rounded shoulder
در نشریات گروه پزشکی-
BackgroundUpper crossed syndrome (UCS) is a prevalent postural issue among adolescents, with a rapid increase in its occurrence. This study aimed to investigate the impact of scapular stabilization exercises on alignment, joint position sense, and functional stability of the upper limbs in adolescent girls with UCS.MethodsThis randomized, controlled trial, double-blind study was conducted in December 2022 at the Laboratory of Sport Science of Bu-Ali Sina University, Hamedan, Iran. The study included 48 adolescent girls with UCS. The participants were randomly assigned into either the experimental or the control group. The experimental group performed scapular stabilization exercises for eight weeks and the control group received no intervention. The outcome measures were kyphosis angle measured by a flexible ruler, forward head and rounded shoulder angles measured by photography and Kinovea software, shoulder joint position sense measured by a goniometer, and upper limb functional stability measured by the upper quarter Y-balance test. The assessments were done before and after the intervention.ResultsThe results showed that the experimental group improved significantly more than the control group on all the outcome measures (P<0.05). The experimental group had a significant decrease in kyphosis (P=0.001, 95%CI=[3.05%, 7.27%]), forward head (P=0.001, 95%CI=[4.21%, 7.70%]), rounded shoulder (P=0.001, 95%CI=[5.01%, 8.40%]) angles, and in joint reposition error (P=0.001, 95%CI=[1.07%, 2.89%]). Also, there was a significant improvement in upper limb functional stability in the right (P=0.042, 95%CI=[-3.56%, -0.91%]) and left (P=0.032, 95%CI=[-4.31%, -0.20%]) directions, as compared with the control group.ConclusionThe study results indicated that scapular stabilization exercises can improve alignment, joint position sense, and functional stability of the upper limbs in adolescent girls with UCS. Therefore, these exercises could be an effective intervention for preventing or treating UCS and its associated problems.Keywords: Musculoskeletal abnormalities, Proprioception, Kyphosis, Forward head posture, Rounded Shoulder
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سابقه و هدف
در دنیای معاصر، زندگی اکثر افراد جامعه، تحت تاثیر تکنولوژی های ارتباطی نوین مانند تلفن همراه و کامپیوتر قرار گرفته است. ورود تلفن همراه در ارتباطات و استفاده های روزانه، منجر به تغییرات جدیدی در دیدگاه های پزشکی و سلامتی شده است. درواقع «سندرم گردن پیامکی» یک وضعیت نگران کننده است و پتانسیل آن را دارد که بر میلیون ها انسان در سراسر جهان تاثیر بگذارد.
مواد و روش هامطالعه مروری حاضر با جستجوی جامع و استفاده از بانک های اطلاعاتی PubMed، Science Direct وGoogle Scholar، انجام شد. به دلیل استفاده گسترده از تلفن همراه و شیوع آن در یک دهه گذشته، مقالات منتشرشده در سال های 2019 - 2010 میلادی مورد جستجو قرار گرفت. برای استخراج مقالات از کلیدواژه های مرتبط استفاده و در نهایت 10 مقاله که به بررسی اختلالات اسکلتی-عضلانی در کاربران تلفن همراه پرداخته بودند، انتخاب شد.
نتایجپس از بررسی کامل متن 10 مقاله مرتبط با موضوع مطالعه که برای بررسی نهایی انتخاب شده بودند، نتایج آن ها در قسمت بحث به طور کامل تشریح شد. بین مدت زمان تماس های تلفنی، بازی کردن با گوشی همراه، وب گردی و تعداد پیامک دادن در طول روز با اختلالات اسکلتی-عضلانی رابطه مستقیمی وجود دارد.
نتیجه گیریسندرم گردن پیامکی ممکن است موجب پاسچر سر به جلو و شانه گرد و همچنین درد های مزمن در گردن، شانه ها، دست ها و انگشتان شود.
کلید واژگان: سندرم گردن پیامکی، اختلالات اسکلتی-عضلانی، تلفن هوشمند، سر به جلو، شانه گردFeyz, Volume:24 Issue: 2, 2020, PP 236 -245BackgroundIn the contemporary world most people's lives have been affected by modern communication technologies such as mobile phones and computers. The entrance of mobile phones into daily communication and usage has led to new changes in medical and health perspectives. In fact, “Text Neck Syndrome" is a worrying situation and has the potential to affect millions of people around the world.
Materials and MethodsThe search articles was done in databases PubMed, Science Direct, Google Scholar and due to the widespread use and prevalence of Smartphone use in the past decade, articles about the years 2010 up to 2019 were extracted. To extract the articles, was used from the related keyword. Then, considering the main subject of the present study and criteria inclusion and exclusion, 10 articles were selected for final investigation.
ResultsAfter reviewing the full text of 10 articles related to the study subject that were chosen for the final review, the results of those articles are described briefly in Table 1 and completely in the discussion section. There is a direct relationship between the duration of phone calls, playing with mobile phones, browsing and the number of texting during the day and musculoskeletal disorders.
ConclusionThe text neck syndrome can cause forward head and rounded shoulder postures, as well as chronic pain in the neck, shoulders, hands, and fingers.
