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Current Reviews in Musculoskeletal Medicine

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26.11.2019 | Hot Topics

The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis

verfasst von: Nesreen Fawzy Mahmoud, Karima A. Hassan, Salwa F. Abdelmajeed, Ibraheem M. Moustafa, Anabela G. Silva

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2019

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Abstract

Purpose of Review

Forward head posture (FHP) is the most common cervical postural fault in the sagittal plane that is found with different severity levels in almost all populations. Despite claims that FHP may be related to neck pain, this relation seems to be controversial. Thus, our purpose is to determine whether FHP differs between asymptomatic subjects and those with neck pain and to investigate if there is a relationship between head posture and neck pain.

Recent Findings

A total of 15 cross-sectional studies were eligible for inclusion for this systematic review and meta-analysis. Ten studies compared FHP between a group of asymptomatic participants and a group of participants with neck pain and an overall mean difference (MD) of 4.84 (95% CI = 0.14, 9.54), indicating a significant between-group difference, contrary to adolescent (MD = − 1.05; 95% CI = − 4.23, 2.12). Eight studies showed significant negative correlations between FHP and neck pain intensity (r = − 0.55; 95% CI = − 0.69, − 0.36) as well as disability (r = − 0.42; 95% CI = − 0.54, − 0.28) in adults and older adults, while in adolescents, only lifetime prevalence and doctor visits due to neck pain were significant predictors for FHP.

Summary

This systematic review found that age played an important role as a confounding factor in the relation between FHP and neck pain. Also, the results showed that adults with neck pain show increased FHP when compared to asymptomatic adults and that FHP is significantly correlated with neck pain measures in adults and older adults. No association was found between FHP and most of neck pain measures in adolescents.

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Titel: The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis
verfasst von: Nesreen Fawzy Mahmoud
Karima A. Hassan
Salwa F. Abdelmajeed
Ibraheem M. Moustafa
Anabela G. Silva
Publikationsdatum: 26.11.2019
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2019
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-019-09594-y

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The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis

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