Biomechanical Variances in the Development of Forward Head Posture
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Forward Head Posture (FHP) involves the anterior positioning of the head relative to the shoul-ders, often associated with muscular imbalances. It is known that individuals with FHP expe-rience shortening of craniocervical extensors and cervical flexors. However, contrary to the understanding of flexion in the craniocervical extension subaxial region, a study has reported flexion in the craniovertebral spinal vertebrae among individuals with FHP. The aim of this study was to examine the consistency of biomechanical study results conducted for FHP. The relevant studies were investigated in PubMed and Google Scholar databases using the key-words “forward head posture OR cervical sagittal alignment OR cervical spine AND biome-chanics OR kinetic analysis OR kinematic analysis.” During the research selection process, only nine studies relevant to the purpose of our study were identified. Out of these nine studies, four conducted kinematic analysis related to FHP formation, while six conducted kinetic analy-sis. During the comparison of these studies, five inconsistencies were identified. Biomechanical studies on FHP reveal conflicting findings, suggesting potential variability in the biomechanics of FHP formation across individuals. However, drawing definitive conclusions requires further exploration through additional biomechanical investigations on FHP in the future.
Abstract
Forward Head Posture (FHP) involves the anterior positioning of the head relative to the shoul-ders, often associated with muscular imbalances. It is known that individuals with FHP expe-rience shortening of craniocervical extensors and cervical flexors. However, contrary to the understanding of flexion in the craniocervical extension subaxial region, a study has reported flexion in the craniovertebral spinal vertebrae among individuals with FHP. The aim of this study was to examine the consistency of biomechanical study results conducted for FHP. The relevant studies were investigated in PubMed and Google Scholar databases using the key-words “forward head posture OR cervical sagittal alignment OR cervical spine AND biome-chanics OR kinetic analysis OR kinematic analysis.” During the research selection process, only nine studies relevant to the purpose of our study were identified. Out of these nine studies, four conducted kinematic analysis related to FHP formation, while six conducted kinetic analy-sis. During the comparison of these studies, five inconsistencies were identified. Biomechanical studies on FHP reveal conflicting findings, suggesting potential variability in the biomechanics of FHP formation across individuals. However, drawing definitive conclusions requires further exploration through additional biomechanical investigations on FHP in the future.
참고문헌 (29)
- Silva AG, "Head posture and neck pain of chronic nontraumatic origin : a comparison between patients and pain-free persons", Arch Phys Med Rehabil, 90(4), pp.669~674 (2009)
- Yip CH, "The relationship between head posture and severity and disability of patients with neck pain", Man Ther, 13(2), pp.148~154 (2008)
- Alowa Z, "The impact of forward head posture on the electromyographic activity of the spinal muscles", J Taibah Univ Med Sci, 16(2), pp.224~230 (2020)
- Kang JH, "The effect of the forward head posture on postural balance in long time computer based worker", Ann Rehabil Med, 36(1), pp.98~104 (2012)
- Lau KT, "Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability", Man Ther, 15(5), pp.457~462 (2010)
- Kalmanson OA, "Anatomic considerations in headaches associated with cervical sagittal imbalance : a cadaveric biomechanical study", J Clin Neurosci, 65, pp.140~144 (2019)
- Naz A, "Prevalance of forward head posture among university students", Rawal Med J, 43(2), pp.260~262 (2018)
- Titcomb DA, "The effects of postural education or corrective exercise on the craniovertebral angle in young adults with forward head posture : a randomized controlled trial", Int J Exerc Sci, 16(1), pp.954~973 (2023)
- Goodarzi F, "Differences in cervical extensor muscles thickness on subjects with normal head posture and forward head posture : an ultrasonography study", J Rehabil Sci Res, 2(2), pp.23~26 (2015)
- Lin G, "Changes in deep neck muscle length from the neutral to forward head posture. A cadaveric study using Thiel cadavers", Clin Anat, 35(3), pp.332~339 (2022)
- Bokaee F, "Comparison of cervical muscle thickness between asymptomatic women with and without forward head posture", Braz J Phys Ther, 21(3), pp.206~211 (2017)
- Patwardhan AG, "Postural consequences of cervical sagittal imbalance : a novel laboratory model", Spine(Phila Pa 1976), 40(11), pp.783~792 (2015)
- Khayatzadeh S, "Cervical spine muscle-tendon unit length differences between neutral and forward head postures : biomechanical study using human cadaveric specimens", Phys Ther, 97(7), pp.756~766 (2017)
- Martini ML, "Cervical spine alignment in the sagittal axis : a review of the best validated measures in clinical practice", Global Spine J, 11(8), pp.1307~1312 (2021)
- Yang S, "Does anterior shoulder balance in adolescent idiopathic scoliosis correlate with posterior shoulder balance clinically and radiographically?", Eur Spine J, 21(10), pp.1978~1983 (2012)
- Patwardhan AG, "Cervical sagittal balance : a biomechanical perspective can help clinical practice", Eur Spine J, 27(Suppl 1), pp.25~38 (2018)
- Beange KHE, "Concurrent validity of a wearable IMU for objective assessments of functional movement quality and control of the lumbar spine", J Biomech, 97, pp.109356~ (2019)
- Fercho J, "Kinematic analysis of the forward head posture associated with smartphone use", Symmetry, 15(3), pp.667~ (2023)
- Eun J, "Comparison of upper and lower cervical muscle strengths between subjects with and without forward head posture", Phys Ther Korea, 27(4), pp.272~277 (2020)
- Goodarzi F, "The effects of forward head posture on neck extensor muscle thickness : an ultrasonographic study", J Manipulative Physiol Ther, 41(1), pp.34~41 (2018)
- Quek J, "Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults", Man Ther, 18(1), pp.65~71 (2013)
- Haughie LJ, "Relationship of forward head posture and cervical backward bending to neck pain", J Man Manip Ther, 3(3), pp.91~97 (1995)
- Simons DG, "Upper half of body" (1999), Lippincott Williams & Wilkins
- Bakkum BW, "Clinical anatomy of the spine, spinal cord, and ans", pp.98~134 (2014), Elsevier
- Levangie PK, "Joint structure and function: a comprehensive analysis" (2011), F. A. Davis
- Alghadir AH, "Effect of deep cervical flexor muscle training using pressure biofeedback on pain and forward head posture in school teachers with neck pain : an observational study", Biomed Res Int, 2021, pp.5588580~ (2021)
- Nam KS, "The effects of head position in different sitting postures on muscle activity with", without forward head and rounded shoulder, 2014, pp.26(3), 140~146
- Jung B, "StatPearls" (2023), StatPearls Publishing
- Aroeira RMC, "Relationship between head posture and lumbar curve in a sitting position : a biomechanical study", Fisioter Mov, 30(3), pp.453~461 (2017)
