Balthillaya M Ganesh, Bhat Shyamasunder N, H Shalini, Rao Bhamini Krishna
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.
Department of Orthopaedics, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, India.
Asian Spine J. 2025 Jul 25. doi: 10.31616/asj.2024.0398.
Randomized controlled study.
To investigate the immediate effect of posture correction taping on neck pain, neck range of motion (ROM), and scapulothoracic muscle activity in individuals with forward head posture (FHP) and mechanical neck pain (MNP).
MNP is a common complaint among individuals with FHP. Poor posture is a major contributing factor to MNP. Taping is a treatment technique used to correct FHP with MNP, but its effectiveness in reducing neck pain, improving ROM, and altering muscle activity requires further investigation.
Forty-two patients with FHP and MNP were randomly assigned to either a taping group or a control group. Both groups received common treatments including mobilization of the hypomobile joints of cervicothoracic spine and ribcage joints, stretching of shortened muscles of the upper back and neck, and stabilization exercises for neck and scapular muscles. The taping group received additional posture correction taping. Pain intensity and neck ROM were assessed at baseline and 48 hours after the first treatment session. Electromyogram (EMG) activity of the scapulothoracic muscles was recorded before and immediately after taping.
Both groups reported reduced pain intensity after 48 hours of intervention, with significantly lower pain intensity in the taping group. The taping group also demonstrated significant improvement in extension ROM compared with the baseline. There was no significant change in other neck ROM and no between-group difference in ROM 48 hours after intervention. EMG activity revealed reduced upper trapezius activity and increased middle trapezius and serratus anterior activity immediately after taping.
Posture correction taping may help reduce pain intensity, improve ROM, and alter scapulothoracic muscle activity in individuals with MNP and FHP. These results may be of interest for the development of posture correction interventions for this population.
随机对照研究。
探讨姿势矫正贴扎对有头前伸姿势(FHP)和机械性颈部疼痛(MNP)个体的颈部疼痛、颈部活动范围(ROM)以及肩胛胸廓肌肉活动的即时影响。
MNP是FHP个体的常见主诉。不良姿势是MNP的主要促成因素。贴扎是一种用于矫正伴有MNP的FHP的治疗技术,但其在减轻颈部疼痛、改善ROM以及改变肌肉活动方面的有效性需要进一步研究。
42例患有FHP和MNP的患者被随机分为贴扎组或对照组。两组均接受常规治疗,包括对颈胸椎和胸廓关节活动受限处进行松动、拉伸上背部和颈部缩短的肌肉以及进行颈部和肩胛肌肉的稳定化练习。贴扎组还接受额外的姿势矫正贴扎。在基线和首次治疗 session 后48小时评估疼痛强度和颈部ROM。在贴扎前和贴扎后立即记录肩胛胸廓肌肉的肌电图(EMG)活动。
两组在干预48小时后均报告疼痛强度降低,贴扎组的疼痛强度显著更低。与基线相比,贴扎组在伸展ROM方面也表现出显著改善。其他颈部ROM没有显著变化,干预后48小时ROM的组间差异也不存在。EMG活动显示贴扎后立即上斜方肌活动减少,中斜方肌和前锯肌活动增加。
姿势矫正贴扎可能有助于减轻患有MNP和FHP个体的疼痛强度、改善ROM并改变肩胛胸廓肌肉活动。这些结果可能对为该人群开发姿势矫正干预措施具有意义。