Evidence map›Paper›PMID 39355449›Full record

ArticleJournal of orthopaedics2025

Altered body balance and plantar pressure distribution in young adults with forward head posture.

Hussein Youssef, Onur Aydoǧdu, Aysel Yildiz

Abstract read
In one paragraph

Article in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. 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

3 authors.

Hussein YoussefNeuroscience, Graduate School of Health Sciences, Koç University, Turkey.
Onur AydoǧduPhysical Therapy & Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey.
Aysel YildizPhysical Therapy & Rehabilitation, Faculty of Health Sciences, Marmara University, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Forward head posture (FHP), a common postural issue, affects balance and may be linked to altered muscle activity and cervical spine alignment. This study investigated the impact of FHP on static balance and plantar pressure distribution in adults. We hypothesized that FHP would be associated with poorer balance and altered pressure distribution. Methods: This case-control study investigated the impact of FHP on static balance and plantar pressure distribution in adults (n = 52). Participants were categorized based on craniovertebral angle (CVA), into FHP (CVA <47°) and control (CVA ≥47°) groups. Static balance was assessed using a NeuroCom® Balance Manager System, evaluating parameters like center of gravity sway and directional control. Plantar pressure distribution was measured with an Emed Pedobarography system during walking, analyzing maximum force, peak pressure, and contact area. Results: Participants with FHP showed poorer balance with eyes closed on foam compared to the control group. Additionally, the FHP group exhibited lower total maximum force and altered force distribution in both feet during walking. Correlations suggested that higher CVA degrees were associated with decreased balance and altered plantar pressure distribution. Despite, linear regression analyses revealed no significant predictive relationships between CVA and specific balance measures, it showed significant associations with several plantar pressure distribution parameters, including total maximum force exerted on both feet, maximum force on the forefoot, and peak pressure on the hindfoot. Conclusion: These findings suggest that FHP may influence balance and plantar pressure distribution, with a potentially stronger effect on plantar pressure than balance parameters.

Identifiers

PMID39355449
PMCPMC11439894

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Registered trials

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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.