ArticleBrazilian journal of physical therapy
Is forward head posture relevant to cervical muscles performance and neck pain? A case-control study.
Article in Brazilian journal of physical therapy. 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 24 papers.
What it found
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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.
Factors Affecting Neck Posture in Academicians With Non-specific Neck Pain
Effects of Manual Ischemic Compression With and Without Strain Counter Strain Technique on Sternocleidomastoid Tightness With Forward Head Posture
Who cites it
24 citing papers in PubMed, 82 citations in OpenAlex.
- 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
- Article
- Wrist muscle performance in students with chronic nonspecific neck pain: an isokinetic assessment.BMC musculoskeletal disorders · 2026Observational
- The myodural bridge complex: a comprehensive review of morphology, physiology, developmental biology and pathology.Frontiers in medicine · 2026Review
- Article
- The impact of forward head posture on neck muscle endurance and thickness in women with chronic neck pain: a cross-sectional study.BMC musculoskeletal disorders · 2025Article
- The Association Between Craniovertebral Angle and Neck Muscle Size Using Ultrasonography: A Systematic Review.Health science reports · 2025Review
- The impact of neck pain and movement performance on the interarticular compressive force of the cervical spine: a cross-sectional study based on OpenSim.Journal of neuroengineering and rehabilitation · 2025Article
- Lifestyle factors and determination of optimal cut-off values for forward head posture in young adults with neck pain: a cross-sectional analysis.BMC musculoskeletal disorders · 2025Article
- Reliability of Image J. Software to Evaluate the Craniovertebral Angle in Participants with and without Neck Pain.The archives of bone and joint surgery · 2025Article
- Article
- The effect of suboccipital muscle dysfunction on the biomechanics of the upper cervical spine: a study based on finite element analysis.BMC musculoskeletal disorders · 2024Article
- Musculoskeletal Ultrasound Assessment of the Clinical Efficacy of the Combination of Acupressure and "Three Methods of Neck Movement (TCM)" Therapy in the Treatment of Cervical Spondylosis: A Study Protocol for a Randomized Controlled Trial.Journal of pain research · 2024Article
- Investigation of muscle activation during kinetic chain based exercises in individuals with and without forward head posture.Journal of back and musculoskeletal rehabilitation · 2024Article
- The Predictive Value and Influencing Factors of Craniocervical Flexion Test for Patients with Chronic Non-Specific Neck Pain: A Case Control Study.Journal of pain research · 2024Article
- Comparison of breathing pattern and diaphragmatic motion in patients with unilateral cervical radiculopathy and asymptomatic group.BMC pulmonary medicine · 2023Article
- Is Neck Pain Related to Sagittal Head and Neck Posture?: A Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2023Review
- Relationships between cervical sagittal posture, muscle endurance, joint position sense, range of motion and level of smartphone addiction.BMC musculoskeletal disorders · 2023Article
- The correlation between strength and range of motion of the neck muscles and opium smoking in Iran.Frontiers in psychiatry · 2023Article
- Suboccipital Muscles, Forward Head Posture, and Cervicogenic Dizziness.Medicina (Kaunas, Lithuania) · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundForward head posture (FHP) and muscular dysfunction are likely contributing factors to chronic neck pain (CNP) but there are inconsistent findings on the relevance of these factors to clinical CNP characteristics.
objectiveTo compare FHP, cervical muscles size and endurance between CNP and asymptomatic participants and to investigate their association with pain and disability and relative involvement of deep/superficial and flexor/extensor muscles.
methodsThirty-two patients with CNP and 35 asymptomatic participants were included in this case-control study. FHP in standing, extensor and flexor muscles endurance and dimensions were assessed using digital photography, clinical tests and ultrasonographic imaging, respectively. The visual analog scale and neck disability index were also used to evaluate CNP patients' clinical characteristics.
resultsDeep flexor (mean difference=0.06, 95% CI=0.02-0.11) and extensor muscles size (mean difference=0.07, 95% CI=0.01-0.12) were found to be significantly smaller in CNP patients. CNP patients also demonstrated lower levels of flexor (mean difference=14.68, 95% CI=3.65-25.72) and global extensor endurance capacity. FHP was neither different between the groups nor correlated with any of the dependent variables. Neither FHP nor endurance was correlated with pain/disability. Extensor endurance in both groups and flexor endurance in the asymptomatic group showed significant correlations with muscles size.
conclusionsFHP was found neither different between groups nor correlated with muscle performance or CNP clinical characteristics. While cervical endurance was found lower in CNP patients, it did not show any association with pain/disability. The muscular size-endurance relationship seems to become more complex in the presence of NP. While deep muscles seem to be differentially affected in the presence of CNP, the alterations do not seem to be uniform in the flexor and extensor groups.
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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.