Effectiveness of orthotic devices in the treatment of forward head posture: A systematic review

Forward head posture (FHP), defined as the anterior positioning of the cervical spine where the head protrudes forward in relation to the body's vertical line, has become increasingly common, primarily due to sedentary lifestyles and extensive use of technology, impacting approximately 66% of the population. This condition frequently leads to secondary hyperkyphosis and various musculoskeletal problems, highlighting the urgent need for effective intervention strategies. A systematic review was performed across multiple databases, including Web of Science, PubMed, Scopus, and Google Scholar, encompassing studies published until June 2024. The review specifically targeted studies utilizing orthotic devices to address FHP. Two independent reviewers screened titles and abstracts, followed by comprehensive data extraction using a standardized form. The review included 10 studies involving a total of 450 patients with FHP. The findings demonstrated that orthotic devices significantly enhance postural parameters, notably improving spinal alignment and reducing FHP. However, the studies also underscored the necessity for better device design to improve comfort and usability for patients. Orthotic devices exhibit considerable potential in improving postural conditions associated with FHP. Future research should concentrate on optimizing device design and examining long-term effectiveness to enhance clinical application and patient outcomes.