The Addition Of Pressure Biofeedback Unit In Forward Head Exercise Is Better On Improving Neck Alignment Asymptomatic Forward Head Posture
DOI:
https://doi.org/10.35451/jkf.v7i1.2212Keywords:
forward head posture, NECK ALIGNMENT, PRESSURE BIOFEEDBACK UNIT, Craniovertebral angle, FORWARD HEAD EXERCISEAbstract
Asymptomatic forward head posture is a chronic condition without symptoms. Improvement in neck alignment can be enhanced by adding a pressure biofeedback unit to forward head exercises. The aim of this study was to determine if the addition of a pressure biofeedback unit to forward head exercises is more effective in improving neck alignment in high school students with asymptomatic forward head posture compared to forward head exercises alone.
This study was conducted at SMA N 1 Semarapura in April-May 2021, using a two-group pre-post test design with simple random sampling. There were two groups consisting of 14 samples each. Group I was given forward head exercises with the addition of a pressure biofeedback unit, and Group II was given forward head exercises alone. The outcome measure for neck alignment was the craniovertebral angle, measured using a goniometer. Analysis was performed using the Shapiro-Wilk test and Levene's test. The difference in mean neck alignment was tested using paired t-tests. An independent sample t-test showed an increased difference in neck alignment in both groups.
In Group I, the mean pre-test score was 45.57±1.45 and the post-test neck alignment was 53.21±1.36, with a mean difference of 7.35±1.49 and a p-value of 0.000. In Group II, the pre-test score was 45.78±1.85 and the post-test score was 50.28±1.22, with a mean difference of 4.5±1.2 and a p-value of 0.000. A significant difference in neck alignment improvement was found based on the comparison test, with a p-value of 0.000. The study results indicate a significant difference in the improvement of neck alignment between the two groups.
The addition of a pressure biofeedback unit to forward head exercises is effective in improving neck alignment in high school students with asymptomatic forward head posture at SMA N 1 Semarapura.
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References
Wen L, Lin X, Li C, Zhao Y, Yu Z, Han X. Sagittal imbalance of the spine is associated with poor sitting posture among primary and secondary school students in China: a cross-sectional study. BMC Musculoskelet Disord. 2022 Dec 1;23(1).
Paschaleri Z, Arabatzi F, Christou EA. Postural control in adolescent boys and girls before the age of peak height velocity: Effects of task difficulty. Gait Posture. 2022 Feb 1;92:461–6.
Sharma S, Rawat V. The Importance of Body Posture in Adolescence and its Relationship with Overall Well-being. Indian Journal of Medical Specialities. 2023;14(4):197–205.
Setiawan C, Putu I, Griadhi A, Dewa I, Inten A, Primayanti D. GAMBARAN POSTUR DAN KARAKTERISTIKNYA PADA MAHASISWA KEDOKTERAN UMUM. 2021;10(4). Available from: https://ojs.unud.ac.id/index.php/eum
Henriques-Neto D, Peralta M, Marques A. Editorial: Puberty: neurologic and physiologic development. Vol. 14, Frontiers in Endocrinology. Frontiers Media SA; 2023.
Ermis Suryana, Amrina Ika Hasdikurniati, Ayu Alawiya Harmayanti, Kasinyo Harto. Perkembangan Remaja Awal, Menengah Dan Implikasinya Terhadap Pendidikan. Jurnal Ilmiah Mandala Education (JIME). 2022;8(3).
World Health Organization South East Asia Region. Kesehatan remaja di Kawasan Asia Tenggara. https://www.who.int/southeastasia/health-topics/adolescent-health. 2021.
Khired Z. The Prevalence of and Factors Associated With Neck Pain Among Jazan Adult Population. Cureus. 2022 Aug 14;
Sabrina R, Manurung AI, Sirait BA. Peningkatan Rata-Rata Lama Sekolah (RLS) dari Harapan Lama Sekolah (HLS) di Sumatera Utara. 2024; Available from: https://nasional.tempo.co/read/431951/ketahanan-pangan-bisa-libatkan-
Marini L, Hendriani W, Yogi Wulandari P, Doktor Fakultas Psikologi P, Airlangga U. Gambaran Problematic Smartphone Use Pada Remaja. 2024;5(1). Available from: https://doi.org/10.24014/pib.v4i1.26477
Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Vol. 12, Current Reviews in Musculoskeletal Medicine. Springer; 2019. p. 562–77.
Cha JH, Choi YJ, Ryu S, Moon JH. Association between smartphone usage and health outcomes of adolescents: A propensity analysis using the Korea youth risk behavior survey. PLoS One. 2023 Dec 1;18(12 December).
Daniel G, Anak Agung Gede Angga Puspa Negara, Indira Vidiari Juhanna, Ni Wayan Tianing. The Relation Between Smartphone Use with Forward Head Posture Occurrence in Undergraduate Physiotherapy Student. Physical Therapy Journal of Indonesia. 2022 Dec 15;3(2):44–8.
Putra Wiguna N, Wahyuni N, Wibawa A, Aryantari S, Thanaya P, Wiwiek Indrayani A. The Relationship Between Smartphone Addiction And Forward Head Posture In Junior High School Students In North Denpasar.
