The Effect of Cervical Stabilization Exercises with Thoracic Spine Extension Exercises on Forward Head Posture

This study was aimed at comparing the effects of cervical stabilization exercises with thoracic spine extension exercises and cervical stabilization exercises with breathing exercises on head posture in subjects with the forward head posture (FHP). FHP is a poor habitual neck posture that is defined by the forward translation of the cervical vertebrae and hyperextension of the upper cervical vertebrae. Continuous FHP adds the load to posterior cervical structures, for instance, ligament, and transforms scapular kinetics and kinematics, and affects the quality of life and activities of daily living. The study included 30 adults with FHP, with 15 participants in each group. The experimental group was asked to perform cervical stabilization exercises with thoracic spine extension exercises, and the control group was asked to perform cervical stabilization exercises with breathing exercises. After 4 weeks of exercise, the changes in head posture (cranial rotation angle and craniovertebral angle) were measured again. Craniovertebral angle and craniovertebral angle were assessed using digital, lateral-view photographs of the subjects in their usual standing postures. The results showed that there was a significant difference between experimental group and control group before and after exercise (p < 0.05). In between-group comparison, there were significant differences noted in craniovertebral angle and cranial rotation angle in the experimental group compared to the control group (p < 0.05). Both two groups affect cranial rotation angle, craniovertebral angle, and postural alignment, but it is believed that cervical stabilization exercises with thoracic spine extension exercises directly affect the thoracic and cervical spines. As a result, cervical stabilization exercises and thoracic spine extension exercises are recommended to improve postural alignment.