The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Dorsal Neck Muscle Fatigue Affects Cervical Range of Motion and Proprioception in Adults with the Forward Head Posture

  • Yeo, Sang-Seok (Department of Physical Therapy, College of Health & Welfare, Dankook University) ;
  • Kwon, Jung-Won (Department of Physical Therapy, College of Health & Welfare, Dankook University)
  • Received : 2020.10.12
  • Accepted : 2020.10.20
  • Published : 2020.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was to investigate the effect of dorsal neck muscle fatigue on the cervical range of motion (CROM) and proprioception in adults with the forward head posture (FHP). Methods: Thirty pain-free subjects were enrolled in this study. All subjects were measured the forward head angle by taking the capture of the sagittal plane of their upper body to determine the FHP. Subjects were distributed into two groups: the FHP group (n=14) and Control group (n=16). All subjects were measured the CROM and the Head repositioning accuracy (HRA) for joint proprioception before and after inducing muscle fatigue of the dorsal neck. The CROM and HRA were measured in neck flexion, extension, right-left lateral flexion, and right-left rotation. Sorenson's test was used to induce muscle fatigue of the dorsal neck. Results: Total CROMs were significantly decreased after dorsal neck muscle fatigue in both groups (p<0.05). Total HRAs were significantly increased after dorsal neck muscle fatigue in the FHP group (p<0.05), but there were no significant differences in the control group (p>0.05). Total CROM changes were not significant differences between groups (p>0.05), but total HRA changes were significant differences between groups (p<0.05) except for right and left lateral flexion (p>0.05). Conclusion: Immediate CROM and proprioception reduction after the dorsal neck muscle fatigue were observed in adults with the FHP. Therefore, FHP can significantly affect the CROM and positioning consistency of cervical proprioception.

