Saturday, April 07, 2007

FORWARD HEAD POSTURE





FORWARD HEAD POSTURE


Forward head posture is a clinical entity that has been identified by multiple authors as a significant factor in a variety of musculoskeletal pain syndromes .
Donatelli R, Wooden M. 1989
Cailliet R , 1977
Haughie L J, Fiebert IM ,1995
Adaptive shortening of soft tissues and muscle weakness, caused by prolonged poor postural habits is considered to be a Postural dysfunction.
KISNER AND COLBY.
Therapeutic Exercise, 3rd edition,
Each inch the head is held forward of neutral, requires the exertion of 15 to 30 pounds of extra muscle tension to hold the head erect.
Increasing chronic loading on the vertebrae and intervertebral discs.
Rene Calliet, MD, 1985.
Dysfunction Mechanics
Mal-Posture is the common for causing Mechanical Dysfunction.
Cervical spine is stabilized by Soft tissues surrounding the joints.
In abnormal posture, Head & Neck is Counter balanced by passive tension in soft tissue structures.
The Most common dysfunction in Neck is Forward Head Posture.
FHP mechanics
A Neutral & Erect posture of Head & Neck provided by
Optimal balance,
Muscular coordination,
Minimal energy expenditure and
Minimal stress on supporting structures.
Any alteration in the Normal result in poor posture.

COMMON COMPLAINS
u Head ache
u Cervical Dysfunction
u Thoracic Outlet syndrome
u Cervical Spondylosis
u Breathing Difficulty
u TMJ Dysfunction
u Shoulder Impingement syndrome

Prevention & Treatment
u Strengthening of neck muscles by
Ø Stretching
Ø Breathing exercises
Ø Neck support by pillows
Ø Posture correction
Ø Ergonomic Advices

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