Postural Correction Exercises Research Articles

Effectiveness of Virtual Reality on Rehabilitation of Chronic Non-Specific Low Back Pain Patients.

Virtual reality (VR) is used extensively for musculoskeletal conditions, but its efficacy in chronic low back pain still needs more investigation. To discuss the effectiveness of VR on selected outcomes in Chronic Non-Specific Low Back Pain (CNSLBP). Thirty-five patients with CNSLBP joined this study. Postural correction exercises using the TBed VR gaming system in addition to hamstring stretching were employed, and moist heat on the low back was applied. Pre- and post-intervention values of pain, ROM, function, and balance (overall stability index) were obtained using the numerical rating pain scale (NPRS), Oswestry Disability Index, back range of motion (BROM), and Biodex system. Satisfaction level on a 1-10 scale and the degree of commitment to the exercise sessions were assessed after the intervention. The patients completed the intervention period and outcome measures sessions. Paired t-tests reported statistically significant improvements and high effect size in pain, ROM, function, and balance after the end of the treatment (p < 0.001, Cohen's d > 0.69). The level of satisfaction was 9.25 ± 0.766, and the commitment to exercise sessions was high (98.75% attendance rate). Applying postural correction using TBed VR gaming in addition to heat and stretching may improve pain, range of motion, function, and balance in patients with chronic low back pain.

Efficacy of head postural correction program on craniovertebral angle, scapular position, and dominant hand grip strength in forward head posture subjects: A randomized controlled trial.

Forward head posture (FHP) is a common postural disorder that alters shoulder function. This study examined the efficacy of a corrective program involving postural correction exercises (PCEs), scapular stabilization exercises (SSEs), and kinesiotaping (KT) on improving craniovertebral angle (CVA), scapular position, and dominant hand grip strength (HGS) in individuals with FHP. Sixty subjects (8 males and 52 females, 18-40years old) were randomly allocated into four equal groups: Group A: received PCEs only, Group B: received PCEs and SSEs, Group C: received PCEs and KT, Group D: received PCEs, SSEs and KT. All subjects received treatment for 4weeks (4 times/week) and postural advice. Outcome measures included cranio-vertebral angle (CVA), scapular position using Lateral Scapular Slide Test and dominant HGS using a CAMRY dynamometer that were assessed at baseline and 4weeks post intervention. Comparing all groups post training revealed that there were statistically significant increases (p<0.05) in all measured variables (CVA, scapular position and dominant HGS) in favor of group (D). Combination of PCEs, SSEs and KT interventions has achieved the best gains in terms of CVA, dominant HGS and regaining optimal scapular position in FHP subjects.

Preventive education on adolescent idiopathic scoliosis in junior high school students at Surakarta

Adolescent idiopathic scoliosis (AIS) is a structural disorder of the vertebrae characterized by vertebral curvature exceeding 10°, commonly identified in children aged 10-18 years. Several contributing factors for AIS include genetic factors, abnormalities in connective tissue and skeletal muscles, biomechanical factors, and the use of school bags with associated weight. The primary issue identified from the preliminary study is the relatively high AIS rate, reaching 10.2%, with no previous preventive education programs implemented for students. The targeted participants for this program are students from Muhammadiyah Middle School 5 and Muhammadiyah Middle School 7 in Surakarta. The team conducted AIS prevention health education sessions in April-May 2023 for students aged 12-15 years. The educational activities involved the use of informative materials such as pocket books and videos, covering topics like the definition of Adolescent Idiopathic Scoliosis, physical examination methods for AIS, and preventive measures through posture correction exercises and the proper use of school bags.Results from the influence test, employing the Paired Sample T-Test, indicate a Sig. (2-tailed) value of 0.023. This implies a significant difference in the average knowledge level before and after receiving education on AIS prevention.

