Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Oct 5:2020:8327565.
doi: 10.1155/2020/8327565. eCollection 2020.

Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly

Affiliations

Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly

Isha Sikka et al. Biomed Res Int. .

Abstract

In contemporary societies, computer use by children is a necessity and thus highly prevalent. Using computers for long hours is related to a higher risk of computer-related muscular disorders like forward head posture (FHP) and neck pain (NP). Deep cervical flexor (DCF) muscles are important head-on-neck posture stabilizers; thus, their training may lead to an improvement in FHP and NP. The aim of this study was to determine if 4 weeks of DCF training is effective in alleviating NP, improving FHP, and functional status in adolescent children using computers regularly, a pretest-posttest experimental group design was used. Subjects were randomly assigned into the experimental group (receiving DCF training and postural education) and the control group (receiving postural education only). 30 subjects with a mean age of 15.7 ± 1.725 years with NP and FHP using computers regularly participated in the study. Dependent variables were measured on day 1 (at baseline) and after 4 weeks of training. Photographic analysis was used for measuring FHP, visual analog scale for NP intensity, and neck disability index for functional status. Data analysis showed that in both groups, no significant improvement occurred in FHP. In both groups, there was a significant improvement in functional status and NP. There was no significant difference between both groups for FHP and NP. There was a significant improvement in functional status in the experimental group in comparison to the control group. Four weeks of DCF training does not cause a significant improvement in FHP in 13 to 18 years old adolescent children using computers regularly.

PubMed Disclaimer

Conflict of interest statement

The authors declare that there is no conflict of interest regarding the publication of this paper.

Figures

Figure 1
Figure 1
Graph depicting CVA, NDI, and VAS Pre and Post mean values in the experimental group.
Figure 2
Figure 2
Graph depicting CVA, NDI, and VAS Pre and Post mean values in the control group.

Similar articles

Cited by

References

    1. Hoftun G. B., Romundstad P. R., Zwart J.-A., Rygg M. Chronic idiopathic pain in adolescence–high prevalence and disability: the young HUNT Study 2008. Pain®. 2011;152(10):2259–2266. doi: 10.1016/j.pain.2011.05.007. - DOI - PubMed
    1. Falla D., Jull G., Hodges P. Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Experimental Brain Research. 2004;157(1):43–48. doi: 10.1007/s00221-003-1814-9. - DOI - PubMed
    1. Silva A. G., Sharples P., Johnson M. I. Studies comparing surrogate measures for head posture in individuals with and without neck pain. Physical Therapy Reviews. 2013;15(1):12–22.
    1. Schomacher J., Falla D. Function and structure of the deep cervical extensor muscles in patients with neck pain. Manual Therapy. 2013;18(5):360–366. doi: 10.1016/j.math.2013.05.009. - DOI - PubMed
    1. Day J. C., Janus A., Davis J. Computer and Internet Use in the United States: 2003 Special Studies, US Census Bureau Current Population Report. 2005