOR) on craniovertebral angle, cervical range of motion and chronic neck pain in medical students with upper cross syndrome at the end of 6 weeks: a comparative study. Int J Appl Res. 2020;6:153-60.
Fard BS, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016 Nov;25(11):3577-82. [PubMed] [Google Scholar]
Levangie PK, Norkin CC. Joint structure and function: a comprehensive analysis. FA Davis; 2011. [Google Scholar]