Effects of the combination of traditional Thai massage, scapular stabilization exercise, and chest mobilization in subjects with forward head posture: a single-blinded randomized clinical trial.

IF 2 4区医学 Q2 REHABILITATION Chiropractic & Manual Therapies Pub Date : 2023-08-21 DOI:10.1186/s12998-023-00506-z

Vitsarut Buttagat, Sujittra Kluayhomthong, Pattanasin Areeudomwong

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Abstract

Background: Forward head posture (FHP) is a common condition where the head appears to be positioned in front of the vertical midline of the body. FHP is associated with shortening of the neck extensors and pectoral muscles, and the deep neck flexors and shoulder retractors are weakened. FHP is also found to cause decreases in respiratory function. Few clinical trials have investigated the effects of combination treatments to alleviate these problems. The aim of this study was to examine the effects of combination of traditional Thai massage, scapular stabilization exercise, and chest mobilization on forward head angle (FHA), forced vital capacity (FVC), and cervical flexion in subjects with FHP.

Methods: Forty-eight subjects with FHP were randomly allocated to a treatment group receiving a Combination of Traditional Thai massage, Scapular stabilization exercise, and Chest mobilization (CTSC group) (n = 24) and a control group (relaxed by lying supine) (n = 24). FHA, FVC, and cervical flexion were measured before and after the four-week intervention (Week 4) and one month after the intervention period (Week 8).

Results: The CTSC group showed statistically significantly greater improvement in FHA and cervical flexion than the control group at Week 4 (FHA, mean difference - 6.05; 95% CI - 8.03, - 4.07; cervical flexion, mean difference 6.84; 95% CI 3.14, 10.55) and Week 8 (FHA, mean difference - 4.64; 95% CI ( - 6.71, - 2.58); cervical flexion, mean difference 5.21; 95% CI 0.84, 9.58). There were no significant between-group differences in FVC at week 4 (mean difference 0.09; 95% CI - 0.06, 0.23) and week 8 (mean difference 0.04; 95% CI - 0.11, 0.19).

Conclusion: This study showed that CTSC had a positive effect on FHA and cervical flexion in subjects with FHP.

Trial registration: Thai Clinical Trials Registry (TCTR) (Identification number: TCTR20211119001), registered 19 November 2021; https://www.thaiclinicaltrials.org/show/TCTR20211119001 .

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传统泰式按摩、肩胛骨稳定运动和胸部活动对头部前倾受试者的影响:一项单盲随机临床试验

背景:头部前倾(FHP)是一种常见的情况，即头部似乎位于身体垂直中线的前方。FHP与颈伸肌和胸肌缩短有关，颈深屈肌和肩牵肌减弱。FHP还会导致呼吸功能下降。很少有临床试验研究了联合治疗减轻这些问题的效果。本研究的目的是探讨传统泰式按摩、肩胛骨稳定运动和胸部活动对FHP患者前头角(FHA)、用力肺活量(FVC)和颈椎屈曲的影响。方法:48例FHP患者随机分为传统泰式按摩、肩胛骨稳定运动和胸部活动联合治疗组(CTSC组)(n = 24)和对照组(仰卧放松)(n = 24)。测量干预前后(第4周)和干预后1个月(第8周)FHA、FVC和颈椎屈曲度。结果:CTSC组在干预第4周FHA和颈椎屈曲度的改善程度显著高于对照组(FHA，平均差异- 6.05;95% ci - 8.03， - 4.07;颈椎屈曲，平均差6.84;95% CI 3.14, 10.55)和第8周(FHA，平均差- 4.64;95% ci (- 6.71， - 2.58);颈椎屈曲，平均差5.21;95% ci 0.84, 9.58)。第4周FVC组间差异无统计学意义(平均差异0.09;95% CI - 0.06, 0.23)和第8周(平均差异0.04;95% ci - 0.11, 0.19)。结论:本研究表明，CTSC对FHP患者的FHA和颈椎屈曲有积极作用。试验注册:泰国临床试验注册中心(TCTR)(识别号:TCTR20211119001)，注册于2021年11月19日;https://www.thaiclinicaltrials.org/show/TCTR20211119001。

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来源期刊

Chiropractic & Manual Therapies Medicine-Complementary and Alternative Medicine

CiteScore

3.20

自引率

15.80%

发文量

审稿时长

20 weeks

期刊介绍： Chiropractic & Manual Therapies publishes manuscripts on all aspects of evidence-based information that is clinically relevant to chiropractors, manual therapists and related health care professionals. Chiropractic & Manual Therapies is an open access journal that aims to provide chiropractors, manual therapists and related health professionals with clinically relevant, evidence-based information. Chiropractic and other manual therapies share a relatively broad diagnostic practice and treatment scope, emphasizing the structure and function of the body''s musculoskeletal framework (especially the spine). The practices of chiropractic and manual therapies are closely associated with treatments including manipulation, which is a key intervention. The range of services provided can also include massage, mobilisation, physical therapies, dry needling, lifestyle and dietary counselling, plus a variety of other associated therapeutic and rehabilitation approaches. Chiropractic & Manual Therapies continues to serve as a critical resource in this field, and as an open access publication, is more readily available to practitioners, researchers and clinicians worldwide.