Optimising Rehabilitation Strategies for Postpartum Elderly Gravida with In Vitro Fertilisation Conception

Optimising Rehabilitation Strategies for Postpartum Elderly Gravida with In Vitro Fertilisation Conception

12주간 전방머리자세 교정운동이 발달장애 청소년의 머리자세, 평형성 및 집중력에 미치는 영향

12주간 전방머리자세 교정운동이 발달장애 청소년의 머리자세, 평형성 및 집중력에 미치는 영향

Comparison of neck muscle strength, range of motion, and craniovertebral angle among Malaysian young adults using different electronic devices

&lt;b&gt;Aim: &lt;/b&gt;Prolonged use of electronic devices (EDs) and adopting poor posture during ED usage might lead to musculoskeletal disorders among young adults and adolescents. Hence, this study compares neck muscle strength, range of motion (ROM), and craniovertebral angle (CVA) among Malaysian young adults using different EDs.&lt;br /&gt; &lt;b&gt;Methods: &lt;/b&gt;A cross-sectional study using a quantitative study design was applied to compare neck muscle strength, ROM, and CVA between laptop and tablet users of Malaysian young adults. The population of this study covers young adults residing in Selangor, Malaysia. Among them, 30 laptop users and 30 tablet users were selected using the selection criteria and criterion-based sampling method. The data analysis was carried out with SPSS 20.0 at a 5% level of significance.&lt;br /&gt; &lt;b&gt;Results:&lt;/b&gt; There was no significant difference between the laptop and tablet users concerning neck muscle strength and CVA. However, a significant difference was observed only in the neck extension ROM between laptop and tablet users. The mean neck extension ROM is lower in tablet users than in their counterparts. The mean CVA of laptop and tablet users was less than 50 degrees, indicating severe FHP. Most laptop users (73.3%) were categorized into severe FHP than tablet users (53.3%).&lt;br /&gt; &lt;b&gt;Conclusion:&lt;/b&gt; The mean neck extension ROM is lower in tablet users than in laptop users. Most laptop users had severe FHP than tablet users. Hence, Malaysian young adults should adhere to the appropriate duration of ED usage, ergonomics while using ED. and postural correction exercises to prevent and reduce musculoskeletal problems.

PENGARUH KOREKSI POSTUR TERHADAP PENURUNAN NYERI PINGGANG BAWAH PADA MAHASISWA SEBAGAI DAMPAK KEGIATAN PEMBELAJARAN SECARA VIRTUAL

Sitting for long hours during virtual learning will cause a musculoskeletal disorder in the lower spine which is commonly known as low back pain.Interventions that can be done to treat low back pain are through posture correction exercises, which are exercises to correct unstable muscles, bad posture and muscle pain caused by changes in posture by teaching someone good posture.Objective: To determine the effect of posture correction on reducing low back pain in college students. Research design: pre-experimental using a "one-group pretest-posttest" design.The research population was all Physiotherapy students at the Jakarta III Polytechnic of the Ministry of Health.The results of the sample count were 17 people.The independent variable in this study was the posture correction exercise intervention.The dependent variable is low back pain.This research was conducted in April – September 2022. Data collection used a low back pain assessment instrument and then provided posture correction interventions.Data analysis was performed using univariate and bivariate.The results of the statistical test proved that there was a significant difference in the average lower back pain in college students between before and after the intervention (p = 0.0001).Suggestion: So that students can practice Posture Correction regularly, so that lower back pain will be felt even less.&#x0D; Keywords: Posture Correction, low back pain.

POSTURAL CORRECTION PADA INTERVENSI INIT DAN ULTRASOUND THERAPY DALAM MENURUNKAN DISABILITAS PADA NYERI LEHER NON SPESIFIK

Pendahuluan: Nyeri leher non spesifik jika tidak ditindaklanjuti dengan tepat akan berdampak pada aktivitas, produktivitas dan pendapatan serta kualitas hidup seseorang. Penatalaksanaan klinis kasus ini dapat berupa terapi Integrated Neuromuscular Inhibition Technique (INIT) dan Ultrasound Therapy yang dikombinasikan dengan postural correction. Tujuan dari penelitian ini adalah untuk mengetahui efektivitas kombinasi postural correction, INIT dan Ultrasound Therapy dalam mengurangi disabilitas leher pada pasien nyeri leher non spesifik.&#x0D; Metode: Penelitian ini merupakan quasi eksperimental dengan jenis rancangan one group pre-test and post-test group design. Penelitian dilakukan di praktek mandiri fisioterapi di Denpasar dan Badung, Bali terhitung mulai bulan Agustus-September 2022. Terdapat 12 orang sampel yang diberikan intervensi sebanyak tiga kali tiap minggu selama empat minggu. Pengukuran disabilitas dilakukan dengan Neck Disability Index (NDI).&#x0D; Hasil: Hasil uji hipotesis berpasangan pada kelompok didapatkan nilai p&lt;0,001 yang menyatakan bahwa terdapat perubahan yang signifikan sebelum dan sesudah intervensi.&#x0D; Simpulan: Intervensi Postural Control, Integrated Neuromuscular Inhibition Technique dengan Ultrasound Therapy dapat mengurangi disabilitas leher pada penderita nyeri leher non spesifik di Indonesia. Data yang didapat bermanfaat bagi peneliti dan praktisi di ranah klinis untuk mengimplementasikan hasil penelitian pada populasi nyeri leher non-spesifik.&#x0D; &#x0D; Kata kunci: postural correction, init, ultrasound therapy, nyeri leher non spesifik

