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Biomechanical Analysis of Chin Tuck Exercise with a Subject-Specific Neck Model for the Forward Headed

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Abstract

There are various correctional exercise methods for forward head posture (FHP) with insufficient scientific criteria for the best choices. The purpose of this research was to understand the biomechanical effect of the chin tuck exercise on FHP, focusing on the major neck extensor muscles splenii and the major flexor muscle with musculoskeletal dynamics analysis software SIMM. Subjects are divided into two groups: normal head posture (NHP) and FHP. Kinematic alignment of the cervical spine model of each subject in the FHP group was modified according to the medical images of each subject. A motion analysis system was used to obtain the trajectories of the cervical spine during the chin tuck exercise. Inverse dynamics analysis was performed for the chin tuck exercise to compare muscle forces, intervertebral joint forces, and torques between the two groups. For the FHP group, average muscle forces were approximately 33% of those of the NHP group. Average joint forces and torques of the FHP group were approximately 38.0% and 20.2% higher during protraction and 36.1% and 25.3% lower during retraction, respectively, than the NHP group. From the present analysis, the therapeutic effects of the chin tuck exercise on FHP might be inferred. This study suggests that inverse dynamics analysis with a subject-specific musculoskeletal model might be useful to estimate the correctional effects of various exercises.

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References

  1. Kendall, F. P., Provance, P., and McCreary, E. K., “Muscles, Testing and Function: With Posture and Pain by Florence Peterson Kendall,” Lippincott Williams & Wilkins, 4th Ed., 1994.

    Google Scholar 

  2. Harms-Ringdahl, K., Schüldt, K., and Ekholm, J., “Principles of Prevention of Neck-and-Shoulder Pain,” Scandinavian Journal of Rehabilitation Medicine. Supplement, Vol. 32, pp. 87–96, 1995.

    Google Scholar 

  3. Cailliet, R., “Soft Tissue Pain and Disability (Pain Series),” F a Davis Co, 2nd Ed., pp. 123–169, 1988.

    Google Scholar 

  4. Baldry, P., Yunus, M. B., and Inanici, F., “Myofascial Pain and Fibromyalgia Syndromes: A Clinical Guide to Diagnosis and Management,” Elsevier Health Sciences, 2001.

    Google Scholar 

  5. Griegel-Morris, P., Larson, K., Mueller-Klaus, K., and Oatis, C. A., “Incidence of Common Postural Abnormalities in the Cervical, Shoulder, and Thoracic Regions and their Association with Pain in Two Age Groups of Healthy Subjects,” Physical Therapy, Vol. 72, No. 6, pp. 425–431, 1992.

    Article  Google Scholar 

  6. Grant, R., “Physical Therapy of the Cervical and Thoracic Spine,” Churchill Livingstone, 1994.

    Google Scholar 

  7. Watson, D. H. and Trott, P. H., “Cervical Headache: An Investigation of Natural Head Posture and Upper Cervical Flexor Muscle Performance,” Cephalalgia, Vol. 13, No. 4, pp. 272–284, 1993.

    Article  Google Scholar 

  8. Grimmer, K. and Trott, P., “The Association between Cervical Excursion Angles and Cervical Short Flexor Muscle Endurance,” Australian Journal of Physiotherapy, Vol. 44, No. 3, pp. 201–207, 1998.

    Article  Google Scholar 

  9. Latham, J. M., Fraser, R. D., Moore, R. J., Blumbergs, P. C., and Bogduk, N., “The Pathologic Effects of Intrathecal Betamethasone,” Spine, Vol. 22, No. 14, pp. 1558–1562, 1997.

    Article  Google Scholar 

  10. Pearson, N. D. and Walmsley, R. P., “Trial into the Effects of Repeated Neck Retractions in Normal Subjects,” Spine, Vol. 20, No. 11, pp. 1245–1250; discussion 1251, 1995.

    Article  Google Scholar 

  11. Roddey, T. S., Olson, S. L., and Grant, S. E., “The Effect of Pectoralis Muscle Stretching on the Resting Position of the Scapula in Persons with Varying Degrees of Forward Head/Rounded Shoulder Posture,” Journal of Manual & Manipulative Therapy, Vol. 10, No. 3, pp. 124–128, 2002.

    Article  Google Scholar 

  12. McKenzie, R., “Treat your Own Neck. Waikanae,” New Zealand: Spinal Publications, Ltd., 1983.

    Google Scholar 

  13. Mense, S., Simons, D. G., Russell I. J., “Muscle Pain: Understanding Its Nature, Diagnosis, and Treatment,” Lippincott Williams & Wilkins, 2001.

