Combined Efficacy Of Forward Head Corrective Exercises And Scapular Stabilization Exercises For Craniovertebral Angle In Desktop Workers
Keywords:
Forward Head Posture, Craniovertebral Angle, Scapular Stabilization, Desktop Workers, Postural Correction, ErgonomicsAbstract
Background: Forward Head Posture (FHP) is a common musculoskeletal issue among desktop workers due to prolonged computer use, poor posture, and lack of ergonomic awareness. It is characterized by the anterior displacement of the head, leading to muscular imbalances, reduced craniovertebral angle (CVA), and increased strain on the cervical spine. The study aims to evaluate the combined efficacy of Forward Head Corrective Exercises (FHCE) and Scapular Stabilization Exercises (SSE) in improving the craniovertebral angle and cervical mobility in desktop workers.
Methodology: This quasi-experimental study included 51 participants (aged 28-45) with a CVA of less than 48°. Participants underwent a 4-week intervention comprising FHCE and SSE, targeting key postural muscles. The primary outcome measures were CVA (measured using Kinovea software) and cervical range of motion (ROM) (assessed with a goniometer). Data were analysed using paired t-tests. Results: Post-intervention analysis showed a statistically significant improvement in CVA from 43.02° ± 2.65 to 51.35° ± 1.84 (p < 0.001). Cervical flexion improved from 75.37° ± 2.79 to 84.69° ± 3.04 (p < 0.001), while cervical extension increased from 64.98° ± 2.60 to 69.22° ± 2.13 (p < 0.001). These findings indicate that FHCE and SSE effectively enhance postural alignment and cervical mobility in desktop workers.
Conclusion: The study demonstrates that a structured 4-week exercise program combining FHCE and SSE significantly improves craniovertebral angle and cervical mobility, thereby reducing the effects of FHP in desktop workers. This intervention is a practical, non-invasive approach to mitigating postural strain and enhancing workplace ergonomics. Future studies with larger sample sizes and extended follow-up periods are recommended to assess long-term efficacy
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Joshi S, Chawla B, Pawalia A. Exercises in the management of forward head posture: Much needed posture care for online way of life. Physiotherapy Quarterly. 2022 Oct 1;30(4):41-51.
. Shyama S, Nagaraj S. Effect of Stabilization Exercises on Craniovertebral Angle and Cervical Range of Motion among Visual Display Users with Forward Head Posture. Bulletin of Rehabilitation Medicine. 2023;22(5):48-53.
. Titcomb DA. The Effects of Postural Education or Corrective Exercise Intervention on the Craniovertebral Angle in Young Adults with Forward Head Posture (Doctoral dissertation, Concordia University Chicago).
. Heydari Z, Sheikhhoseini R, Shahrbanian S, Piri H. Establishing minimal clinically important difference for effectiveness of corrective exercises on craniovertebral and shoulder angles among students with forward head posture: a clinical trial study. BMC pediatrics. 2022 Apr 27;22(1):230.
. Nejati, P., Lotfian, S., Moezy, A., & Nejati, M. (2014). The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Medical Journal of the Islamic Republic of Iran, 28, 26.
Emphasizes the link between FHP and neck pain in office workers.
. Kim, M. H., Yi, C. H., & Kwon, O. Y. (2015). Comparison of head and shoulder posture and scapular position between patients with upper trapezius and levator scapulae muscle pain. Manual Therapy, 20(3), 402-407.
Highlights the biomechanical contribution of upper trapezius and levator scapulae in FHP.
. Harman, K., Hubley-Kozey, C. L., & Butler, H. (2005). Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. Journal of Manual & Manipulative Therapy, 13(3), 163-176..
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