Research Article

Effect of Corrective Exercises on Cervicogenic Headache in Office Workers With Forward Head Posture

Abstract

Introduction: Headache is one of the prevalent health problems that impose huge costs on economy. One type of the headache is cervicogenic headache caused by bad posture of cervical spine. To know the effect of corrective exercises on cervical headache by improving range of motion in joints and retraining specific postural muscles like anterior and deep flexor muscles of the neck.
Materials and Methods: Based on inclusion and exclusion criteria, 30 individuals were randomly selected and divided into two groups; control (medicine) and interventional (exercises) groups with 15 participants in each group. A validated digital camera (Cannon A95 PowerShot) was used to determine Forward Head Posture (FHP). The landmarks of the FHP were marked by using white 12-mm markers that included earlobe, C7 spinous process, and acromion process. Patients performed stretching, strengthening, and corrective exercises after receiving training. The obtained data were analyzed by ANCOVA, Mann-Whitney U and Wilcoxon signed-rank tests.
Results: The average difference in the scores of cervical headache in the experimental group was less than that in the control group which was statistically significant (P<0.001). Mean difference in the scores of cervical pain duration among experimental group was less than the control group and this difference was statistically significant, too (P<0.05).
Conclusion: Corrective exercises had shown statistically significant effects on neck disability index, neck pain as well as on the pain intensity, its duration and frequency among office workers with FHP.

Rasmussen BK, Jensen R, Schroll M, Olesen J. Epidemiology of headache in a general population—A prevalence study. Journal of Clinical Epidemiology. 1991; 44(11):1147–57. [DOI:10.1016/0895-4356(91)90147-2]

Manzoni GC, Stovner LJ. Chapter 1 - Epidemiology of headache. In: Aminoff MJ, Boller F, Swaab DF, editors. Handbook of Clinical Neurology. Amsterdam: Elsevier; 2010. [DOI:10.1016/S0072-9752(10)97001-2]

Treleaven J, Jull G, Atkinson L. Cervical Musculoskeletal Dysfunction in Post-Concussional Headache. Cephalalgia. 1994; 14(4):273–9. [DOI:10.1046/j.1468-2982.1994.1404273.x]

Jull G, Barrett C, Magee R, Ho P. Further Clinical Clarification of the Muscle Dysfunction in Cervical Headache. Cephalalgia. 1999; 19(3):179–85. [DOI:10.1046/j.1468-2982.1999.1903179.x]

Karimi N, Moedi SE, Rahnama L, Arsalan SA, Abbas Nia S, et al. Assessment of the High-heel Shoes Effect on Head Protrusion Angle. Physical Treatments - Specific Physical Therapy. 2016; 6(2):109–14. [DOI:10.18869/nrip.ptj.6.2.109]

Abdollahzade Z, Shadmehr A, Malmir K, Ghotbi N. Effects of 4 week postural corrective exercise on correcting forward head posture. Journal of Modern Rehabilitation. 2017; 11(2):85-92.

Kang JH, Park RY, Lee SJ, Kim JY, Yoon SR, Jung KI. The Effect of The Forward Head Posture on Postural Balance in Long Time Computer Based Worker. Annals of Rehabilitation Medicine. 2012; 36(1):98. [DOI:10.5535/arm.2012.36.1.98]

Yip CHT, Chiu TTW, Poon ATK. The relationship between head posture and severity and disability of patients with neck pain. Manual Therapy. 2008; 13(2):148–54. [DOI:10.1016/j.math.2006.11.002]

Arslan SA, Hadian MR, Olyaei G, Bagheri H, Yekaninejad MS, Ijaz S, et al. Prevalence and Risk Factors of Low Back Pain Among the Office Workers of King Edward Medical University Lahore, Pakistan. Physical Treatments-Specific Physical Therapy Journal. 2016; 6(3):161-8. [DOI:10.18869/nrip.ptj.6.3.161]

Silva AG, Punt TD, Sharples P, Vilas-Boas JP, Johnson MI. Head posture assessment for patients with neck pain: Is it useful? International Journal of Therapy and Rehabilitation. 2009; 16(1):43–53. [DOI:10.12968/ijtr.2009.16.1.37939]

Levangie PK, Norkin CC. Joint structure and function: A comprehensive analysis. Philadelphia: FA Davis; 2011. [PMID]

Parsons J, Marcer N. Osteopathy: models for diagnosis, treatment and practice. Amsterdam: Elsevier Health Sciences; 2006.

Cheng CH, Wang JL, Lin JJ, Wang SF, Lin KH. Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. Journal of Electromyography and Kinesiology. 2010; 20(5):1014–20. [DOI:10.1016/j.jelekin.2009.11.002]

Chaitow L. Palpation skills: Assessment and diagnosis through touch. London: Churchill Livingstone; 1997.

Van Ettekoven H, Lucas C. Efficacy of Physiotherapy Including a Craniocervical Training Programme for Tension-Type Headache; A Randomized Clinical Trial. Cephalalgia. 2006; 26(8):983–91. [DOI:10.1111/j.1468-2982.2006.01163.x]

Biondi DM. Cervicogenic headache: Diagnostic evaluation and treatment strategies. Current Pain and Headache Reports. 2001; 5(4):361–8. [DOI:10.1007/s11916-001-0026-x]

Silva AG, Punt TD, Sharples P, Vilas-Boas JP, Johnson MI. Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons. Archives of Physical Medicine and Rehabilitation. 2009; 90(4):669–74. [DOI:10.1016/j.apmr.2008.10.018]

Fernandez-de-las-Penas C, Alonso-Blanco C, Cuadrado ML, Gerwin RD, Pareja JA. Myofascial Trigger Points and Their Relationship to Headache Clinical Parameters in Chronic Tension-Type Headache. Headache: The Journal of Head and Face Pain. 2006; 46(8):1264–72. [DOI:10.1111/j.1526-4610.2006.00440.x]

Jull G, Janda V. Muscles and motor control in low back pain: assessment and management. In: Twomey LT, Taylor JR, editors. New York, NY: Churchill Livingstone Inc; 1987. [PMCID]

Nam SH, Son SM, Kwon JW, Lee NK. The Intra- and Inter-rater Reliabilities of the Forward Head Posture Assessment of Normal Healthy Subjects. Journal of Physical Therapy Science. Society of Physical Therapy Science; 2013; 25(6):737–9. [DOI:10.1589/jpts.25.737]

Kotteeswaran K, Rekha K, Anandh V. Effect of stretching and strengthening shoulder muscles in protracted shoulder in healthy individuals. International Journal of Computer Application. 2012; 2(2):111-18.

Fleming R, Forsythe S, Cook C. Influential Variables Associated with Outcomes in Patients with Cervicogenic Headache. Journal of Manual & Manipulative Therapy. 2007; 15(3):155–64. [DOI:10.1179/106698107790819846]

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IssueVol 11 No 4 (2017) QRcode
SectionResearch Article(s)
Keywords
Headache Exercise training Neck muscles Posture Neck pain

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How to Cite
1.
Nobari M, Arslan SA, Hadian MR, Ganji B. Effect of Corrective Exercises on Cervicogenic Headache in Office Workers With Forward Head Posture. jmr. 2018;11(4):201-208.