EFFECT OF THORACIC SNAG ON FORWARD HEAD AND POSTURAL KYPHOSIS IN SUBJECTS WITH NON-SPECIFIC NECK PAIN – A RANDOMIZED CONTROLLED TRIAL

A. Heggannavar1, S. Fernandes1
1KAHER Institute of Physiotherapy, Orthopaedic Manual Therapy, Belagavi, India

Background: Forward head posture (FHP) and thoracic kyphosis are common postural abnormalities seen in young as well as older adults. The spinal malalignment in the cervical and thoracic spine seen in FHP and exaggerated thoracic kyphosis causes increased loading and overstretching, making way for neck pain.

Purpose: Various exercises have proven to correct posture, however there is poor literature stating effects of mobilization in postural correction hence the study aimed to determine the effect of thoracic sustained natural apophyseal glide on FHP and postural kyphosis.

Methods: A randomized clinical trial was conducted on 46 subjects among 18–45 years who had non-specific neck-pain in combination with forward head posture and postural kyphosis. Patients were assessed for Craniovertebral Angle (CVA) , Head Position Angle (HPA),Index Of Kyphosis (IOK), Cervical Range of Motion (CROM) and Northwick Park Pain Questionnaire (NPPQ) at the baseline and at 6th and 12th session post intervention.

Results: Statistical analysis revealed significant differences (p <0.001) in pre and post values of CVA, HPA, IOK, CROM and NPPQ in both the groups at 6th and 12th session assessment. Between group significance was found in CVA at 6th session (p=0.032) and 12th session (p=0.022), HPA at the 6th session (p=0.001), IOK at the 12th session (p=0.001) and in the extension range at 6th session (p=0.050) and 12th session (p=0.033) assessment.

Conclusion(s): Thoracic SNAGs with extension movement is significant  in correction of FHP and thoracic kyphosis, with respect to CVA, HPA and IOK in subjects with non-specific neck pain.

Implications: Thoracic SNAGs with extension movement was effective in correction of FHP and thoracic kyphosis.

Funding, acknowledgements: NIL

Keywords: Thoracic SNAGs,, Forward Head Posture, Postural Kyphosis

Topic: Musculoskeletal: spine

Did this work require ethics approval? Yes
Institution: KAHER Institute of Physiotherapy, Belagavi,India
Committee: Institutional Research and Ethics Committee
Ethics number: KIPT/301/03/07/19


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