Keywords: Text neck syndrome, Musculoskeletal disorders, Smartphone, Forward head, Rounded shoulder -
Background
Hyperkyphosis is often accompanied by forward head and shoulder postures. Together, these three disorders are called “Upper Cross Syndrome (UCS)”. We aimed to perform a photogrammetric analysis of UCS among teachers and to determine the effects of National Academy of Sports Medicine (NASM) exercises with ergonomic training interventions on the syndrome. Study design: A semi-experimental study.
MethodsPhotogrammetric analysis was performed using the UCS software among teachers in order to determine the angles of forward head, rounded shoulders, and hyperkyphosis. Twenty-three teachers were selected purposefully and enrolled in Fasa City in 2018. They were randomly divided into experimental (n=12) and control (n=11) groups. Experimental group attended 12 wk of NASM exercises with ergonomic intervention but the control group did not participate in any regular exercise. The data were analyzed using paired t-test and differential independent t-test (P<0.05).
ResultsThe results indicated a significant decrease in forward head (P=0.001), shoulder angles (P=0.000) and hyperkyphosis (P=0.003). The applied intervention had a 90% positive effect in reducing the forward head angle, an 88% positive effect in reducing the rounded shoulder angle and a 90% positive effect in reducing the kyphosis angle. However, the results for the control group did not show a significant difference for forward head, rounded shoulders, and hyperkyphosis angles.
ConclusionThe UCS software application can be used as an accurate instrument for measuring the extent of the UCS. Moreover, using NASM exercises can lead to a reduction in the UCS among teachers.
Keywords: UCS software, Forward head, Rounded shoulder, Hyperkyphosis -
IntroductionThe present study aimed to determine the immediate effects of Whole Body Vibration (WBV) on Rounded Shoulder Posture (RSP) in healthy women.Materials And MethodsThirty female students aged between 18 to 30 years with RSP participated in this study. First, the examiner measured the RSP (in supine position), Pectoralis Minor Length (PML) and Total Scapular Distance (TSD). Then, the subjects performed 5 sets of 1-min WBV (frequency=30 Hz, amplitude=5 mm) with 1 min rest between each set. After intervention, the examiner immediately measured the above mentioned variables. The paired t test was used for data analysis.ResultsThe analysis showed that WBV significantly decreased the supine measurement of RSP (PConclusionIt seems that WBV had immediate effect on postural correction of rounded shoulder posture in the study subjects.Keywords: Whole body vibration, Rounded shoulder, Posture
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BackgroundMusculoskeletal disorders are common problems among dentists. These conditions may lead to inappropriate postures and impairment in physical and psychological function. On the other hand, poor postures and inappropriate ergonomic may result in a wide variety of musculoskeletal disorders.ObjectivesThe aim of this study was to investigate the prevalence of common postural disorders of the spine and shoulder girdle among the dentists and possible correlations between demographic, anthropometric and occupational characteristics with these abnormal postures.
Patients andMethodsIn a cross-sectional study, 96 dental staff including academic staff, residents and senior students of Tehran University of Medical Sciences was enrolled. Data were collected using a questionnaire and posture assessment tools such as plumb-line, checkerboard and flexible ruler. Data analysis was done with SPSS version 17.ResultsThe prevalence of the forward head posture (FHP), rounded shoulder posture (RSP), scoliosis and hyperlordosis were reported in 85.5%, 68.8%, 18.8% and 17.3% of the participants, respectively. A significant correlation was found between gender and FHP (P = 0.04) and also scoliosis (P = 0.009). On the other hand, a significant correlation was seen between weight and hyperlordosis (P = 0.007).ConclusionsOur study revealed a high prevalence of postural disorders especially FHP, RSP and scoliosis among Iranian dental staff. The female dentists were less susceptible to FHP and scoliosis.Keywords: Musculoskeletal Disorders, Forward Head Posture, Rounded Shoulder, Hyperlordosis, Scoliosis, Kyphosis, Dentists, Iran -
زمینه و هدفسیستم های حس عمقی، وستیبولار و بینایی نقش مهمی در کنترل حرکت انسان دارند. نقص هریک می تواند منجر به مشکلاتی در تعادل، وضعیت و هماهنگی گردد. این مطالعه به منظور مقایسه وضعیت سر و شانه در دانش آموزان نابینا، ناشنوا و عادی انجام شد.روش بررسیاین مطالعه توصیفی تحلیلی روی 16 کودک نابینا، 30 کودک ناشنوا و 60 کودک عادی شهر اردبیل در سال 1390 انجام شد. برای ارزیابی وضعیت سر و شانه از روش عکسبرداری در نمای قدامی و جانبی استفاده شد.یافته هازاویه سر به جلوی نابینایان کمتر از گروه ناشنوایان و عادی بود (P<0.05). زوایه شانه گرد نابینایان و ناشنوایان مشابه و کمتر از گروه عادی، زاویه شانه نابرابر در ناشنوایان کمتر از سایر گروه ها و زاویه کج گردنی نابینایان و ناشنوایان مشابه و بیشتر از گروه عادی بود (P<0.05).نتیجه گیرینارسایی در بینایی و شنوایی با ناهنجاری های وضعیتی مرتبط است. به صورتی که میزان ناهنجاری ها در دانش آموزان نابینا بیشتر از دانش آموزان ناشنوا بود و نابینایی بیش از ناشنوایی با ناهنجاری های قامتی مانند سر به جلو و کج گردنی ارتباط دارد.
