Dry Needling Effects of the Upper Trapezius Muscle on the Angles and Range of Motion of the Neck in Individuals with Forward Head Posture
,
Abstract
Introduction: Forward head posture (FHP) is one of the most common positional deviations. Frequent users often exhibit incorrect posture because of the rising popularity of media devices, such as smartphones and computers. This posture leads to changes in muscle activity in cervical flexion and extension. It is defined by hyperextension of the upper cervical vertebrae and forward translation of the cervical vertebrae. This study evaluates the effect of dry needles as a new method in the upper trapezius muscle on the neck’s angles and range of motion (ROM) in individuals with FHP.
Materials and Methods: In this quasi-experimental interventional study, 18 women with FHP underwent a dry needle session. The photogrammetry of the cranio-vertebral angle measured the degree of FHP. Visual analog scale (VAS), pain pressure threshold (PPT), cranio-vertebral angle (CVA) and cranio-horizontal angles (CHA), ROM, scapular index (SI), and forward shoulder translation (FST) were assessed before and after the intervention.
Results: The results demonstrated that after the intervention, right and left PPT, flexion, and proper neck rotation, right and left SI, CVA, and CHA were significantly improved (P<0.05).
Conclusion: The results showed that one session of dry needling with stretching exercises intervention could improve PPT, ROM, SI, CVA, and CHA and consequently improve FHP.
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3. Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MIV, Macfarlane GJ, et al. Risk factors for neck pain: A longitudinal study in the general population. Pain. 2001; 93(3):317-25. [DOI:10.1016/S0304-3959(01)00334-7] [PMID]
4. Hakala PT, Rimpelä AH, Saarni LA, Salminen JJ. Frequent computer-related activities increase the risk of neck-shoulder and low back pain in adolescents. European Journal of Public Health. 2006; 16(5):536-41. [DOI:10.1093/eurpub/ckl025] [PMID]
5. Braun BL, Amundson LR. Quantitative assessment of head and shoulder posture. Archives of Physical Medicine and Rehabilitation. 1989; 70(4):322-9. [PMID]
6. Cailliet R. Soft tissue pain and disability. Philadelphia: F.A. Davis; 1996. [Link]
7. McKenzie R. Treat your own neck. Raumati Beach (New Zealand): Spinal publications; 1983. [Link]
8. Ornstein S. Correcting neck posture: A key to pain relief.Neck Solutions; 2016. [Link]
9. Lee KJ, Han HY, Cheon SH, Park SH, Yong MS. The effect of forward head posture on muscle activity during neck protraction and retraction. Journal of Physical Therapy Science. 2015; 27(3):977-9. [DOI:10.1589/jpts.27.977] [PMID]
10. Kapandji A. The physiology of the joints. Amsterdam: Elsevier; 2002. [Link]
11. Thangavelu K, Moorthy A. Effect of craniocervical flexor training and cervical flexor training on sitting neck posture in patients with chronic neck pain; comparative study. Indian Journal of Physical Therapy. 2014; 2(1):66-70. [Link]
12. Gore DR, Sepic SB, Gardner GM. Roentgenographic findings of the cervical spine in asymptomatic people. Spine. 1986; 11(6):521-4. [DOI:10.1097/00007632-198607000-00003] [PMID]
13. Szeto GP, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Applied Ergonomics. 2002; 33(1):75-84. [DOI:10.1016/S0003-6870(01)00043-6] [PMID]
14. Hudes K. Treat your own neck. The Journal of the Canadian Chiropractic Association. 2007; 51(2):125. [Link]
15. Cailliet R. Soft tissue pain and disability. Philadelphia: F a Davis Co; 1988.
16. 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. Journal of Manual & Manipulative Therapy. 2005(13):163-76. [DOI:10.1179/106698105790824888]
17. Dommerholt J, Mayoral O, Gröbli C. Trigger point dry needling. Journal of Manual & Manipulative Therapy. 2006; 14(4):70E-87E. [DOI:10.1179/jmt.2006.14.4.70E]
18. Yeganeh Lari A, Okhovatian F, Naimi Ss, Baghban AA. The effect of the combination of dry needling and MET on latent trigger point upper trapezius in females. Manual Therapy. 2016; 21:204-9. [DOI:10.1016/j.math.2015.08.004] [PMID]
19. Dunning J, Butts R, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: A literature review with implications for clinical practice guidelines. Physical Therapy Reviews. 2014; 19(4):252-65. [DOI:10.1179/108331913X13844245102034] [PMID]
20. Yip CH, Chiu TT, Poon AT. 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] [PMID]
21. Brandt, T Krafczyk, S, and Malsbenden I. Postural imbalance with head extension: Improvement by training as a model for ataxia therapy. Annals of the New York Academy of Science. 1981; 374:636-49. [DOI:10.1111/j.1749-6632.1981.tb30907.x] [PMID]
22. German RM. Inhibitory kinesio tape application to the hamstring muscle group: An investigation of active range of motion and perceived tightness over time [ PhD dissertation]. Ohio: Kent State University; 2013. [Link]
