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Shivapriya1, Vijayakumar. P2

Author:
1Graduate, Department of Physiotherapy, Navodaya College of Physiotherapy, Mantralayam Road, Raichur, Karnataka, India
Corresponding Author:
2Professor, Department of Physiotherapy, Navodaya College of Physiotherapy, Mantralayam Road  Raichur, Karnataka, India  Mail id: director@navodaya.edu.in

ABSTRACT

Background and purpose: Forward Head Posture is a common condition which physiotherapists have to deal in clinical practice. Various occupations require people to assume static postures for long periods, which cause continuous contractions of the head and neck muscles. Forward head posture (FHP) occurs when the head is anterior to a vertical line through the individual’s center of gravity. If this aberrant development in the cervical region’s muscles and joints persist, it may limit cervical mobility and reduce muscular function. The aim of this study was to evaluate the effectiveness of cervicothoracic mobilization (SNAGs) and deep cervical flexor strengthening with pressure biofeedback unit and Kendall’s exercise on improving forward head posture.

Methods: It is a comparative study with 40 subjects with Forward Head Posture who fulfilled the inclusion and exclusion criteria were selected for the study and 20 subjects were randomly assigned to each group. Group A received Cervicothoracic mobilization with deep neck flexors training and group B received Kendall’s exercises. Treatment was given for a period of 8weeks. Pre-test and post-test evaluation was done with CVA, NPRS, NDI, CCFT and CROM.

Results: CVA – When comparing between groups, the posttest mean of CVA for Group A showed increase in angle from 47.61to 52.61and Group B was4 7.95 to49.71 which was statistically significant (p<0.001).

Conclusion: This study concludes that both cervicothoracic mobilization (SNAGs)with deep cervical flexor training and Kendall’s exercise are effective in treating the  patients with Forward head posture. However, cervicothoracic mobilization with deep cervical flexor training showed more improvement in CVA, pain and functions compared to Kendall’s exercise.

Keywords: Cervicothoracic mobilization, deep cervical flexor training, Forward Head posture, Kendall’s exercise.

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