    Google Scholar 

  14. Braun, B. L. and Amundson, L. R., “Quantitative Assessment of Head and Shoulder Posture,” Archives of Physical Medicine and Rehabilitation, Vol. 70, No. 4, pp. 322–329, 1989.

    Google Scholar 

  15. Wright, E. F., Domenech, M. A., and Fischer, J. R., “Usefulness of Posture Training for Patients with Temporomandibular Disorders,” The Journal of the American Dental Association, Vol. 131, No. 2, pp. 202–210, 2000.

    Article  Google Scholar 

  16. Harman K., Putnam C., Fenety A., Tingley M., McClellan A., Crouse J., “A New Dynamic Method to Measure Sitting Behaviour: The Effect of a Stressful Typing Task on Head, Neck and Shoulder Angles,” IEA Conference, Seoul, Korea, 2003.

    Google Scholar 

  17. Raine, S. and Twomey, L., “Posture of the Head, Shoulders and Thoracic Spine in Comfortable Erect Standing,” Australian Journal of Physiotherapy, Vol. 40, No. 1, pp. 25–32, 1994.

    Article  Google Scholar 

  18. Feldenkrais, M., “Awareness through Movement: Health Exercises for Personal Growth,” New York, NY: Harper & Row, 1977.

    Google Scholar 

  19. Vasavada, A. N., Li, S., and Delp, S. L., “Influence of Muscle Morphometry and Moment Arms on the Moment-Generating Capacity of Human Neck Muscles,” Spine, Vol. 23, No. 4, pp. 412–422, 1998.

    Article  Google Scholar 

  20. Antonaci, F., Bulgheroni, M., Ghirmai, S., Lanfranchi, S., Dalla Toffola, E., et al., “3D Kinematic Analysis and Clinical Evaluation of Neck Movements in Patients with Whiplash Injury,” Cephalalgia, Vol. 22, No. 7, pp. 533–542, 2002.

    Article  Google Scholar 

  21. Pearson, A. M., Ivancic, P. C., Ito, S., and Panjabi, M. M., “Facet Joint Kinematics and Injury Mechanisms during Simulated Whiplash,” Spine, Vol. 29, No. 4, pp. 390–397, 2004.

    Article  Google Scholar 

  22. Delp, S. L. and Loan, J. P., “A Computational Framework for Simulating and Analyzing Human and Animal Movement,” Computing in Science & Engineering, Vol. 2, No. 5, pp. 46–55, 2000.

    Article  Google Scholar 

  23. Frobin, W., Leivseth, G., Biggemann, M., and Brinckmann, P., “Vertebral Height, Disc Height, Posteroanterior Displacement and Dens-Atlas Gap in the Cervical Spine: Precision Measurement Protocol and Normal Data,” Clinical Biomechanics, Vol. 17, No. 6, pp. 423–431, 2002.

    Article  Google Scholar 

  24. Bae, T. S., Choi, K., Hong, D., and Mun, M., “Dynamic Analysis of Above-Knee Amputee Gait,” Clinical Biomechanics, Vol. 22, No. 5, pp. 557–566, 2007.

    Article  Google Scholar 

  25. Kumar, S., Narayan, Y., and Amell, T., “Power Spectra of Sternocleidomastoids, Splenius Capitis, and Upper Trapezius in Oblique Exertions,” The Spine Journal, Vol. 3, No. 5, pp. 339–350, 2003.

    Article  Google Scholar 

  26. Lee, K.-J., Han, H.-Y., Cheon, S.-H., Park, S.-H., and Yong, M.-S., “The Effect of Forward Head Posture on Muscle Activity during Neck Protraction and Retraction,” Journal of Physical Therapy Science, Vol. 27, No. 3, pp. 977–979, 2015.

    Article  Google Scholar 

  27. Harrison, D. E., Harrison, D. D., Cailliet, R., Troyanovich, S. J., Janik, T. J., and Holland, B., “Cobb Method or Harrison Posterior Tangent Method: Which to Choose for Lateral Cervical Radiographic Analysis,” Spine, Vol. 25, No. 16, pp. 2072–2078, 2000.

    Article  Google Scholar 

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Correspondence to Kwon Hee Kim or Tae Soo Bae.

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Han, J.W., Kim, K.H., Bae, T.S. et al. Biomechanical Analysis of Chin Tuck Exercise with a Subject-Specific Neck Model for the Forward Headed. Int. J. Precis. Eng. Manuf. 19, 587–592 (2018). https://doi.org/10.1007/s12541-018-0071-6

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  • DOI: https://doi.org/10.1007/s12541-018-0071-6

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