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Impact of adding scapular stabilization to postural correctional exercises on symptomatic forward head posture: a
Alshaymaa S Abd El-Azeim1, Amira G Mahmoud2, Marwa T Mohamed3
1Basic Science Department, Faculty of Physical Therapy, Cairo University, Giza, Egypt - alshaymaa.shaaban@pt.cu.edu.eg.
Summary
Adding scapular stabilization exercises (SSE) to postural correction exercises (PCE) significantly improves forward head posture (FHP). SSE combined with PCE offers a more effective management strategy for FHP symptoms and functional improvements.
Area of Science:
- Physical Therapy
- Rehabilitation Medicine
- Musculoskeletal Health
Background:
- Forward head posture (FHP) is a prevalent postural abnormality characterized by anterior head displacement.
- Scapular stabilization exercises (SSE) can help restore optimal head and thoracic alignment through improved neck and shoulder muscle function.
Purpose of the Study:
- To evaluate the efficacy of incorporating SSE into postural correction exercises (PCE) for managing symptomatic FHP.
- To compare the combined approach with PCE alone in improving FHP-related outcomes.
Main Methods:
- A randomized experimental trial with single-blinded assessors was conducted.
- Sixty participants (20-35 years) with symptomatic FHP were randomly assigned to two groups.
- Group A received SSE and PCE; Group B received PCE only, for 10 weeks, three times weekly.
Main Results:
- Both interventions showed statistically significant improvements (P < 0.05) from baseline to post-treatment.
- The group receiving SSE combined with PCE demonstrated greater improvements across all measured variables compared to PCE alone.
- Significant clinical changes were observed specifically in disability reduction.
Conclusions:
- Combining SSE with PCE is a more effective strategy for managing FHP than PCE alone.
- Both exercise types enhance craniovertebral angle and pressure pain threshold while reducing muscle activity and disability.
- SSE augmentation shows superior effects on craniovertebral angle, PPT, muscle activity, and disability in FHP management.