23. Shih HS, Chen SS, Cheng SC, Chang HW, Wu PR, Yang JS, et al. Effects of Kinesio taping and exercise on forward head posture. Journal of Back and Musculoskeletal Rehabilitation. 2017; 30(4):725-33. [DOI:10.3233/BMR-150346] [PMID]
24. Ali MF, Elwardany SH, Alduraibi SK. Effect of kinesio taping in patients with mechanical neck dysfunction. The Medical Journal of Cairo University. 2015; 83(1):867-73. [Link]
25. Ruivo RM, Pezarat-Correia P, Carita AI. Effects of a resistance and stretching training program on forward head and protracted shoulder posture in adolescents. Journal of Manipulative and Physiological Therapeutics. 2017; 40(1):1-10. [DOI:10.1016/j.jmpt.2016.10.005] [PMID]
26. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983; 17(1):45-56. [DOI:10.1016/0304-3959(83)90126-4] [PMID]
27. Coleman EA, Goodwin JA, Coon SK, Richards K, Enderlin C, Kennedy R, et al. Fatigue, sleep, pain, mood, and performance status in patients with multiple myeloma. Cancer Nursing. 2011; 34(3):219-27. [DOI:10.1097/NCC.0b013e3181f9904d] [PMID]
28. Park G, Kim CW, Park SB, Kim MJ, Jang SH. Reliability and usefulness of the pressure pain threshold measurement in patients with myofascial pain. Annals of Rehabilitation Medicine. 2011; 35(3):412-7. [DOI:10.5535/arm.2011.35.3.412] [PMID]
29. Mamania JA, Anap DB, Tanksale D. Validity and reliability of ‘on protractor’ smartphone application for measurement of craniovertebral and cranio-horizontal angle, International Journal of Physiotherapy. 2017; 4(4):207-11. [DOI:10.15621/ijphy/2017/v4i4/154708]
30. Lee MH, Song JM, Lee M-H, Kim JS. The effect of neck exercises on neck and shoulder posture and pain in high school students. The Journal of Korean Physical Therapy. 2011; 23(1):29-35. [Link]
31. Youn JH, Sung DJ. The inflence of Mckenzie approach on head, shoulder posture of the patients with chronic neck pain. The Research Institute of Physical Education & Sports Sci. 1998; 17:79-90. [Link]
32. Kim TW, An DI, Lee HY, Jeong HY, Kim DH, Sung YH. Effects of elastic band exercise on subjects with rounded shoulder posture and forward head posture. Journal of Physical Therapy Science. 2016; 28(6):1733-7. [DOI:10.1589/jpts.28.1733] [PMID]
33. Subbarayalu AV. Measurement of craniovertebral angle by the Modified Head Posture Spinal Curvature Instrument: A reliability and validity study. Physiotherapy Theory and Practice. 2016; 32(2):144-52. [DOI:10.3109/09593985.2015.1099172] [PMID]
34. Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: Observational and photogrammetry methods. Journal of Back and Musculoskeletal Rehabilitation. 2014; 27(2):131-9. [DOI:10.3233/BMR-130426] [PMID]
35. Capuano-Pucci D, Rheault W, Aukai J, Bracke M, Day R, Pastrick M. Intratester and intertester reliability of the cervical range of motion device. Archives of Physical Medicine and Rehabilitation. 1991; 72(5):338-40. [PMID]
36. Fletcher JP, Bandy WD. Intrarater reliability of CROM measurement of cervical spine active range of motion in persons with and without neck pain. The Journal of Orthopaedic and Sports Physical Therapy. 2008; 38(10):640-5. [DOI:10.2519/jospt.2008.2680] [PMID]
37. Korooshfard N, Ramezanzade H, Arabnarmi B. Relationship of self esteem with forward head posture and round shoulder. Procedia - Social and Behavioral Sciences. 2011; 15:3698-702. [DOI:10.1016/j.sbspro.2011.04.358]
38. Peterson DE, Blankenship KR, Robb JB, Walker MJ, Bryan JM, Stetts DM, et al. Investigation of the validity and reliability of four objective techniques for measuring forward shoulder posture. The Journal of Orthopaedic and Sports Physical Therapy. 1997; 25(1):34-42. [DOI:10.2519/jospt.1997.25.1.34] [PMID]
39. Veerasamy S. The effectiveness of dry needling versus flurbiprofen LAT patch in the treatment of myofascial pain syndrome of the upper trapezius muscle [MA thesis]. Durban: Durban University of Technology; 2014. [Link]
40. Kim KH, Shin S, Kim DH. Optimal trapezius electrophysiological recording site. PM&R. 2020; 12(6):546-50. [DOI:10.1002/pmrj.12278] [PMID]
41. Lu J, Guo Y, Guo CQ, Shi XM, Du NY, Zhao RL, et al. Acupuncture with reinforcing and reducing twirling manipulation inhibits hippocampal neuronal apoptosis in spontaneously hypertensive rats. Neural Regeneration Research. 2017; 12(5):770-8. [DOI:10.4103/1673-5374.206648] [PMID]
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| Files | ||
| Issue | Vol 18 No 1 (2024) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v18i1.14726 | |
| Keywords | ||
| Forward head posture Upper trapezius Dry needle Pain pressure threshold | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Golzareh S, Shadmehr A, Otadi K, Fereydounnia S. Dry Needling Effects of the Upper Trapezius Muscle on the Angles and Range of Motion of the Neck in Individuals with Forward Head Posture. jmr. 2024;18(1):23-32.