Efficacy of Pulmonary Rehabilitation in Pulmonary Tuberculosis Sequelae with Cystic Bronchiectasis and Pulmonary Hypertension

Cystic bronchiectasis, also known as saccular bronchiectasis (a severe type of bronchiectasis), is a condition that occurs as a complication and sequelae after pulmonary Tuberculosis (TB). There is chronic permanent dilation of bronchi that occurs after destructive changes in elastic and muscular layers of bronchial walls which further leads to the ballooning of bronchi and difficulty in clearing secretions with recurrent infection of the respiratory tract. Pulmonary hypertension is another major complication after bronchiectasis which affects pulmonary circulation. A 44-year-old female reported to the physiotherapy department with cystic bronchiectasis and pulmonary hypertension. The positive symptoms were chronic cough with mucoid sputum, low-grade fever, chest pain, breathlessness (modified Medical Research Council (mMRC) grade III), and easy fatiguability. The goals were set and inpatient Pulmonary Rehabilitation (PR) started with the aim of reducing burdening of symptoms and promoting the Quality of Life (QoL). The therapeutic interventions were splinted coughing techniques, deep breathing exercises, thoracic expansions, postural correction exercises, dyspnoea relieving positions, strength training, and pacing techniques. After rehabilitation the ventilation along with strength improved, dyspnoea was reduced, and exercise tolerance was increased.

Posture Monitoring and Correction Exercises for Workers in Hostile Environments Utilizing Non-Invasive Sensors: Algorithm Development and Validation.

Personal protective equipment (PPE) is an essential key factor in standardizing safety within the workplace. Harsh working environments with long working hours can cause stress on the human body that may lead to musculoskeletal disorder (MSD). MSD refers to injuries that impact the muscles, nerves, joints, and many other human body areas. Most work-related MSD results from hazardous manual tasks involving repetitive, sustained force, or repetitive movements in awkward postures. This paper presents collaborative research from the School of Electrical Engineering and School of Allied Health at Curtin University. The main objective was to develop a framework for posture correction exercises for workers in hostile environments, utilizing inertial measurement units (IMU). The developed system uses IMUs to record the head, back, and pelvis movements of a healthy participant without MSD and determine the range of motion of each joint. A simulation was developed to analyze the participant's posture to determine whether the posture present would pose an increased risk of MSD with limits to a range of movement set based on the literature. When compared to measurements made by a goniometer, the body movement recorded 94% accuracy and the wrist movement recorded 96% accuracy.

Posture monitoring and correction exercises for workers in hostile environments utilizing non-invasive sensors: Algorithm Development and Validation

Posture monitoring and correction exercises for workers in hostile environments utilizing non-invasive sensors: Algorithm Development and Validation

Avaliação da Validade de Conteúdo de um Programa de Ginástica Laboral para Profissionais de Saúde: um estudo E- Delphi

