The Impact of Forward Head Posture on Neck and Ankle Joint Position Sense: A Cross-Sectional Study.

IF 0.5 4区医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-01-01 DOI:10.7547/22-129

Amr A Abdel-Aziem, Dalia Mosaad, Elsadat S Soliman, Nouran A Ibrahim

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Abstract

Background: Forward head posture (FHP) decreases the neck position sense and creates tension in the neck muscles, which inversely affects the mechanics of the distal joints through body myofascia. Thus, this study investigated the effects of FHP on neck and ankle joint position sense, and conducted a comparison between the joint position sense of the right and left ankle.

Methods: Fifty-seven subjects were assigned according to the craniovertebral angle (CVA) into the FHP group (CVA <49°; n = 27) or the control group (CVA >49°; n = 30). Head and ankle joint repositioning accuracy was measured by using a cervical range-of-motion device and an isokinetic dynamometer, respectively.

Results: There was a significant increase in the joint position error (JPE) of the cervical flexion, extension, and right and left side bending motions of the FHP group compared to the control group (P < .05). There were significant increases in the JPE of the right and left ankle dorsiflexion and plantarflexion of the FHP group compared to the healthy group (P < .05). Moreover, the JPE of the right ankle dorsiflexion and plantarflexion of the FHP group were significantly higher than the left ankle (P < .05).

Conclusions: The FHP decreases the position sense of cervical flexion, extension, and right and left side bending motions, and the plantarflexion and dorsiflexion of both ankle joints, especially the right ankle joint.

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头部前倾对颈部和踝关节位置感的影响：横断面研究

背景：头部前倾姿势（FHP）会降低颈部位置感，并造成颈部肌肉紧张，从而通过身体肌筋膜对远端关节的力学产生反向影响。因此，本研究调查了 FHP 对颈部和踝关节位置感的影响，并对左右踝关节位置感进行了比较：方法：根据颅椎体角度（CVA）将 57 名受试者分配到 FHP 组（CVA 49°；n = 30）。分别使用颈椎活动范围装置和等速测力计测量头部和踝关节的复位准确性：结果：与对照组相比，FHP 组颈椎屈曲、伸展和左右侧屈运动的关节位置误差（JPE）明显增加（P < .05）。与健康组相比，FHP 组左右踝关节背屈和跖屈的关节位置误差（JPE）明显增加（P < .05）。此外，FHP 组的右踝关节背屈和跖屈的 JPE 明显高于左踝关节（P < .05）：结论：FHP 会降低颈椎屈、伸、左右侧屈运动的位置感，以及双踝关节的跖屈和背伸，尤其是右踝关节。

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来源期刊

Journal of the American Podiatric Medical Association 医学-整形外科

CiteScore

1.10

自引率

0.00%

发文量

128

审稿时长

6-12 weeks

期刊介绍： The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.