Trial reportBMC musculoskeletal disorders2017
Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial.
Trial report in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparative Effect of Scapular Stabilization Versus Thoracic Extension Exercises on Pain, Disability, Range of Motion, and Craniovertebral Angle in Young Adults With Text Neck Syndrome.
Comparative effects of elongation longitudinaux avec decoaption osteo articulaire versus upper thoracic mobilization and mobility exercise for the treatment of forward head postures
Who cites it
19 citing papers in PubMed, 73 citations in OpenAlex.
- The Effects of Thoracic Flexibility Exercise on Pain, Range of Motion, Spinal Alignment, Proprioception, and Neck Disability Index in Neck Pain Patients with Forward Head Posture: A Randomized Controlled Trial.Medicina (Kaunas, Lithuania) · 2026Trial
- Effect of the cervical and thoracic "Daoyin" training on posture and pulmonary function in patients with upper crossed syndrome: a randomized controlled trial.BMC complementary medicine and therapies · 2025Trial
- Trial
- Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- Impact of Cervical Sensory Feedback for Forward Head Posture on Headache Severity and Physiological Factors in Patients with Tension-type Headache: A Randomized, Single-Blind, Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2019Trial
- Reverse-motion cervical rotation exercises improve cervical mobility: a 2-week intervention study.Frontiers in sports and active living · 2026Article
- Internet-Based Telerehabilitation Versus in-Person Therapeutic Exercises in Young Adult Females With Chronic Neck Pain and Forward Head Posture: Randomized Controlled Trial.JMIR rehabilitation and assistive technologies · 2025Article
- Influence of Sagittal Cervical and Thoracic Range of Motion on Neck Pain Severity in Young White-Collar Workers: A Cross-Sectional Study.Journal of clinical medicine · 2024Article
- Article
- Treatment of Chronic Neck Pain in Patients with Forward Head Posture: A Systematic Narrative Review.Healthcare (Basel, Switzerland) · 2023Review
- A Multidisciplinary Approach to Swallowing Rehabilitation in Patients with Forward Head Posture.Medicina (Kaunas, Lithuania) · 2023Article
- Effects of Sling-Based Thoracic Active Exercise on Pain and Function and Quality of Life in Female Patients with Neck Pain: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2021Article
- Effects of a combination of scapular stabilization and thoracic extension exercises for office workers with forward head posture on the craniovertebral angle, respiration, pain, and disability: A randomized-controlled trial.Turkish journal of physical medicine and rehabilitation · 2021Article
- Effects of Cervical Spine Mobilization on Respiratory Function and Cervical Angles of Stroke Patients: A Pilot Study.Healthcare (Basel, Switzerland) · 2021Article
- Article
- Article
- A Comparison Study of Posture and Fatigue of Neck According to Monitor Types (Moving and Fixed Monitor) by Using Flexion Relaxation Phenomenon (FRP) and Craniovertebral Angle (CVA).International journal of environmental research and public health · 2020Article
- Exercise interventions to improve postural malalignments in head, neck, and trunk among adolescents, adults, and older people: systematic review of randomized controlled trials.Journal of exercise rehabilitation · 2020Review
- Impact of physical exercise (strength and stretching) on repairing craniovertebral and reducing neck pain: A systematic review and meta-analysis.Journal of craniovertebral junction & spineReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough upper cervical and upper thoracic spine mobilization plus therapeutic exercises are common interventions for the management of forward head posture (FHP), no study has directly compared the effectiveness of cervical spine mobilization and stabilization exercise with that of thoracic spine mobilization and mobility exercise in individuals with FHP.
methodsThirty-two participants with FHP were randomized into the cervical group or the thoracic group. The treatment period was 4 weeks, with follow-up assessment at 4 and 6 weeks after the initial examination. Outcome measures including the craniovertebral angle (CVA), cervical range of motion, numeric pain rating scale (NPRS), pressure pain threshold, neck disability index (NDI), and global rating of change (GRC) were collected. Data were examined with a two-way repeated-measures analysis of variance (group × time).
resultsParticipants in the thoracic group demonstrated significant improvements (p < .05) in CVA, cervical extension, NPRS, and NDI at the 6-week follow-up compared with those in the cervical group. In addition, 11 of 15 (68.8%) participants in the thoracic group compared with 8 of 16 participants (50%) in the cervical group showed a GRC score of +4 or higher at the 4-week follow-up.
conclusionsThe combination of upper thoracic spine mobilization and mobility exercise demonstrated better overall short-term outcomes in CVA (standing position), cervical extension, NPRS, NDI, and GRC compared with upper cervical spine mobilization and stabilization exercise in individuals with FHP.
trial registrationKCT0002307 , April 11, 2017 (retrospectively registered).
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.