Clinical Effectiveness of a Pilates Treatment for Forward Head Posture

Overview

Journal J Phys Ther Sci

Date 2016 Aug 12

PMID 27512253

Citations 15

Authors

Sun-Myung Lee

Chang-Hyung Lee

David OSullivan

Joo-Ha Jung

Jung-Jun Park

Affiliations

Soon will be listed here.

Abstract

[Purpose] This study compared the effects of pilates and an exercise program on the craniovertebral angle, cervical range of motion, pain, and muscle fatigue in subjects with a forward head posture (FHP). [Subjects and Methods] A total of 28 sedentary females (age 20 to 39 years) with FHP were randomly assigned to pilates (n=14) and combined (n=14) exercise groups. The study was a randomized, controlled, double-blind study with the two groups performing exercise 50 min/day, 3 days/week, with an intensity of 11-15 rating of perceived exertion (RPE) for ten weeks. The main outcome measures were craniovertebral angle, cervical range of motion (ROM), pain levels assessed by visual analog scale (VAS), and neck disability index (NDI). Surface electromyography was also used to measure muscle fatigue. [Results] There were significant increases in craniovertebral angle and cervical ROM in the pilates group, but none in the control group. The only significant differences in muscle activity were recorded in the sternocleidomastoid muscle in the pilates group. Both exercise programs had positive effects on pain measures, as VAS and NDI were significantly decreased. [Conclusion] The results suggest that pilates could be recommended as an appropriate exercise for treatment of FHP in sedentary individuals.

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References

Wright E, Domenech M, Fischer Jr J . Usefulness of posture training for patients with temporomandibular disorders. J Am Dent Assoc. 2000; 131(2):202-10. DOI: 10.14219/jada.archive.2000.0148. View

Ehrlich R, Garlick D, Ninio M . The effect of jaw clenching on the electromyographic activities of 2 neck and 2 trunk muscles. J Orofac Pain. 1999; 13(2):115-20. View

Szeto G, Straker L, OSullivan P . A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work--2: neck and shoulder kinematics. Man Ther. 2005; 10(4):281-91. DOI: 10.1016/j.math.2005.01.005. View

Vernon H, Mior S . The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991; 14(7):409-15. View

Sohn J, Choi H, Lee S, Jun A . Differences in cervical musculoskeletal impairment between episodic and chronic tension-type headache. Cephalalgia. 2010; 30(12):1514-23. DOI: 10.1177/0333102410375724. View

Kuo Y, Tully E, Galea M . Sagittal spinal posture after Pilates-based exercise in healthy older adults. Spine (Phila Pa 1976). 2009; 34(10):1046-51. DOI: 10.1097/BRS.0b013e31819c11f8. View

Carlsson A . Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983; 16(1):87-101. DOI: 10.1016/0304-3959(83)90088-X. View

JOHNSON G . The correlation between surface measurement of head and neck posture and the anatomic position of the upper cervical vertebrae. Spine (Phila Pa 1976). 1998; 23(8):921-7. DOI: 10.1097/00007632-199804150-00015. View

Hyun J, Hwangbo K, Lee C . The effects of pilates mat exercise on the balance ability of elderly females. J Phys Ther Sci. 2014; 26(2):291-3. PMC: 3944308. DOI: 10.1589/jpts.26.291. View

10.

Hanten W, Lucio R, Russell J, Brunt D . Assessment of total head excursion and resting head posture. Arch Phys Med Rehabil. 1991; 72(11):877-80. DOI: 10.1016/0003-9993(91)90003-2. View

11.

Lee C, Hyun J, Kim S . Influence of pilates mat and apparatus exercises on pain and balance of businesswomen with chronic low back pain. J Phys Ther Sci. 2014; 26(4):475-7. PMC: 3996402. DOI: 10.1589/jpts.26.475. View

12.

Yip C, Chiu T, Poon A . The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2007; 13(2):148-54. DOI: 10.1016/j.math.2006.11.002. View

13.

Larson K, Oatis C . Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther. 1992; 72(6):425-31. DOI: 10.1093/ptj/72.6.425. View

14.

Boyd-Clark L, Briggs C, Galea M . Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976). 2002; 27(7):694-701. DOI: 10.1097/00007632-200204010-00005. View

15.

Segal N, Hein J, Basford J . The effects of Pilates training on flexibility and body composition: an observational study. Arch Phys Med Rehabil. 2004; 85(12):1977-81. DOI: 10.1016/j.apmr.2004.01.036. View

16.

Emery K, De Serres S, McMillan A, Cote J . The effects of a Pilates training program on arm-trunk posture and movement. Clin Biomech (Bristol). 2009; 25(2):124-30. DOI: 10.1016/j.clinbiomech.2009.10.003. View

17.

Lynch S, Thigpen C, Mihalik J, Prentice W, Padua D . The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. Br J Sports Med. 2010; 44(5):376-81. DOI: 10.1136/bjsm.2009.066837. View

18.

Kim S . Effects of yoga exercises for headaches: a systematic review of randomized controlled trials. J Phys Ther Sci. 2015; 27(7):2377-80. PMC: 4540885. DOI: 10.1589/jpts.27.2377. View

19.

Ferrari R, Russell A . Regional musculoskeletal conditions: neck pain. Best Pract Res Clin Rheumatol. 2003; 17(1):57-70. DOI: 10.1016/s1521-6942(02)00097-9. View