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Postural alignment in static and dynamic conditions in adults with and without forward head posture
1Department of Physical Therapy, Graduate School, Catholic University of Pusan, Republic of Korea.
Turkish Journal of Physical Medicine and Rehabilitation
|June 17, 2026
Summary
Adults with forward head posture (FHP) exhibit altered spinal alignment in static and dynamic states. FHP is linked to increased thoracic kyphosis and coronal imbalance, plus greater sagittal imbalance during walking.
Area of Science:
- Biomechanical analysis
- Spinal health
- Posture assessment
Background:
- Forward head posture (FHP) is a prevalent condition affecting spinal alignment.
- Understanding FHP's impact on static and dynamic posture is crucial for effective management.
Purpose of the Study:
- To compare spinal alignment in static and dynamic postures between adults with and without FHP.
- To investigate differences in thoracic kyphosis, lumbar lordosis, and sagittal/coronal imbalance.
Main Methods:
- 28 participants were divided into FHP and non-FHP groups.
- Craniovertebral angle assessed FHP using MB-ruler software.
- 3D spinal analysis system measured spinal alignment during standing and walking (3, 5, 6 km/h).
Main Results:
- Static posture: FHP group showed significantly greater thoracic kyphotic angle and coronal imbalance.
- Dynamic posture (3 km/h walking): FHP group exhibited significantly higher sagittal imbalance.
Conclusions:
- Spinal alignment characteristics in both static and dynamic conditions are altered in individuals with FHP.
- These findings are vital for evaluating and managing adults with forward head posture.
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