Evidence map›Paper›PMID 33083487›Full record

ArticleBioMed research international2020

Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly.

Isha Sikka, Chandan Chawla, Shveta Seth, Ahmad H Alghadir, Masood Khan

4 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT04747899 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of Positional Release Technique for Myofascial Trigger Points of the Upper Trapezius With Forward Head Posture

TypeinterventionalSponsorRiphah International UniversityRan2021 to 2021Enrolled32ConditionsTrigger Point Pain, MyofascialArmsPositional release technique, Traditional physical therapy
NCT05618964 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects Of Deep Neck Flexor And Extensor Exercises On Pain, Range Of Motion And Muscle Strength In Mechanical Neck Pain

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled36ConditionsMechanical Neck PainArmsDeep Neck Flexors & Extensors exercises
NCT06108882 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Manual Ischemic Compression With and Without Strain Counter Strain Technique on Sternocleidomastoid Tightness With Forward Head Posture

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled42ConditionsNeck PainArmsExperimental: Manual Ischemic Compression with Strain Counter Strain technique, Active Comparator: Manual Ischemic Compression
NCT07266610 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of Deep Neck Stabilizers Retraining With Pressure Biofeedback on Cervical Pain, Range of Motion and Temporomandibular Dysfunction in Patients With Chronic Neck Pain

TypeinterventionalSponsorLahore University of Biological and Applied SciencesRan2025 to 2026Enrolled70ConditionsNeck Pain Musculoskeletal, Chronic Neck PainArmsBiofeedback-assisted deep neck flexor retraining, Conventional exercises
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Effect of Global Postural Re-Education in Individuals With Text Neck Syndrome: A Randomized Controlled Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Understanding the Burden of Work-Related Musculoskeletal Disorders in Dental Students: A Multinational Cohort Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
    Article
  8. Article
  9. The short-term effects of spiral stabilization on human posture correction.BMC sports science, medicine & rehabilitation · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Upper crossed syndrome in secondary school students: A mixed-method study.Journal of Taibah University Medical Sciences · 2023
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Isha SikkaOptum, Noida 201304, India.
Chandan ChawlaAbility Physiotherapy and Sports Injury Clinic, Hauz Khas, New Delhi 110016, India.
Shveta SethAIIMS, New Delhi 110029, India.
Ahmad H AlghadirRehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 11433, Saudi Arabia.
Masood KhanRehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh 11433, Saudi Arabia.ORCID https://orcid.org/0000-0002-8051-142X
King Saud University · SAAll India Institute of Medical Sciences Raipur · INInstitute of Cytology and Preventive Oncology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In contemporary societies, computer use by children is a necessity and thus highly prevalent. Using computers for long hours is related to a higher risk of computer-related muscular disorders like forward head posture (FHP) and neck pain (NP). Deep cervical flexor (DCF) muscles are important head-on-neck posture stabilizers; thus, their training may lead to an improvement in FHP and NP. The aim of this study was to determine if 4 weeks of DCF training is effective in alleviating NP, improving FHP, and functional status in adolescent children using computers regularly, a pretest-posttest experimental group design was used. Subjects were randomly assigned into the experimental group (receiving DCF training and postural education) and the control group (receiving postural education only). 30 subjects with a mean age of 15.7 ± 1.725 years with NP and FHP using computers regularly participated in the study. Dependent variables were measured on day 1 (at baseline) and after 4 weeks of training. Photographic analysis was used for measuring FHP, visual analog scale for NP intensity, and neck disability index for functional status. Data analysis showed that in both groups, no significant improvement occurred in FHP. In both groups, there was a significant improvement in functional status and NP. There was no significant difference between both groups for FHP and NP. There was a significant improvement in functional status in the experimental group in comparison to the control group. Four weeks of DCF training does not cause a significant improvement in FHP in 13 to 18 years old adolescent children using computers regularly.

Indexed as

AdolescentComputersFemaleFunctional StatusHeadHumansMaleMuscle, SkeletalNeckNeck MusclesNeck PainPain MeasurementPosture

Identifiers

PMID33083487
PMCPMC7559831
OpenAlexW3092183107

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.