Introduction Most work-related musculoskeletal injuries develop over time and there is usually no single cause for these injuries, but they are usually the result of a combination of several factors. Physical causes and organizational risk factors include load handling, repetitive or strenuous movements, incorrect and static postures, thermic discomfort, exposure to vibrations and working at a fast pace. The employer is responsible for implementing a risk prevention/reduction plan, allowing workers to play their part in creating a healthy work environment. By being available to be approached, showing sensitivity, and promoting a supportive work environment, management will not only allow workers to ventilate their problems and encourage them to find solutions to them. Objectives To identify the contents and structure of a labor gymnastics program for health professionals and evaluate its content validity regarding its periodicity, duration, and type of exercises. Methods An e-Delphi technique was used with three rounds, and a sample of fifteen experts (two physiotherapists, six rehabilitation nurses, two physical education teachers, and five higher education health professors) was enrolled. Inclusion criteria were to have a minimum of ten years of professional experience, a minimum academic degree of Master (Doctor for professors), and previous experience developing physical activity programs in a work context (preferential). In the first open round, the experts identified the requirements regarding the periodicity, duration, and type of exercises that comprise a labor gymnastics program targeting health professionals working in hospital settings. The second and third closed rounds attempted to obtain the necessary consensus on the issues identified in the previous rounds. The consensus was set to a minimum of 70% similarity. Results The experts agreed that the periodicity of a labor gymnastics program depends on the type of work activity. About the duration of the program, ten to fifteen minutes per session was advised. The professional in charge of the labor gymnastics sessions should be a rehabilitation nurse, physiotherapist, or any other professional adequately trained. The appropriate time to perform the sessions of labor gymnastics should be at the beginning and during work shifts, although that would depend on the type of work performed. The type of exercises to include in the program should be adequate to the work activity developed, taking particular account ergonomic and psychological issues, consisting of stretching exercises, postural correction, relaxation, and joint mobility exercises. Conclusion The present study allowed to identify a workout program’s structure and contents for health professionals and evaluate its validity. Considering these data, it seems now essential to carry out a randomized controlled study to evaluate the effectiveness of the developed program. Keywords: work, labor gymnastic, health professions, periodicity, exercise, occupational health, occupational safety.

The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail.

BackgroundNeck pain is a common problem in individuals despite different types of working patterns. Forward head posture is a common identified cause of chronic neck pain in patients. The effect of long-term forward head posture can be loss of function which can limit individuals’ capacity to work or do activities of daily living; hence it becomes necessary to intervene with muscle strengthening to improve neck stability, as well as mobility.PurposeTo assess effectiveness of muscle energy technique (MET) and posture correction exercises on pain and function in patients with non-specific chronic neck pain having forward head posture.Study SettingOutpatient department of Dr. D. Y. Patil College of Physiotherapy, Pune, India.ParticipantsBoth males and females between the ages of 21–60 years with a cranio-vertebral angle of less than 48° were included in study.Research DesignA randomized clinical trial.MethodologyMET group received muscle energy treatment + posture correction exercises, and control group receiving neck range of motion treatment. Outcomes measures were pain (Numerical Pain Rating Scale), function (Neck Disability Index), and cranio-vertebral angle (MB ruler).ResultsForty-eight subjects were included in the analysis, with 23 participants in Group A (MET) and 25 in Group B (Control). While both groups showed within-group improvements, Group A had significantly greater decreases in neck pain (p < .001), Neck Disability Index scores (p < .001), and significantly greater improvements in cranio-vertebral angles (p < .025) compared to group B.ConclusionThe combined effect of MET and posture correction exercises provides significantly greater results than neck range of motion treatment, and muscle energy technique should be included in the treatment of non-specific chronic neck pain in individuals with forward head posture.

Influence of adding strain-counterstrain to standard therapy on axioscapular muscles amplitude and fatigue in mechanical neck pain: a single-blind, randomized trial.

Strain-counterstrain technique (SCS) or positional release therapy is strongly recommended for patients with mechanical neck pain (MNP) because this method has excellent benefits, but the clinical significance of this method is unclear. The aim of this study was to investigate the influence of adding the SCS technique to standard therapy on pain, pressure pain threshold, disability according to Neck Disability Index (NDI), and electrophysiological characteristics (amplitude and fatigue) of the upper part of trapezius in the axioscapular muscles of patients with mechanical neck pain. Single-blind, randomized clinical trial. Outpatient clinic. Sixty patients (19-38 years old) with mechanical neck pain participated in this study and were recruited from the outpatient clinic at the faculty of physical therapy after a referral from an orthopedist. Patients were randomly assigned by opaque sealed envelope to two treatment groups: group A received SCS, standard therapy in form of active range of motion, stretching exercises, and postural correction exercises (PCES), whereas group B, received standard therapy only; therapeutic sessions were performed three times/week for 4 weeks. The visual analogue scale, pressure pain threshold, NDI, upper trapezius median frequency, and root mean square were used to evaluate the patients' pretreatment and post-treatment status. Multiple pairwise comparisons within each group revealed statistically significant differences in all outcome variables with favor to the SCS group. The Strain-counterstrain technique combined with traditional standard therapy is an effective method more than traditional standard therapy alone for the management of patients with MNP. The present study has implications, especially for clinical decision-making about therapy of choice in MNP to reduce pain, improve function as measured through SCS technique and its impact on normal lifestyle, and to highlight the need for active intervention.