Keywords

References

  1. Haughie LJ, Fiebert IM, Roach KE. Relationship of forward head posture and cervical backward bending to neck pain. J Man Manip Ther. 1995;3(3):91-7. https://doi.org/10.1179/jmt.1995.3.3.91
  2. Kang JH, Park RY, Lee SJ et al. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012;36(1):98. https://doi.org/10.5535/arm.2012.36.1.98
  3. Garrett TR, Youdas JW, Madson TJ. Reliability of measuring forward head posture in a clinical setting. J Orthop Sports Phys Ther. 1993;17(3):155-60. https://doi.org/10.2519/jospt.1993.17.3.155
  4. Salahzadeh Z, Maroufi N, Ahmadi A et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskelet Rehabil. 2014;27(2):131-9. https://doi.org/10.3233/BMR-130426
  5. Nam KS, Kwon JW. The effects of head position in different sitting postures on muscle activity with/without forward head and rounded shoulder. J Korean Phys Ther. 2014;26(3):140-6.
  6. Reece A. Investigating the effects of subclinical neck pain, cervical treatment, and neck muscle fatigue on wrist joint position sense. Brock University. Dissertation of Master's Degree. 2019.
  7. Harman K, Hubley-Kozey CL, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. J Man Manip Ther. 2005;13(3):163-76. https://doi.org/10.1179/106698105790824888
  8. Lee SM, Lee CH, O'Sullivan D et al. Clinical effectiveness of a pilates treatment for forward head posture. J Phys Ther Sci. 2016;28(7):2009-13. https://doi.org/10.1589/jpts.28.2009
  9. Peolsson A, Kjellman G. Neck muscle endurance in nonspecific patients with neck pain and in patients after anterior cervical decompression and fusion. J Manipulative Physiol Ther. 2007;30(5):343-50. https://doi.org/10.1016/j.jmpt.2007.04.008
  10. Enoka RM, Stuart DG. Neurobiology of muscle fatigue. J Appl Physiol. 1992;72(5):1631-48. https://doi.org/10.1152/jappl.1992.72.5.1631
  11. Alsen P, Brink E, Persson LO. Living with incomprehensible fatigue after recent myocardial infarction. J Adv Nurs. 2008;64(5):459-68. https://doi.org/10.1111/j.1365-2648.2008.04776.x
  12. Portero R, Quaine F, Cahouet V et al. Influence of cervical muscle fatigue on musculo-tendinous stiffness of the head-neck segment during cervical flexion. PloS one. 2015;10(9):e0139333. https://doi.org/10.1371/journal.pone.0139333
  13. Kwon MS, Lee SH, Cho IR et al. Electromyography comparison of normal chair-desk system and assistant chair-desk system on fatigue. J Phys Ther Sci. 2015;27(10):3171-5. https://doi.org/10.1589/jpts.27.3171
  14. Reddy RS, Maiya AG, Rao SK. Effect of dorsal neck muscle fatigue on cervicocephalic kinaesthetic sensibility. Hong Kong Physiother J. 2012;30(2):105-9. https://doi.org/10.1016/j.hkpj.2012.06.002
  15. Stapley PJ, Beretta MV, Dalla Toffola E et al. Neck muscle fatigue and postural control in patients with whiplash injury. Clin Neurophysiol. 2006;117(3):610-22. https://doi.org/10.1016/j.clinph.2005.11.007
  16. Schieppati M, Nardone A, Schmid M. Neck muscle fatigue affects postural control in man. Neuroscience. 2003;121(2):277-85. https://doi.org/10.1016/S0306-4522(03)00439-1
  17. Al SAif AA, Al SenAny S. Determine the effect of neck muscle fatigue on dynamic visual acuity in healthy young adults. J Phys Ther Sci. 2015;27(1):259-63. https://doi.org/10.1589/jpts.27.259
  18. Schmid M, Schieppati M. Neck muscle fatigue and spatial orientation during stepping in place in humans. J Appl Physiol. 2005;99(1):141-53. https://doi.org/10.1152/japplphysiol.00494.2004
  19. Weon JH, Oh JS, Cynn HS et al. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. J Bodyw Mov Ther. 2010;14(4):367-74. https://doi.org/10.1016/j.jbmt.2009.06.006
  20. Stanton TR, Leake HB, Chalmers KJ et al. Evidence of impaired proprioception in chronic, idiopathic neck pain: systematic review and meta-analysis. Phys Ther. 2016;96(6):876-87. https://doi.org/10.2522/ptj.20150241
  21. Fitz-Ritson D. Phasic exercises for cervical rehabilitation after "whiplash" trauma. J Manipulative Physiol Ther. 1995;18(1):21.
  22. Jull G, Falla D, Treleaven J et al. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res. 2007;25(3):404-12. https://doi.org/10.1002/jor.20220
  23. Revel M, Minguet M, Gergoy P et al. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: A randomized controlled study. Arch Phys Med Rehabil. 1994;75(8):895-9. https://doi.org/10.1016/0003-9993(94)90115-5
  24. Fernandez-de-Las-Penas C, Cuadrado M, Pareja J. Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia. 2006;26(9):1061-70. https://doi.org/10.1111/j.1468-2982.2006.01162.x
  25. Ryu H. Effects of core exercise and neck stabilizing exercise on proprioception and balance in children with cerebral palsy due to premature birth. Daegu University. Dissertation of Doctorate Degree. 2015.
  26. Lee H. The effects of the cervical stabilizing exercise on cervical proprioception, shoulder strength and hand grip strength. Daegu University. Dissertation of Master's Degree. 2012.
  27. Lee H, Nicholson LL, Adams RD. Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain. J Manipulative Physiol Ther. 2005;28(1):25-32. https://doi.org/10.1016/j.jmpt.2004.12.005
  28. Nimbarte AD, Zreiqat MM, Chowdhury SK. Cervical flexion-relaxation response to neck muscle fatigue in males and females. J Electromyogr Kines. 2014;24(6):965-71. https://doi.org/10.1016/j.jelekin.2014.09.002
  29. Rowe PC, Marden CL, Flaherty MA et al. Impaired range of motion of limbs and spine in chronic fatigue syndrome. J Pediatr. 2014;165(2):360-6. https://doi.org/10.1016/j.jpeds.2014.04.051
  30. Descarreaux M, Lafond D, Cantin V. Changes in the flexion-relaxation response induced by hip extensor and erector spinae muscle fatigue. BMC Musculoskelet Disord. 2010;11(1):112. https://doi.org/10.1186/1471-2474-11-112
  31. Lee HM, Liau JJ, Cheng CK et al. Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech. 2003;18(9):843-7. https://doi.org/10.1016/S0268-0033(03)00151-7
  32. Voight ML, Hardin JA, Blackburn TA et al. The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. J Orthop Sports Phys Ther. 1996;23(6):348-52. https://doi.org/10.2519/jospt.1996.23.6.348
  33. Carpenter JE, Blasier RB, Pellizzon GG. The effects of muscle fatigue on shoulder joint position sense. Am J Sports Med. 1998;26(2):262-5. https://doi.org/10.1177/03635465980260021701
  34. Sharpe MH, Miles TS. Position sense at the elbow after fatiguing contractions. Exp Brain Res. 1993;94(1):179-82.
  35. Skinner H, Wyatt M, Hodgdon J et al. Effect of fatigue on joint position sense of the knee. J Orthop Res. 1986;4(1):112-8. https://doi.org/10.1002/jor.1100040115
  36. Yong MS, Lee HY, Lee MY. Correlation between head posture and proprioceptive function in the cervical region. J Phys Ther Sci. 2016;28(3):857-60. https://doi.org/10.1589/jpts.28.857
  37. Ha SY, Sung YH. A temporary forward head posture decreases function of cervical proprioception. J Exerc Rehabil. 2020;16(2):168. https://doi.org/10.12965/jer.2040106.053
  38. Pinsault N, Vuillerme N. Degradation of cervical joint position sense following muscular fatigue in humans. Spine. 2010;35(3):294-7. https://doi.org/10.1097/BRS.0b013e3181b0c889
  39. Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci. 2014;26(11):1741-3. https://doi.org/10.1589/jpts.26.1741