Effects of Cervical Spine Mobilization on Autonomic Function in Individuals with Forward Head Posture

Cervical Spine Mobilization in Individuals with Forward Head Posture

Authors

  • Sobia Hasan Faculty of Health Science, Iqra University, North Campus Karachi, Pakistan
  • Alliya Batool Haidery 2Pakistan Center for Autism, Karachi, Pakistan
  • Qudsia Amir 3Department of Rehabilitation, Jinnah Postgraduate Medical Center, Karachi, Pakistan
  • Abdullah Arshad Department of Rehabilitation, Memon Medical Institute, Karachi, Pakistan
  • Rimsha Ali Faculty of Health Science, Iqra University, North Campus Karachi, Pakistan
  • Syeda Faryal Fatima Rizvi Department of Physical Therapy, Shaheed Mohtarma Benazir Bhutto Institute of Trauma, Karachi, Pakistan
  • Lubna Ilyas Nisar Fatima Medical Center, Karachi, Pakistan

DOI:

https://doi.org/10.55735/hjprs.v4i4.273

Keywords:

Cervical mobilization, Forward head posture, Blood pressure,, Pulse rate, Respiratory Rate

Abstract

Background: Forward head posture is a prevalent postural issue associated with several systemic effects, such as reduced respiratory capacity and altered cardiovascular function. Objective: This study examines the impact of cervical spine mobilization on the parasympathetic nervous system in individuals with FHP. Methodology: This descriptive cross-sectional survey was conducted at SUIT, Peshawar in the Department of Physical Therapy. The study was conducted over 6 months on 98 Doctor of Physical Therapy Students. Non-probability convenience sampling technique was used to enroll students of DPT program in 6th, 8th, and 10th semesters at SUIT, Peshawar. After obtaining approval from the university's ethical committee, the consent for participation was secured. Data was collected using a questionnaire that included demographic information filled out by each participant. The osteoporosis knowledge assessment tool was employed, consisting of 20 questions with options for true, false, or don’t know. The analysis included demographic data based on age, gender, and semester of the participants, and results were presented in tables and graphs. Results: Participants had a mean age of 33.23±9.05 years, with 63.7% being male. Before mobilization, blood pressure was classified into three groups: 35.4% of participants had systolic BP between 100-120 mmHg, 38.1% had BP between 120-130 mmHg, and 26.5% had BP above 130 mmHg. Pulse rate ranged

References

Sheikhhoseini R, Shahrbanian S, Sayyadi P, O'Sullivan K. Effectiveness of Therapeutic Exercise on Forward Head Posture: A Systematic Review and Meta-analysis. Journal of Manipulative and Physiological Therapeutics 2018; 41(6): 530-9.

Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Current Reviews in Musculoskeletal Medicine 2019; 12(4): 562-77.

Moustafa IM, Youssef A, Ahbouch A, Tamim M, Harrison DE. Is forward head posture relevant to autonomic nervous system function and cervical sensorimotor control? Cross sectional study. Gait & Posture 2020; 77: 29-35.

Koseki T, Kakizaki F, Hayashi S, Nishida N, Itoh M. Effect of forward head posture on thoracic shape and respiratory function. Journal of Physical Therapy Science 2019; 31(1): 63-8.

Wang H, Gao X, Shi Y, Wu D, Li C, Wang W. Effects of trunk posture on cardiovascular and autonomic nervous systems: A pilot study. Frontiers in Physiology 2022; 13: 1009806.

Lee JH. Effects of forward head posture on static and dynamic balance control. Journal of Physical Therapy Science 2016; 28(1): 274-7.

Chu ECP, Lo FS, Bhaumik A. Plausible impact of forward head posture on upper cervical spine stability. Journal of Family Medicine And Primary Care 2020; 9(5): 2517-20.

McCorry LK. Physiology of the autonomic nervous system. American Journal of Pharmaceutical Education 2007; 71(4): 78.

Naz A, Bashir MS, Noor R. Prevalance of forward head posture among university students. Rawal Medical Journal 2018; 43(2): 260-2.

Sung YH. Suboccipital Muscles, Forward Head Posture, and Cervicogenic Dizziness. Medicina (Kaunas, Lithuania) 2022; 58(12).

Kong YS, Kim YM, Shim JM. The effect of modified cervical exercise on smartphone users with forward head posture. Journal of Physical Therapy Science 2017; 29(2): 328-31.

Duani V. An investigation into the role of forward head posture as an associated factor in the presentation of episodic tension-type and cervicogenic headaches; 2010.

Snodgrass SJ, Rivett DA, Robertson VJ. Manual forces applied during cervical mobilization. Journal of Manipulative and Physiological Therapeutics 2007; 30(1): 17-25.

Lagoutaris C, Sullivan J, Hancock M, Leaver AM. Approaches to cervical spine mobilization for neck pain: a pilot randomized controlled trial. Chiropractic & Manual Therapies. 2020 Dec;28:1-8.

Neveen A, Basem MM, Mohamed R. Comparison between Immediate Effect of Postero-Anterior and Antero-Posterior Cervical Mobilization on Chronic Mechanical Neck Pain. The Medical Journal of Cairo University 2019; 87(December): 4999-5003.

Lee S, Lee Y. The Effect of Upper Cervical Manipulation on Autonomic Nervous System in Young Healthy Individuals. Physical Therapy Rehabilitation Science 2021; 10(2): 134-40.

Rechberger V, Biberschick M, Porthun J. Effectiveness of an osteopathic treatment on the autonomic nervous system: a systematic review of the literature. European Journal of Medical Research 2019; 24(1): 36.

Downloads

Published

06/30/2024

How to Cite

Hasan, S., Haidery, A. B. ., Amir, Q., Arshad, A. . ., Ali, R., Rizvi , S. F. F. ., & Ilyas, L. . (2024). Effects of Cervical Spine Mobilization on Autonomic Function in Individuals with Forward Head Posture: Cervical Spine Mobilization in Individuals with Forward Head Posture. The Healer Journal of Physiotherapy and Rehabilitation Sciences, 4(4), 1–6. https://doi.org/10.55735/hjprs.v4i4.273

Issue

Section

Articles

Categories