Yang Seoyon, Boudier-Revéret Mathieu, Yi You Gyoung, Hong Kee Yong, Chang Min Cheol
Department of Rehabilitation Medicine, School of Medicine, Ewha Woman's University Seoul Hospital, Seoul 07804, Republic of Korea.
Department of Physical Medicine and Rehabilitation, Centre Hospitalier de l'Université de Montréal, Montreal, QC H2X 0A9, Canada.
Healthcare (Basel). 2023 Sep 22;11(19):2604. doi: 10.3390/healthcare11192604.
(1) Background: Forward head posture (FHP) is one of the most common cervical postural deviations and is characterized by head protrusion or forward head placement in relation to the shoulder in the sagittal plane. Patients with FHP often experience neck pain and disability. The aim of this study was to investigate whether treatment programs are effective in the management of neck pain in patients with FHP. (2) Methods: A MEDLINE (PubMed), Embase, Cochrane Library, and Scopus database search was conducted for English language articles on patients with chronic neck pain and FHP published until 12 April 2023. To identify potentially relevant articles, the following key search phrases were combined: 'forward head posture' and 'pain'. After searching, 2516 potentially relevant articles were identified. After reading the titles and abstracts and assessing their eligibility based on full-text articles, 16 articles were included in this review. (3) Results: Among the 16 studies that investigated the efficacy of treatment programs for managing chronic pain in patients with FHP, 11 investigated the effect of exercise programs, and 5 investigated the effect of manual therapy. Patients reported significant improvement in pain and disability after receiving treatment programs such as corrective postural exercises and special manual therapy techniques. (4) Conclusions: Various treatment programs, including postural corrective exercises and manual therapy, are beneficial for improving pain and disability in patients with FHP.
(1) 背景：头前伸姿势（FHP）是最常见的颈椎姿势偏差之一，其特征是在矢状面内头部相对于肩部突出或向前移位。FHP患者常经历颈部疼痛和功能障碍。本研究的目的是调查治疗方案对FHP患者颈部疼痛的管理是否有效。(2) 方法：对MEDLINE（PubMed）、Embase、Cochrane图书馆和Scopus数据库进行检索，查找截至2023年4月12日发表的关于慢性颈部疼痛和FHP患者的英文文章。为了识别潜在相关文章，将以下关键搜索短语组合在一起：“头前伸姿势”和“疼痛”。检索后，识别出2516篇潜在相关文章。在阅读标题和摘要并根据全文评估其合格性后，本综述纳入了16篇文章。(3) 结果：在16项研究FHP患者慢性疼痛管理治疗方案疗效的研究中，11项研究了运动方案的效果，5项研究了手法治疗的效果。患者在接受如矫正姿势锻炼和特殊手法治疗技术等治疗方案后，疼痛和功能障碍有显著改善。(4) 结论：包括姿势矫正锻炼和手法治疗在内的各种治疗方案，对改善FHP患者的疼痛和功能障碍有益。
