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      Effectiveness of a Six-Week Multimodal Physiotherapy Program on the Interconnected Nature of Forward Head Posture, Vertigo, and Neck Pain

      case-report
      1 , , 1
      ,
      Cureus
      Cureus
      physical therapy, gaze stabilization exercises, neck pain, vertigo, forward head posture

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          Abstract

          The forward head posture (FHP) is characterized by the head tilting forward compared to the shoulders, resulting in pressure on the neck and surrounding muscles, which may lead to chronic neck pain. The study focuses on a 47-year-old female patient with FHP experiencing symptoms such as dizziness and neck discomfort and emphasizes the importance of various treatment options. After six weeks of personalized training designed to improve posture and alignment, the patient's neck pain improved significantly. Evaluations using different assessments showed significant improvements in pain intensity, head and neck alignment, neck pain and function, severity of dizziness, and neck mobility. This case report discusses the role of physical therapy in treating muscle and balance problems to alleviate symptoms of various health conditions and shows lasting positive effects. It emphasizes the interconnection of conditions such as pain and dizziness and their impact on overall recovery and health. The physiotherapy approach aimed to improve patient outcomes and functional abilities by addressing muscular-skeletal and vestibular problems. This study highlights the complex relationship between FHP, vertigo, and neck pain.

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          Most cited references33

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          Vestibular vertigo and comorbid cognitive and psychiatric impairment: the 2008 National Health Interview Survey.

          Patients with vestibular disease have been observed to have concomitant cognitive and psychiatric dysfunction. We evaluated the association between vestibular vertigo, cognitive impairment and psychiatric conditions in a nationally representative sample of US adults.
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            • Article: not found

            Diagnosis and treatment of movement system impairment syndromes

            Highlights • Impaired movements and alignments may be associated with musculoskeletal conditions. • Signs of impaired alignments and movements may be seen before there are symptoms. • Treatment is based on using the findings of making the MSI diagnosis to correct the performance of daily activities.
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              The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers.

              To examine the correction of posture, increase in strength and decrease in shoulder pain and dysfunction in varsity swimmers. Randomised clinical trial. Twenty-eight National Collegiate Athletic Association division I varsity swimmers. Two testing sessions were conducted before and after an 8-week time period. Posture, strength and shoulder pain and function were assessed. Forward head angle was measured using a digital inclinometer, forward head translation was measured using a ruler and total scapular distance was measured with unmarked string. Average and peak values (N) of strength were measured with the hand-held dynamometer. The intervention subjects then participated in an 8-week exercise training programme to correct posture. The procedures were then repeated in the post-test. Significant group by time interactions (p<0.05) were found in forward head angle and forward shoulder translation indicating a decrease in forward head angle and forward shoulder translation. Significant main effects for time (p<0.05) were found in strength measures for all muscle groups indicating increased strength for shoulder girdle muscles tested. The exercise intervention was successful at decreasing forward head and rounded shoulder postures in elite swimmers. This study supports the theoretical basis for clinical rehabilitation of posture and the shoulder.
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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                21 July 2024
                July 2024
                : 16
                : 7
                : e65038
                Affiliations
                [1 ] Community Health Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
                Author notes
                Article
                10.7759/cureus.65038
                11335037
                39165466
                43155afb-44c0-4a8d-ac25-45d4399b1ebc
                Copyright © 2024, Zoting et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 19 June 2024
                : 20 July 2024
                Categories
                Pain Management
                Physical Medicine & Rehabilitation

                physical therapy,gaze stabilization exercises,neck pain,vertigo,forward head posture

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