کلید واژگان: سر به جلو، کج گردنی، اکستنشن سر، شانه نابرابر، شانه گرد، نابینا، ناشنواBackground And ObjectiveProprioceptive، vestibular and visual senses control human movements. This study was carried out to compare the posture of head and shoulder in blind، deaf and ordinary pupiles.Materials And MethodsThis descriptive and analytic study was done on 16 blind، 30 deaf and 60 ordinary pupiles in Ardabil city، Noth-west of Iran. Sagital and frontal planes Photos for each child was used for determination of head and shoulder deviation.ResultsForward head in blind group significantly was lower than deaf and ordinary pupiles (P<0. 05). Rounded shoulder in blind and deaf pupiles significantly was lower than ordinary pupiles (P<0. 05). Uneven shoulders in deaf pupiles significantly was lower than ordinary and blind children (P<0. 05). Lateral flexion of the head in blind and deaf pupiles significantly was higher than ordinary children (P<0. 05).ConclusionThere is a relationship between sensory impairment and postural problems paticularly in blindness Pupils.Keywords: Forward head, Uneven shoulder, Rounded shoulder, Extended head, Blind, Deaf -
مقدمه
گردن درد مزمن یکی از علل شایع مراجعه افراد به مراکز فیزیوتراپی است که ممکن است در ارتباط با وضعیت نامناسب بدنی از جمله قرار گرفتن طولانی سر، گردن و شانه ها در وضعیت نامناسب در حین کارهای روزمره باشد. این تحقیق به منظور بررسی رابطه گردن درد مزمن و نقاط ماشه ای با جلو آمدن سر در افراد مبتلا به گردن درد در محدوده سنی 60-20 سال در مقایسه با افراد سالم انجام شد.
مواد و روش هادر پژوهش حاضر، 31 بیمار دارای درد مزمن گردن و 31 فرد سالم شرکت داشتند. توسط یک دوربین دیجیتال از افراد و از نمای جانبی راست عکس هایی تهیه شد و با استفاده از نرم افزار ImageJ زوایای جلو آمدن سر و شانه اندازه گیری شد. از آزمون های t و 2c برای تحلیل اطلاعات استفاده شد.
یافته هاارتباط معنی داری بین درد مزمن گردن و جلو آمدن سر به دست آمد (0001/0 > P). به این صورت که در افراد بیمار نسبت به افراد سالم میانگین زوایای جلو آمدن سر کمتر بود، یعنی جلوآمدگی سر بیشتر بود. همچنین ارتباط معنی داری بین درد مزمن گردن و جلو آمدن شانه وجود داشت (0001/0 > P). به این صورت که در افراد بیمار نسبت به افراد سالم جلوآمدگی شانه بیشتر بود. ارتباط قوی و معنی داری بین گردن درد مزمن با وجود نقاط ماشه ای در عضله تراپزیوس دیده شد (0001/0 > P).
نتیجه گیریبا توجه به وجود رابطه بین گردن درد مزمن و جلو آمدن سر و شانه می توان در برنامه درمانی این بیماران بر اصلاح وضعیت های نامناسب سر و شانه تاکید کرد. همچنین با توجه به رابطه نقاط ماشه ای عضله تراپزیوس با گردن درد پیشنهاد می گردد که در معاینه بیماران مبتلا به گردن درد مزمن وجود این نقاط ماشه ای بررسی شود و در درمان این بیماران به کمک روش های مختلف فیزیوتراپی این نقاط خاموش گردند.
کلید واژگان: گردن درد مزمن، جلو آمدن سر، جلو آمدن شانهIntroductionNeck pain is a common cause for referral to physiotherapy. Neck pain may be related to prolonged static posture in head، neck، and shoulder during daily activities. The purpose of this study was to investigate the relation between Forward head posture (FHP) and neck pain in subjects with chronic neck pain and healthy individuals (aged 20-60 years old).
Materials And MethodsThis study had a case-control design. Thirty one subjects with chronic neck pain and thirty one healthy people were recruited in this research. Images were obtained from right lateral view for all participants using a digital camera. Then they were analyzed by ImageJ software to measure head and shoulder forward postures. T-test and Chi-square test were used to analyze the data.
ResultsPatients with chronic neck pain had significantly more forward head and round shoulder postures compared with normal subjects (P < 0. 0001). Chronic neck pain was prominently correlated with trigger points in trapezius muscle (P < 0. 0001).
ConclusionChronic neck pain is associated with forward head posture and rounded shoulder. Therefore، it is important to address these faulty postures and correct them in treatment sessions. Also، it is more critical to find trigger points in surrounding neck muscles and treat them for pain management.
Keywords: Chronic neck pain, Forward head posture, Rounded shoulder
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