1
|
Elgendy MH, Ghaffar MAA, Sabbahi SAE, Abutaleb EES, Elsayed SEB. Efficacy of head postural correction program on craniovertebral angle, scapular position, and dominant hand grip strength in forward head posture subjects: A randomized controlled trial. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2024; 29:e2093. [PMID: 38780139 DOI: 10.1002/pri.2093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Revised: 04/06/2024] [Accepted: 04/24/2024] [Indexed: 05/25/2024]
Abstract
OBJECTIVE Forward head posture (FHP) is a common postural disorder that alters shoulder function. This study examined the efficacy of a corrective program involving postural correction exercises (PCEs), scapular stabilization exercises (SSEs), and kinesiotaping (KT) on improving craniovertebral angle (CVA), scapular position, and dominant hand grip strength (HGS) in individuals with FHP. METHODS Sixty subjects (8 males and 52 females, 18-40 years old) were randomly allocated into four equal groups: Group A: received PCEs only, Group B: received PCEs and SSEs, Group C: received PCEs and KT, Group D: received PCEs, SSEs and KT. All subjects received treatment for 4 weeks (4 times/week) and postural advice. Outcome measures included cranio-vertebral angle (CVA), scapular position using Lateral Scapular Slide Test and dominant HGS using a CAMRY dynamometer that were assessed at baseline and 4 weeks post intervention. RESULTS Comparing all groups post training revealed that there were statistically significant increases (p < 0.05) in all measured variables (CVA, scapular position and dominant HGS) in favor of group (D). CONCLUSION Combination of PCEs, SSEs and KT interventions has achieved the best gains in terms of CVA, dominant HGS and regaining optimal scapular position in FHP subjects.
Collapse
Affiliation(s)
| | | | - Samir Ahmed El Sabbahi
- Faculty of Physical Therapy, Department of Basic Sciences, Cairo University, Giza, Egypt
| | - Enas El Sayed Abutaleb
- Faculty of Physical Therapy, Department of Basic Sciences, Cairo University, Giza, Egypt
| | - Salah Eldin B Elsayed
- Faculty of Physical Therapy, Department of Basic Sciences, Cairo University, Giza, Egypt
| |
Collapse
|
2
|
Hasan S, Iqbal A, Alghadir AH, Alonazi A, Alyahya D. The Combined Effect of the Trapezius Muscle Strengthening and Pectoralis Minor Muscle Stretching on Correcting the Rounded Shoulder Posture and Shoulder Flexion Range of Motion among Young Saudi Females: A Randomized Comparative Study. Healthcare (Basel) 2023; 11:healthcare11040500. [PMID: 36833034 PMCID: PMC9956189 DOI: 10.3390/healthcare11040500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 01/24/2023] [Accepted: 02/06/2023] [Indexed: 02/11/2023] Open
Abstract
BACKGROUND The shortening of the pectoralis minor muscle (PMi-M) and weakening of the lower trapezius muscle (LTr-M) affect scapular movement, resulting in the development of a rounded shoulder posture and reduction in the shoulder flexion range of motion (SFROM). OBJECTIVE This study evaluated the combined effect of LTr-M strengthening and PMi-M stretching on correcting the rounded shoulder postures and SFROM among young Saudi females. METHODS This study was based on a two-arm parallel-group repeated measures randomized comparative design. A total of sixty female participants with rounded shoulder postures were recruited and randomly allocated into groups 1 and 2 (n = 30/group). Each group performed supervised PMi-M stretching; however, group 2 performed a combination of LTr-M strengthening and PMi-M stretching. The outcomes, including rounded shoulder posture and SFROM, were assessed using the pectoralis minor length test (PMLT) and universal goniometer. A repeated measure ANOVA was used to compare the differences within-group and between-group for the outcomes measures at one-week (baseline) pre-intervention, two weeks, and three -weeks post-intervention. The significance level was set at q > 2.00 and p < 0.05 for all respective statistical analyses. RESULTS The within-group comparison revealed significant improvements (q > 2.00) in the outcomes of PMLT and SFROM when comparing their post-intervention scores to the baseline scores. The between-group comparison revealed a significant and an insignificant (q < 2.00) difference in the outcomes of PMLT and SFROM, respectively when comparing their scores at the second- and third-week post-intervention. Furthermore, the effect size of the intervention suggests an advantage of group 2 over group 1 in increasing the resting length of the PMi-M only among young Saudi females. CONCLUSIONS The combined effect of LTr-M strengthening and PMi-M stretching was more beneficial than PMi-M stretching alone in correcting the rounded shoulder posture among young Saudi females by increasing PMi-M resting length. However, it could not yield a differential improvement in the SFROM outcome among them.
