Hamzelouie Reza, Arazpour Mokhtar, Bahramizadeh Mahmood, Abdollahi Iraj, Biglarian Akbar, Shokri Yasna
Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Department of Physical Therapy, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
J Rehabil Assist Technol Eng. 2025 Jul 29;12:20556683251362878. doi: 10.1177/20556683251362878. eCollection 2025 Jan-Dec.
Forward head posture (FHP), defined as the anterior positioning of the cervical spine where the head protrudes forward in relation to the body's vertical line, has become increasingly common, primarily due to sedentary lifestyles and extensive use of technology, impacting approximately 66% of the population. This condition frequently leads to secondary hyperkyphosis and various musculoskeletal problems, highlighting the urgent need for effective intervention strategies. A systematic review was performed across multiple databases, including Web of Science, PubMed, Scopus, and Google Scholar, encompassing studies published until June 2024. The review specifically targeted studies utilizing orthotic devices to address FHP. Two independent reviewers screened titles and abstracts, followed by comprehensive data extraction using a standardized form. The review included 10 studies involving a total of 450 patients with FHP. The findings demonstrated that orthotic devices significantly enhance postural parameters, notably improving spinal alignment and reducing FHP. However, the studies also underscored the necessity for better device design to improve comfort and usability for patients. Orthotic devices exhibit considerable potential in improving postural conditions associated with FHP. Future research should concentrate on optimizing device design and examining long-term effectiveness to enhance clinical application and patient outcomes.
头部前倾姿势（FHP），定义为颈椎向前定位，即头部相对于身体垂直线向前突出，这种情况越来越普遍，主要是由于久坐不动的生活方式和技术的广泛使用，影响了约66%的人口。这种情况经常导致继发性脊柱后凸和各种肌肉骨骼问题，凸显了对有效干预策略的迫切需求。我们在多个数据库中进行了系统综述，包括科学网、PubMed、Scopus和谷歌学术，涵盖截至2024年6月发表的研究。该综述特别针对利用矫形器械解决FHP的研究。两名独立评审员筛选标题和摘要，然后使用标准化表格进行全面的数据提取。该综述纳入了10项研究，共涉及450例FHP患者。研究结果表明，矫形器械显著改善了姿势参数，特别是改善了脊柱排列并减少了FHP。然而，研究也强调了改进器械设计以提高患者舒适度和可用性的必要性。矫形器械在改善与FHP相关的姿势状况方面具有相当大的潜力。未来的研究应集中在优化器械设计和研究长期有效性，以加强临床应用和改善患者预后。