Achmad A, Made Jawi I, Putu Ratna LS, Sri Iswari I, Putu Adiartha IG. Sport and Fitness Journal MCKENZIE NECK EXERCISE DAN FORWARD HEAD POSTURE EXERCISE DAPAT MENURUNKAN NYERI LEHER MEKANIK PADA PENGGUNA SMARTPHONE. 2020;8(2):63–8.
Smithard DG, Swaine I, Ayis S, Gambaruto A, Stone-Ghariani A, Hansjee D, et al. Chin tuck against resistance exercise with feedback to improve swallowing, eating and drinking in frail older people admitted to hospital with pneumonia: protocol for a feasibility randomised controlled study. Pilot Feasibility Stud. 2022 Dec 1;8(1).
Il-Young Yu, Min-Joo Ko, Jae-Seop Oh. The effects of biofeedback training for efficient activation of infraspinatus on proprioception and EMG activity during shoulder external rotation. Journal of Electromyography and Kinesiology. 2023 Aug;71(102798).
Kang DY. Deep cervical flexor training with a pressure biofeedback unit is an effective method for maintaining neck mobility and muscular endurance in college students with forward head posture.
Karang NNM, Kadek Dwi Pradnya Lestari. The Relationship Between Working Duration and Forward Head Posture. International Journal of Public Health Excellence (IJPHE). 2023 Aug 29;3(1):165–8.
Kurnia F, Agung A, Triadi A, Suartika M, Wijana M, Pradityatama M. licensed under a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA). Journal Industrial Servicess is [Internet]. 2024;10(1). Available from: http://dx.doi.org/10.36055/jiss.v10i1.23803
Kocur P, Tomczak M, Wiernicka M, Goliw?s M, Lewandowski J, ?ochy?ski D. Relationship between age, BMI, head posture and superficial neck muscle stiffness and elasticity in adult women. Sci Rep. 2019 Dec 1;9(1).
Moon YJ, Ahn TY, Suh SW, Park KB, Chang SY, Yoon DK, et al. A Preliminary Diagnostic Model for Forward Head Posture among Adolescents Using Forward Neck Tilt Angle and Radiographic Sagittal Alignment Parameters. Diagnostics. 2024 Feb 1;14(4).
Sikka I, Chawla C, Seth S, Alghadir AH, Khan M. Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly. Biomed Res Int. 2020;2020.
Stincel OR, Oravitan M, Pantea C, Almajan-Guta B, Mirica N, Boncu A, et al. Assessment of Forward Head Posture and Ergonomics in Young IT Professionals – Reasons to Worry? Medicina del Lavoro. 2023 Feb 14;114(1).
Alghadir AH, Iqbal ZA. 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;2021.
Jull G, Falla D. Does increased superficial neck flexor activity in the craniocervical flexion test reflect reduced deep flexor activity in people with neck pain? Man Ther. 2016 Sep 1;25:43–7.
Hasan S, Bharti N, Alghadir AH, Iqbal A, Shahzad N, Ibrahim AR. The Efficacy of Manual Therapy and Pressure Biofeedback-Guided Deep Cervical Flexor Muscle Strength Training on Pain and Functional Limitations in Individuals with Cervicogenic Headaches: A Randomized Comparative Study. Pain Res Manag. 2023;2023.
Ashfaq R, Riaz H. Effect of pressure biofeedback training on deep cervical flexors endurance in patients with mechanical neck pain: A randomized controlled trial. Pak J Med Sci. 2021 Mar 1;37(2):1–6.
Gumuscu BH, Kisa EP, Kaya BK, Muammer R. Comparison of three different exercise trainings in patients with chronic neck pain: a randomized controlled study. Korean Journal of Pain. 2023;36(2):242–52.
Hussein HY, Fayez ES, Fiki AA El, Elzanaty MY, Fakharany MS El. Effect of deep neck flexor strengthening on forward head posture: A systemic review and meta-analyses. Annals of Clinical and Analytical Medicine. 2021 Jan 1;12(01):114–9.
Suwaidi AS Al, Moustafa IM, Kim M, Oakley PA, Harrison DE. A Comparison of Two Forward Head Posture Corrective Approaches in Elderly with Chronic Non-Specific Neck Pain: A Randomized Controlled Study. J Clin Med. 2023 Jan 1;12(2).
Goo BW, Oh JH, Kim JS, Lee MY. Effects of cervical stabilization with visual feedback on craniovertebral angle and proprioception for the subjects with forward head posture. Medicine (United States). 2024 Jan 12;103(2):E36845.
Kocur P, Wilski M, Goliw?s M, Lewandowski J, ?ochy?ski D. Influence of Forward Head Posture on Myotonometric Measurements of Superficial Neck Muscle Tone, Elasticity, and Stiffness in Asymptomatic Individuals With Sedentary Jobs. J Manipulative Physiol Ther. 2019 Mar 1;42(3):195–202.
Peters RM, Mckeown MD, Carpenter MG, Inglis JT. Losing touch: age-related changes in plantar skin sensitivity, lower limb cutaneous reflex strength, and postural stability in older adults. J Neurophysiol [Internet]. 2016;116:1848–58. Available from: www.jn.org
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