The Effect of Scapular Stabilization and McKenzie Neck Exercise on Craniovertebral Angle in Adolescents Aged 13–15 Years with Forward Head Posture at SMP Muhammadiyah 16
DOI:
https://doi.org/10.35451/xm8yce13Keywords:
Forward Head Posture; Scapular Stabilization Exercise; McKenzie Exercise; Cranio Vertebra Angel; RemajaAbstract
Body posture can be impaired when daily activities are performed in non-ergonomic positions, resulting in uneven load distribution throughout the body. One of the most common postural disorders found in adolescents is a forward-leaning head position, known as forward head posture. This condition can be corrected through appropriate exercises, such as scapular stabilization exercises, which aim to improve scapular positioning and enhance stability and alignment in the cervical region, as well as McKenzie neck exercises, which focus on correcting neck posture.This study aims to determine the effect of scapular stabilization exercises and McKenzie neck exercises on increasing the craniovertebral angle in adolescents aged 13–15 years with forward head posture at SMP Muhammadiyah 16 Lubuk Pakam in 2025. The study employed a quasi-experimental design using a one-group pre-test and post-test approach. The interventions were administered twice a week for four weeks, with a total of eight sessions. Measurements were conducted using a goniometer. The results showed that the mean craniovertebral angle before the intervention was 45.00 with a standard deviation of 1.414, and after the intervention, it increased to 47.43 with a standard deviation of 1.604. Data analysis using the paired sample t-test revealed a p-value of 0.000, which is smaller than α = 0.05, indicating a significant difference between pre- and post-intervention measurements. Therefore, it can be concluded that scapular stabilization exercises and McKenzie neck exercises have an effect on improving the craniovertebral angle in adolescents aged 13–15 years with forward head posture at SMP Muhammadiyah 16 Lubuk Pakam in 2025
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[1] Bachtiar, D. (2020). Edukasi Mengenai Dampak Penggunaan Smartphone. 2010, 28–32.
[2] Widyantari, P. R. W., Patni, G. A. P. L., & Paramurthi, I. A. P. (2023). Gambaran Pengetahuan Postur Tubuh yang Baik Pada Remaja di Desa Pelaga. Journal APTIFI, 4(1), 41–44.
[3] Pacheco, M. P., Carvalho, P. J., Cavalheiro, L., & Sousa, F. M. (2023). Prevalence of Postural Changes and Musculoskeletal Disorders in Young Adults. International Journal of Environmental Research and Public Health, 20(24). https://doi.org/10.3390/ijerph20247191
[4] Koseki, T., Kakizaki, F., Hayashi, S., Nishida, N., & Itoh, M. (2019). Effect of forward head posture on thoracic shape and respiratory function. Journal of Physical Therapy Science, 31(1), 63–68. https://doi.org/10.1589/jpts.31.63
[5] Verma, S., Shaikh, J., Mahato, R., & Sheth, M. (2018). Prevalence of forward head posture among 12-16 years old school going students - A cross sectional study. Applied Medical Research, 4(1), 18. https://doi.org/10.5455/amr.20180805064752
[6] Kolhatkar, A., & Rayjade, A. (2020). A Study of Relation between Myopia and Head Posture in Young Adult Population. Indian Journal of Public Health Research & Development, 11(05), 49–54. https://doi.org/10.37506/ijphrd.v11i5.9289
[7] Janet, A., Mohan Kumar, G., Rajalaxmi, V., Ramachandran, S., Priya, C., Yuvarani, G., Tharani, G., Kamatchi, K., & Muthu Raj, G. (2021). Prevalence of forward neck posture and influence of smartphones in physiotherapy students. Biomedicine (India), 41(3), 660–664. https://doi.org/10.51248/.v41i3.1202
[8] Putra Wiguna, N., Wahyuni, N., Wibawa, A., Aryantari, S., Thanaya, P., & Wiwiek Indrayani, A. (2019). The Relationship Between Smartphone Addiction And Forward Head Posture In Junior High School Students In North Denpasar. Jurnal Epidemiologi Kesehatan Komunitas, 4(2), 84–89.
[9] Shinde, S. S., & Shah, D. N. (2022). Correlation of Craniovertebral Angle with Neck Pain in Undergraduate Students- Cross-Sectional Study. International Journal of Health Sciences and Research, 12(6), 96–101. https://doi.org/10.52403/ijhsr.20220613
[10] L. Blum, C. (2019). The many faces of forward head posture: the importance of differential diagnosis. Cranio - Journal of Craniomandibular Practice, 37(3), 143–146. https://doi.org/10.1080/08869634.2019.1594003
[11] Anjasmara, R., Arti, B., & Mulyadi, W. Y. (2023). Effect of Forward Head Posture on Dynamic Balance to Student Members of the Umsida Sports UKM. Journal of Physical Education, Sport, Health and Recreation, 12(1), 59–63. http://journal.unnes.ac.id/sju/index.php/peshr
[12] Soleha, S., & Tiara, F. (2024). (Journal Health Applied Science and Technolgy). 2(1), 1–5.