Collapse
Affiliation(s)
- Shahnaz Hasan
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, P.O. Box 66, Al-Majmaah 11952, Saudi Arabia
| | - Amir Iqbal
- Rehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 11433, Saudi Arabia
- Correspondence: or ; Tel.: +966-14698543
| | - Ahmad H. Alghadir
- Rehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 11433, Saudi Arabia
| | - Asma Alonazi
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, P.O. Box 66, Al-Majmaah 11952, Saudi Arabia
| | - Danah Alyahya
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, P.O. Box 66, Al-Majmaah 11952, Saudi Arabia
| |
Collapse
|
3
|
Effect of forward head and rounded shoulder posture on hand grip strength in asymptomatic young adults: a cross-sectional study. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2020. [DOI: 10.1186/s43161-020-00001-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Forward head and rounded shoulder posture (FHRSP) is a common clinical postural misalignment. It leads to flexion posture of the spine which increases the amount of tension on the nerve roots, which inversely affects muscle strength and function of the upper extremity. So, this study was conducted to examine the effect of FHRSP on hand grip strength in asymptomatic young adults and to explore the relationship between the craniovertebral angle (CVA) and hand grip strength.
Results
There was no significant difference in hand grip strength between the groups (p = 0.812). There was no correlation between the CVA and right and left hand grip of the normal group (p = 0.840, 0.816 respectively), rounded shoulder posture (RSP) group (p = 0.523, 0.650 respectively), and FHRSP group (p = 0.855, 0.736 respectively). Regarding the right and left hand grip strength, there was no significant difference between the groups (p = 0.798, 0.826 respectively). The right hand grip strength was significantly higher than the left hand for all groups (p = 0.001).
Conclusion
This study displayed that hand grip strength was not affected by FHRSP nor RSP in asymptomatic young adults. Moreover, the degree of the CVA was not associated with an inverse effect on hand grip strength.
Collapse
|
4
|
Kim JO, Lee J, Lee BH. Effect of Scapular Stabilization Exercise during Standing on Upper Limb Function and Gait Ability of Stroke Patients. J Neurosci Rural Pract 2019; 8:540-544. [PMID: 29204011 PMCID: PMC5709874 DOI: 10.4103/jnrp.jnrp_464_16] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Background The purpose of this study was to determine the effect of scapular stabilization exercise during standing on a paretic side on upper limb function and gait ability of stroke patients. Methods This study was a hospital-based, randomized controlled trial with a blinded assessor. A total of 17 patients with hemiplegic diagnosis after stroke were divided into two groups (9 patients in a study group and 8 patients in a control group). The study group received physical therapy and scapular stabilization exercise on a paretic side. Participants were subjected to initial evaluation before the treatment. Subjects were subsequently re-evaluated 4 and 8 weeks later to compare the changes. Measurements of hand function and gait ability were performed. Results Based on multivariate analysis of variance for repeated-measures, there was a significant time effect for Timed Up and Go test (TUG) (F = 13.816, P = 0.000), Functional Gait Assessment (FGA) (F = 18.613, P = 0.000), and manual function test (MFT) (F = 16.777, P = 0.000). The group × time interaction effect was also significant for FGA (F = 4.966, P = 0.024) and MFT (F = 6.946, P = 0.003), but not for TUG test (F = 3.343, P = 0.069). Conclusion Results of the present study indicated that scapular stabilization exercise during standing on a paretic side for 8 weeks had an effect on hand function and gait ability of hemiplegic patients after stroke. Further studies are needed to find the most proper exercise for stroke patients who have gait disability and upper limb dysfunction.
Collapse
Affiliation(s)
- J O Kim
- Department of Physical Therapy, Graduate School of Physical Therapy, Sahmyook University, Seoul, Republic of Korea
| | - J Lee
- Department of Physical Therapy, Graduate School of Physical Therapy, Sahmyook University, Seoul, Republic of Korea
| | - B H Lee
- Department of Physical Therapy, Sahmyook University, Seoul, Republic of Korea
| |
Collapse
|
5
|
Kordi Yoosefinejad A, Ghaffarinejad F, Hemati M, Jamshidi N. Comparison of grip and pinch strength in young women with and without hyperkyphosis: A cross-sectional study. J Back Musculoskelet Rehabil 2019; 32:21-26. [PMID: 29865029 DOI: 10.3233/bmr-170932] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Hyperkyphosis is a common postural defect with high prevalence in the 20 to 50 year old population. It appears to compromise proximal scapular stability. Grip and pinch strength are used to evaluate general upper extremity function. OBJECTIVE The aim of this study was to compare pinch and grip strength between young women with and without hyperkyphosis. METHODS Thirty young women (18-40 years old) with hyperkyphosis and 30 healthy women matched for age and body mass index participated in the study. Hyperkyphosis was confirmed by measuring the kyphosis angle with a flexible ruler. Grip strength was measured with the Waisa method and a dynamometer. Pinch strength was assessed with a pinch meter. RESULTS Grip (P= 0.03) and pinch strength (P= 0.04) were significantly lower in women with hyperkyphosis compared to the control group. Kyphosis angle correlated weakly with grip (r= 0.26) and pinch strength (r= 0.23). CONCLUSIONS Hyperkyphotic posture has led to decreased grip and pinch strength compared to people without hyperkyphosis.
