Lee Mi-Young, Lee Hae-Yong, Yong Min-Sik
Department of Physical Therapy, College of Health and Therapy, Daegu Haany University, Republic of Korea.
Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.
J Phys Ther Sci. 2014 Nov;26(11):1741-3. doi: 10.1589/jpts.26.1741. Epub 2014 Nov 13.
[Purpose] The purpose of this study was to investigate the effect of forward head posture (FHP) on proprioception by determining the cervical position-reposition error. [Subjects and Methods] A sample population was divided into two groups in accordance with the craniovertebral angle: the FHP group and the control group. We measured the craniovertebral angle, which is defined as the angle between a horizontal line passing through C7 and a line extending from the tragus of the ear to C7. The error value of the cervical position sense after cervical flexion, extension, and rotation was evaluated using the head repositioning accuracy test. [Results] There were significant differences in the error value of the joint position sense (cervical flexion, extension, and rotation) between the FHP and control groups. In addition, there was an inverse correlation between the craniovertebral angle and error value of the joint position sense. [Conclusion] FHP is associated with reduced proprioception. This result implies that the change in the muscle length caused by FHP decreases the joint position sense. Also, proprioception becomes worse as FHP becomes more severe.
[目的] 本研究的目的是通过测定颈椎位置重定位误差来探究头前伸姿势(FHP)对本体感觉的影响。[对象与方法] 根据颅椎角将样本人群分为两组:头前伸组和对照组。我们测量了颅椎角,其定义为经过C7的水平线与从耳屏延伸至C7的线之间的夹角。使用头部重定位准确性测试评估颈椎屈伸和旋转后颈椎位置觉的误差值。[结果] 头前伸组和对照组之间关节位置觉(颈椎屈伸和旋转)的误差值存在显著差异。此外,颅椎角与关节位置觉误差值之间存在负相关。[结论] 头前伸与本体感觉降低有关。该结果表明,头前伸引起的肌肉长度变化会降低关节位置觉。而且,随着头前伸程度加重,本体感觉会变得更差。