Short term effect of spinal mobilization with movement (MWM) on pulmonary functions in nonsmokers with thoracic hyperkyphosis: a randomized single-blinded controlled trial

ABSTRACT Objectives To investigate the effect of mobilization with movement (MWM) on pulmonary functions in subjects with thoracic hyperkyphosis. Methods This randomized single-blinded controlled trial included a sample of 50 subjects (age 18 − 25 years old) with thoracic hyperkyphosis. Subjects were randomly allocated into two groups; the Real MWM group (n = 25) which received thoracic MWM plus standard postural correction exercises, and the Sham MWM group (n = 25) which received sham MWM plus standard postural correction exercises. Digital X-ray and handheld spirometer were used to measure selected pulmonary function tests (FVC, FEV1/FVC ratio, MVV) respectively. Results Within-group comparisons demonstrated a statistically significant improvement in all outcome measures in both groups. The between-group comparisons demonstrated significant improvement in the MWM compared to the Sham group regarding the value of FVC, FEV1/FVC ratio, and MVV (P < .05). Conclusion In young adults with thoracic hyperkyphosis, MWM plus postural exercise produces better improvements in FVC, FEV1, FEV1/FVC, and MVV compared to sham MWM plus postural exercise.

Effect of Proprioceptive Exercises along with Ergonomic Intervention on Middle Deltoid and Serratus Anterior Fatigue in Dentists with Non-Specific Chronic Neck Pain

There are several risk factors in dentistry that among them repetitive movements, being in a position for a long time due to muscle imbalances, and work-related musculoskeletal disorders which can cause problems such as limited mobility, fatigue, job loss or even changing jobs. Muscle imbalance between the stabilizers and mobilizers of the neck and shoulders in dentists leads to increased work-related disorders, superficial muscle fatigue, and deep muscle atrophy, which in turn, leads to many health problems such as neck pain and disability. To prevent such disorders, a high endurance of the cervical stabilizer muscles is essential for repetitive movements in the distal and shoulder region. In this study, the exercise program, including postural exercises, simultaneous training of shoulder-neck, scapular movements, and co-contraction were designed for 48 dentists. The statistical analysis showed that there was a significant decrease in the median frequency slope of the middle deltoid muscle (p = 0.004) and for the group who received the proprioception training along with posture correction exercises and exercise therapy (p = 0.004). Neck pain increased in the control group who received no exercises, after six weeks (p = 0.165). Six weeks of corrective exercises with ergonomic intervention balance muscles activity and can be used to decrease musculoskeletal disorders and muscle fatigue in person with Non-Specific Chronic Neck Pain.

Upper Crossed Syndrome: Trends and Recent Advances in the Physiotherapy Treatment a Narrative Review

