Comparision of Effectiveness of Isometric and Stretching Exercise in Pain Management among the Forward Head Posture Patients
Keywords:forward head posture, Neck pain, stretching exercise, isometric strength training, Visual analogue scale.
Background: Forward head posture (FHP) is an exaggerated anterior lower cervical curve and posterior
upper thoracic curve, leading to excessive anterior positioning of the head concerning a vertical reference
line, accompanying rounded shoulders with thoracic kyphosis, this Occurs due to imbalance between
posterior and anterior neck muscles, causing neck pain. Exercise treatments are effective in reducing FHP
alongside associated neck pain.
Methods: A cross-sectional study was conducted from May to October 2019 on 60 patients diagnosed
with FHP from different hospitals of Quetta and were equally distributed into two groups, each containing
30 participants. Group A was given stretching exercises and group B was given isometric exercises for 2
weeks. The visual analog scale was used to assess patients before and after treatment. Data were analyzed
by Statistical Package for Social Sciences (SPSS) version 23.
Result: Patients were having a mean age of +30.42, Most of them were males (n=34, 57.0%) and from age
group of 41-60 years (n=33, 55.0%). Moderate severity was reported by (n=41, 58.3%) and both cervical
and thoracic regions were involved in (n=36, 60.0%). Before treatment most of patients were having pain
intensity of 6 (n=21, 35.0%) and after treatment were having pain intensity 4 (n=24, 40.0%). There was
no significant difference in pain reduction between both interventional groups.
Conclusion: The study concludes that both techniques, the isometric strength training, and stretching
exercises are equally effective in correcting forward head posture and associated neck pain reduction.
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