[13] Laksmi, R. H., Nur Hidayati, N. P., & Ratmawati, Y. (2024). Effect of Mckenzie Exercise to Increase Craniovertebral Angle in Forward Head Posture of Adolescent. Medica Hospitalia : Journal of Clinical Medicine, 11(1), 64–70. https://doi.org/10.36408/mhjcm.v11i1.1013
[14] Keerthana, B., Prathap, L., & Strategy, P. (2020). Craniovertebral Angle Measurements Among DeKeerthana, B., Prathap, L., & Strategy, P. (2020). Craniovertebral Angle Measurements Among Dental Practitioners. Journal Of Archaeology Of Egypt/Egyptology, 17(7), 1818–1825.ntal Practitioners. Journal Of Archaeology Of Egypt/Egyptology, 17(7), 1818–1825.
[15] Ganu, S., & Gor, U. (2021). Effects of Abdominal Control Feedback and Scapular Stabilization Exercise on Chronic Neck Pain. International Journal of Health Sciences and Research, 11(6), 318–325. https://doi.org/10.52403/ijhsr.20210647.
[16] Nurhidayanti, O., Hartati, E., & Handayani, P. A. (2021). Pengaruh Mckenzie Cervical Exercise terhadap Nyeri Leher Pekerja Home Industry Tahu. Holistic Nursing and Health Science, 4(1), 34–43. https://doi.org/10.14710/hnhs.4.1.2021.34-43
[17] Szczygieł, E., Waśniowski, D., Chmiel, J., & Golec, J. (2022). Is the forward head posture a health problem affecting children and adolescents? Journal of Kinesiology and Exercise Sciences, 32(97), 37–44. https://doi.org/10.5604/01.3001.0015.8788
[18] Puspitasari, D. A., Wibawa, A., & Primayanti, I. D. A. I. D. (2018). Hubungan Forward Head Posture Dengan Keseimbangan Statis Pada Siswa SMAN 1 Semarapura. 6(1), 41–45.
[19] Swandari, M. I., Tianing, N. W., Utama, A. A. G. E. S., & Kinandana, G. P. (2023). ABSTRAK Pendahuluan: Perubahan postur merupakan suatu permasalahan yang sering dikeluhkan pada kalangan remaja. Hal ini diakibatkan karena pada usia remaja rentan mengalami perubahan postur seperti. 11, 127–132.
[20] Simple Mendhe, & Pradeep Borkar. (2021). Effect of Scapular Stabilization Exercise Program on Neck Disability and Forward Head Posture among Computer Operators. Indian Journal of Physiotherapy & Occupational Therapy - An International Journal, 15(4), 68–72. https://doi.org/10.37506/ijpot.v15i4.19151
[21] Lee, S.-H., Yoo, B.-H., Pyo, H.-S., Lee, D., Hong, J.-H., Yu, J.-H., Kim, J.-S., & Kim, S.-G. (2022). Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with Forward Head Posture. Journal of The Korean Society of Physical Medicine, 17(4), 1–13. https://doi.org/10.13066/kspm.2022.17.4.1
[22] Abd El-Azeim, A. S., Mahmoud, A. G., Mohamed, M. T., & El-Khateeb, Y. S. (2022). Impact of adding scapular stabilization to postural correctional exercises on symptomatic forward head posture: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 58(5), 757–766. https://doi.org/10.23736/S1973-9087.22.07361-0
[23] Nurhidayanti, O., Hartati, E., & Handayani, P. A. (2021). Pengaruh Mckenzie Cervical Exercise terhadap Nyeri Leher Pekerja Home Industry Tahu. Holistic Nursing and Health Science, 4(1), 34–43. https://doi.org/10.14710/hnhs.4.1.2021.34-43
[24] Laksmi, R. H., Nur Hidayati, N. P., & Ratmawati, Y. (2024). Effect of Mckenzie Exercise to Increase Craniovertebral Angle in Forward Head Posture of Adolescent. Medica Hospitalia : Journal of Clinical Medicine, 11(1), 64–70. https://doi.org/10.36408/mhjcm.v11i1.1013
[25] Laksmi, R. H., et al. (2023). Effect of McKenzie Exercise on Craniovertebral Angle in Forward Head Posture. Medica Hospitalia, 10(2), 85–92.
[26] Elgendy, M. H., et al. (2024). Effect of scapular stabilization and postural correction exercises on craniovertebral angle in individuals with forward head posture. Journal of Bodywork and Movement Therapies, 38, 120–126.
[27] Kang, N. Y., et al. (2021). Effects of combined scapular stabilization exercise on neck posture and muscle activity in individuals with forward head posture. Journal of Physical Therapy Science, 33(6), 457–462.
[28] Sharma, M., et al. (2024). Comparison of McKenzie Neck Exercise and Scapular Stabilization Exercise on Forward Head Posture. International Journal of Health Sciences and Research, 14(6), 250–256
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