Background: How does it affect the quality of life of the patient?&#x0D; Upper Crossed Syndrome (UCS) is also discussed as proximal or shoulder crossed syndrome. According to Vladimir Janda, UCS is characterized by the tightness of the levator scapulae muscle, upper trapezius muscle, on dorsal sides crosses with tightness of pectoralis major muscle and minor muscle. Weakness of the deep cervical flexors ventrally crosses along with weakness of the middle and the lower trapezius. The weakness and tightness lead to postural imbalance. In addition to this, it creates postural patterning of rounded shoulder forward head posture, loss of cervical lordosis, and increased kyphosis. These can lead to postural adjustment in the upper quarter of the body.&#x0D; Materials and Methods: Out of 17 articles screened 8 studies are included in this review according to the inclusion and exclusion criteria. The inclusion criteria are forward head posture, articles from the year 2011 to 2021, patient age between 20-50 years, article published in English languages, articles available in full text, and RCT’S. The exclusion criteria are, articles published before 2011, age less than 20 years and more than 50 years old, articles published other than English language, and articles not available with full text. Relevant studies were retrieved through Cochrane, PubMed, CINHAL, and Embase databases from the year 2011 to 2021.&#x0D; Results: All the physiotherapeutic treatments including conventional and recent trends showed a beneficial effect on patient with upper crossed syndrome or postural abnormalities.&#x0D; Conclusion: All physiotherapy interventions like strengthening and stretching, resistance exercises, postural correction exercises, and ROM exercises has a positive effect on the prevention and treatment of upper crossed syndrome. Also, recent trends like dry needling, yoga therapy, myofascial trigger release, eccentric muscle energy technique, Kinesio taping, and IFT and EMG activity has also shown positive result in UCS.

The Effect of 3-Dimensional Posture Correction Exercise Program Incorporating PNF Respiratory Muscle Strengthening Exercise on the Spinal Alignment and the Trunk Expansion in Patients with Idiopathic Scoliosis

The Effect of 3-Dimensional Posture Correction Exercise Program Incorporating PNF Respiratory Muscle Strengthening Exercise on the Spinal Alignment and the Trunk Expansion in Patients with Idiopathic Scoliosis

REHABILITATION OF A CONSERVATIVELY MANAGED CLAVICULAR FRACTURE

The collarbone, or wishbone, is a thin, S-shaped bone about 6 inches (15 cm) long and serves as a support between the shoulder blade and the sternum (sternum). Clavicle fracture so occur as a result of injury or trauma. The most common site of fracture is the junction between the two curvatures of the bone, which is the weakest point. The displacement post fracture is most common in clavicular fracture because the attachment of the muscle sternocleidomastoid pulls the Sternal head upwards and the pectoral muscle pulls the distal clavicle downwards. After a distal clavicle fracture, radiographic nonunion has been identified in 10% to 44% of patients. Most of clavicular fractures are managed non-surgically by physical therapy which consists of a rehabilitation program without hampering the fracture healing, the rehabilitation consists of pain reduction, improving strength and range of motion of the shoulder, Scapular and neck muscles and postural correction exercises in addition to a brace to support the upper limb as the clavicle is the bone connecting the Axilla to the shoulder girdle. And the patient is started with medical management which usually consist of analgesics. 62 year old male patient with left clavicle fracture was diagnosed on x-ray after a hit from a bullock cart. Following this incident the patient underwent a prompt series of physical rehabilitation which included strengthening exercises, thoracic expansion exercises, breathing exercises. The case report suggests that a physiotherapy treatment procedure led to the improvement of functional goals progressively and significantly.

Effect of Pilates Exercises on Abdominal Muscle Strength in Post Menopausal Women

Abstract Background: Menopause is the time that marks end of woman's menstrual cycle, occurring on average around 51 years of age. It associated with decline in estrogen level which lead to increase central obesity as well as decrease muscle strength and endurance. Pilate exercises belong to a group of so-called body mind exercises which improve mental and physical status, increasing muscle strength and flexibility. Aim of Study: This study aimed to see the impact of Pilates exercise on abdominal muscle strength in post-menopausal women. Subjects and Methods: Thirty post-menopausal women complaining from belly abdomen were selected randomly from out-patient clinic of faculty of physical therapy to participate in this, their age ranged from 50-60 years, their BMI not exceed 35Kg/m2, all of them had number of parities ranged from 2-4 times, their menstrual cycle had stopped at least one year ago. Subjects were subdivided randomly into two groups each with fifteen participants, group A practiced selected exercise program that include (static abdominal, pelvic rocking and postural correction exercises) for 20min/session twice per week for 12 weeks and group B performed the same program as for group A plus Pilates exercises for another 60min. Outcome to be studied in this research was abdominal muscle strength (peak torque, total work and average power) using Isokinetic dynamometer. Results: There was a significant increase in peak torque, total work and average power in abdominal muscles in group B who perform Pilates exercise rather than group A (p>0.001) Conclusion: Pilates exercise is an effective modality to increase abdominal muscle strength in post-menopausal women