Collapse
Affiliation(s)
- Amin Kordi Yoosefinejad
- Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.,Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farahnaz Ghaffarinejad
- Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.,Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahbubeh Hemati
- Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Narges Jamshidi
- Physical Therapy Department, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|
6
|
Park SE, Kim YR, Kim YY. Immediate effects of scapular stabilizing exercise in chronic stroke patient with winging and elevated scapula: a case study. J Phys Ther Sci 2018; 30:190-193. [PMID: 29410596 PMCID: PMC5788805 DOI: 10.1589/jpts.30.190] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 10/30/2017] [Indexed: 11/25/2022] Open
Abstract
[Purpose] The purpose of this study was to investigate the effect of scapular stabilizing
exercise in a stroke patient with winging and elevated scapula. [Subject and Methods] The
subject was a 46-year-old female with a history of stroke. She had right side hemiplegia
with winging and elevated scapula on the right side, and had compensatory motions of the
neck and shoulder when using the paretic upper extremity. The subject participated in
scapular stabilizing exercises for four days. This exercise program consisted of scapular
protraction-retraction in an upright seated position. Scapular position was measured as
distance between scapular medial border and thoracic vertebrae 3, 4. Upper extremity
function was measured as time required for lifting and lowering a cup with the affected
arm. [Results] After intervention, distance between scapular medial border and spinouse
process of T3, 4 decreased. Time required for lifting and lowering a cup with the affected
arm decreased. Compensatory motions of the neck and shoulder joint decreased. [Conclusion]
Despite the short period, scapular stabilizing exercises had a positive effect on scapular
position and upper extremity function.
Collapse
Affiliation(s)
- Si-Eun Park
- Department of Physical Therapy, Pohang College, Republic of Korea
| | - Yang-Rae Kim
- Department of Physical Therapy, Anyang Sam Hospital, Republic of Korea
| | - Yong-Youn Kim
- Department of Physical Therapy, Dongnam Health University: 50 Cheoncheon-ro, 74beon-gil, Jeongja sam-dong, Jangan-gu, Suwon, Gyeonggi-do, Republic of Korea
| |
Collapse
|
7
|
Kim JB, Yun CK, Lee MH. A comparison of the shoulder and trunk muscle activity according to the various resistance condition during push up plus in four point kneeling. J Phys Ther Sci 2017; 29:35-37. [PMID: 28210034 PMCID: PMC5300800 DOI: 10.1589/jpts.29.35] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2016] [Accepted: 09/20/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study was to compare the shoulder and trunk muscle activity according to
the various resistance condition during knee push-up-plus. [Subjects and Methods] Twenty
healthy adults participated in this study (9 males and 11 females). The subjects performed
dominant-leg-extended knee push-up-plus apply to resistance in the direction of abduction,
adduction, extension and the flexion. The surface Electromyography activities of the upper
trapezius, serratus anterior, homolateral external oblique and the heterolateral internal
oblique were measured. The Electromyography activities of each muscle were compared using
a one-way repeated analysis of variance. [Results] The Electromyography activities of
serratus anterior and external oblique muscles between the resistance directions were
significantly increased extension. The Electromyography activities of heterolateral
internal oblique muscle between the resistance directions were significantly increased
adduction. [Conclusion] To suggest use of the decision exercise tolerance orientation when
muscle strengthening exercises for shoulder and trunk according to variation resistance in
lower extremity during Push-up-plus.
Collapse
Affiliation(s)
- Jung-Bin Kim
- Department of Physical Therapy, College of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea
| | - Chang-Kyo Yun
- Department of Physical Therapy, College of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea
| | - Myoung-Hyo Lee
- Department of Physical Therapy, Daegu Fatima Hospital, Republic of Korea
| |
Collapse
|
8
|
Kwon JW, Son SM, Lee NK. Changes in upper-extremity muscle activities due to head position in subjects with a forward head posture and rounded shoulders. J Phys Ther Sci 2015; 27:1739-42. [PMID: 26180310 PMCID: PMC4499973 DOI: 10.1589/jpts.27.1739] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2015] [Accepted: 02/14/2015] [Indexed: 01/08/2023] Open
Abstract
[Purpose] This study investigated upper-extremity muscle activities in natural, ideal,
and corrected head positions. [Subjects and Methods] Forty subjects with a forward head
posture and rounded shoulder were recruited and randomly assigned to the natural head
position group (n = 13), ideal head position group (n =
14), or corrected head position group (n = 13). Muscle activities were
measured using a four-channel surface electromyography system at the
sternocleidomastoideus, upper and lower trapezius, and serratus anterior muscles on the
right side during an overhead reaching task. [Results] The muscle activities of the upper
trapezius and serratus anterior differed significantly among head positions. Post hoc
tests revealed significant differences between natural and ideal head positions, and
natural and ideal head positions for both the upper trapezius and serratus anterior.
[Conclusion] Recovery of normal upper trapezius and serratus anterior muscle functions
plays an important role in correcting forward head posture and rounded shoulders.
Collapse
Affiliation(s)
- Jung Won Kwon
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
| | - Sung Min Son
- Department of Physical Therapy, College of Health Science, Cheongju University, Republic of Korea
| | - Na Kyung Lee
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea
| |
Collapse
|