J Korean Phys Ther.  2019 Jun;31(3):151-156. 10.18857/jkpt.2019.31.3.151.

The Effect of Postural Correction and Visual Feedback on Muscle Activity and Head Position Change During Overhead Arm Lift Test in Subjects with Forward Head Posture

Affiliations
  • 1Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Gyeongsan, Korea. ptkimth@daegu.ac.kr

Abstract

PURPOSE
This study aimed to investigate the immediate effects of posture correction and real-time visual feedback using a video display on muscle activity and change of head position during overhead arm lift test in individuals with forward head posture.
METHODS
Fifteen subjects with forward head posture and fifteen normal subjects who volunteered were included in this study. During both groups performed the overhead arm lift test, the muscle activity of the upper trapezius, serratus anterior, sternocleidomastoid, and lower trapezius muscle were measured using electromyography, and head position change was measured using photographs. Then, forward head posture group was asked to perform overhead arm lift test again after posture correction and real-time visual feedback using a video display respectively. One-way analysis of variance (ANOVA) was used to analyze four conditions: pre-test, posture correction, real-time visual feedback, and the control group.
RESULTS
The upper trapezius and lower trapezius muscle activity significantly decreased posture correction, real-time visual feedback, and control group than pre-test of forward head posture group (p<0.05). The sternocleidomastoid muscle significantly decreased real-time visual feedback and control group than pre-test of forward head posture group. Head position change significantly decreased three conditions than pre-test of forward head posture group and real-time visual feedback and control group significantly decreased than posture correction.
CONCLUSION
This study recommend for maintaining cervical stability during the overhead arm lift test, postural control using real-time visual feedback is more effective in subjects with forward head posture.

Keyword

Forward head posture; Overhead arm lift test; Real-time visual feedback

MeSH Terms

Arm*
Electromyography
Feedback, Sensory*
Head*
Posture*
Superficial Back Muscles
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