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.

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...

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Publicado en:Chiropractic & Manual Therapies Vol. 31; no. 1; pp. 1 - 11
Autores principales: Buttagat, Vitsarut, Kluayhomthong, Sujittra, Areeudomwong, Pattanasin
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: BioMed Central 8/21/2023
Acceso en línea:Ver este registro en EBSCOhost
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        atl: 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.
      aug:
        au:
          Buttagat, Vitsarut
          Kluayhomthong, Sujittra
          Areeudomwong, Pattanasin
        affil: Department of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, 333 Moo1, Tasud Sub-district, Muang District, 57100, Chiang Rai, Thailand
      sug:
        subj:
          Head Physiology
          Posture Evaluation
          Vital Capacity Evaluation
          Combined Modality Therapy
          Massage Methods
          Medicine, Thai Traditional Methods
          Therapeutic Exercise Methods
          Chest Physical Therapy Methods
          Flexion Evaluation
          Treatment Outcomes
          Human
          Male
          Female
          Adolescence
          Young Adult
          Adult
          Middle Age
          Thailand
          Randomized Controlled Trials
          Random Assignment
          Single-Blind Studies
          Shoulder Physiology
          Neck Physiology
          Control Group
          Confidence Intervals
          Comparative Studies
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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