Trial reportBMC musculoskeletal disorders2019
The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study.
Trial report in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. It is linked to 4 registered trials, which are not on this map. Cited by 31 papers, 3 of them syntheses that pooled it.
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.
Targeted Cervical Spine Strengthening Exercises Versus Kendall Exercises in Patients With Forward Head Posture.
Efficacy of Therapeutic Exercise vs. Treatment of Myofascial Trigger Points in Shoulder Tendinopathies: Randomised Clinical Trial
The Effect of Scapular Balancing Exercise in Neck-scapular Dysfunction -Relationship Between Neck-scapular Posture ＆ Axioscapular Muscles-
The Effects of Dynamic Neuromuscular Stabilization Breathing and Manual Therapy on Forward Head Posture in University Students: A Randomized Controlled Trial
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- The majority of clinical trials assessing mobilization and manipulation for neck pain lack a pragmatic approach: a systematic review of 174 trials.The Journal of manual & manipulative therapy · 2024Pooled it
- Effects of Stretching or Strengthening Exercise on Spinal and Lumbopelvic Posture: A Systematic Review with Meta-Analysis.Sports medicine - open · 2024Pooled it
- The combined effects of manual therapy and exercise on pain and related disability for individuals with nonspecific neck pain: A systematic review with meta-analysis.The Journal of manual & manipulative therapy · 2023Pooled it
- Trial
- Effects of the combination of traditional Thai massage, scapular stabilization exercise, and chest mobilization in subjects with forward head posture: a single-blinded randomized clinical trial.Chiropractic & manual therapies · 2023Trial
- Trial
- Efficacy of throwing exercise with TheraBand in male volleyball players with shoulder internal rotation deficit: a randomized controlled trial.BMC musculoskeletal disorders · 2020Trial
- Reliability of Panoramic Ultrasonography in Assessing Pectoralis Minor Morphology: An Intra- and Inter-Rater Study Among Asymptomatic Adults.Journal of functional morphology and kinesiology · 2026Article
- Differences in Distance Perception and Balance in Female Students with and without Upper Crossed Syndrome: A Comparative Study.International journal of school health · 2026Article
- Evaluating Manual Therapy in Musculoskeletal Pain: Why Certain Trial Designs May Overestimate Effectiveness-A Scoping Review.European journal of pain (London, England) · 2025Article
- Editorial expression of concern: The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study.BMC musculoskeletal disorders · 2025Article
- Article
- 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
- Effects of Self-Assisted Manual Therapy Combined with a High-Intensity Walking Program on Musculoskeletal Pain, Functionality, and Posture in Older Adults: A Multicentre Randomized Controlled Trial.Life (Basel, Switzerland) · 2025Article
- Article
- Prevalence of Text Neck Between Different Female Students at Taibah University, Saudi Arabia; Cross Section Design.Healthcare (Basel, Switzerland) · 2025Article
- Neck stabilization exercise and dynamic neuromuscular stabilization reduce pain intensity, forward head angle and muscle activity of employees with chronic non-specific neck pain: A retrospective study.Journal of experimental orthopaedics · 2025Article
- Influence of Walking, Manual Techniques, and Elastic Resistance Exercise on Shoulder Posture in Healthy Elderly Individuals.Geriatrics (Basel, Switzerland) · 2024Article
- 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
Corrections and comments
- Expression of concern
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study is to evaluate the effect of a six-week combined manual therapy (MT) and stabilizing exercises (SEs), with a one-month follow-up on neck pain and improving function and posture in patients with forward head and rounded shoulder postures (FHRSP).
methodsSixty women with neck pain and FHRSP were randomized into three groups: Group 1 performed SE and received MT (n = 20), Group 2 performed SE (n = 20) and Group 3 performed home exercises (n = 20) for six weeks. The follow-up time was one month after the post test. The pain, function, and head and shoulder angles were measured before and after the six-week interventions, and during a one-month follow-up.
resultsThere were significant within-group improvements in pain, function, and head and shoulder posture in groups 1 and 2. There were significant between-group differences in groups 1 and 2 in head posture, pain, and function favoring group 1 with effect size 0.432(p = 0.041), 0.533 (P = 0.038), and 0.565(P = 0.018) respectively. There were significant between-group differences in both intervention groups versus the control group favoring the intervention groups.
conclusionThese findings suggest that both interventions were significantly effective in reducing neck pain and improving function and posture in patients. However, the improvement in function and pain were more effective in Group 1 as compared to Group 2, suggesting that MT can be used as a supplementary method to the stabilizing intervention in the treatment of neck pain. More researches are needed to confirm the result of this study.
trial registrationUMIN000030141 modified on 2018.03.08. This study is a randomized control trial registered at UMIN-CTR website, the trial was retrospectively registered and the unique trial number is UMIN000030141 .
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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.