Authors :
S. Rajesh; Subhendu Sekhar Behuria; Dr. B.S Sathosh Kanna; Supriya Soni
Volume/Issue :
Volume 10 - 2025, Issue 8 - August
Google Scholar :
https://tinyurl.com/52p3yfjz
Scribd :
https://tinyurl.com/22mbdpz7
DOI :
https://doi.org/10.38124/ijisrt/25aug1179
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Abstract :
Introduction
Forward head and rounded shoulder posture (FHRSP) is one of the leading cause of neck pain and shoulder pain among
college going students and adults. The aim of this study was to know the effect of muscle energy technique and stabilization
exercise among college students with forward head and rounded shoulder posture.
Methods
Overall, 20 FHRSP population were recruited via convenient sampling and consecutively assigned into 2 groups (10
participants each). Group A received Stabilisation exercise while group B received MET. All treatments were administered
for 30 minutes / session, 3 days a week for 6 weeks. NPRS [Numerical Pain Rating Scale], Measuring Craniovertebral angle
[using goniometer], Neck Disability Index [NDI] are used as outcome measures. Descriptive statistics served to summarize
the demographic characteristics of the participants and interferential statistics of t-test was used to determine the effect of
intervention within the groups and between the groups. All statistical analysis was performed with the IBM SPSS statistics
software.
Results
The participants mean difference within group showed significant improvement as compared to between group. It
shows that there was improvement in patients with Muscle Energy Technique than Stabilisation Technique. CVA, NDI and
NPRS have shown improvement in MET than ST.
Conclusion
MET and Stabilisation Technique are both beneficial in improving pain and postural issues, with MET being more
advantageous. MET may be the preferred approach for the management of chronic shoulder, neck pain and forward head
and rounded shoulder posture.
Keywords :
FHRSP, Muscle Energy Technique, Stabilisation Exercise, Craniovertebral Angle, Neck Disability Index, NPRS.
References :
- Behera, Prateek. Neck pain among undergraduate medical students in a premier institute of central India: A cross-sectional study of prevalence and associated factors. Journal of Family Medicine and Primary Care.2020, 9(7):3574-3581, DOI: 10.4103/jfmpc.jfmpc_206_20
- Kiana Fathollahnejad. 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. l. BMC Musculoskeletal Disorders (2019) 20:86 https://doi.org/10.1186/s12891-019-2438-y
- Nesreen Fawzy Mahmoud. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Current Reviews in Musculoskeletal Medicine (2019). DOI: 10.1007/s12178-019-09594-y
- Sutantar Singh. Prevalence of forward head posture and its impact on the activity of daily living among students of Adesh University – A cross-sectional study. Adesh University Journal of Medical Sciences & Research. 2020, 2(2): 99-102.DOI: 10.25259/AUJMSR_18_2020.
- Benjamin E Smith. An update of stabilisation exercises for low back pain: a systematic review with meta-analysis. BMC Musculoskeletal Disorders 2014, 15(416) doi:10.1186/1471-2474-15-416
- Maikutlo Kebaetse. Thoracic Position Effect on Shoulder Range of Motion, Strength, and Three-Dimensional Scapular Kinematics. Archives of Physical Medicine and Rehabilitation, 80(8), 945–950. DOI: https://doi.org/10.1016/S0003-9993(99)90088-6
- Paulraj.Effect of Muscle Energy Technique and Stabilization Exercise on Forward Neck and Rounded Shoulder for Elite Swimmers.2023. 17(1), DOI: https://doi.org/10.37506/ijpot.v17i1.18961
- Kiana Fathollahnejad. 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. 2019, 20(86). DOI: 10.1186/s12891-0192438-y.
- Silvia Sbardella. Muscle Energy Technique in the Rehabilitative Treatment for Acute and Chronic Non-Specific Neck Pain: A Systematic Review.2021, 9,(746).DOI: 10.3390/healthcare9060746.
- Mi-Kyoung Kim. The Effect of Shoulder Stabilization Exercise and Core Stabilization Exercise on the Shoulder Height and Respiratory Function in Young Adults with Round Shoulder Posture.2023,18(4):1-17.DOI:10.13066/kspm.2023.18.4.1
- Gyeong-eun Im. The Effects of Muscle Energy Technique on the Shoulder Complex Range of Motion and Posture Alignment of Female College Students in their Twenties with a Round Shoulder. 2021;27(2): 17-25.DOI:
- Reema Joshi. The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture—a Randomized Controlled Trail.2022,15(2):14-21.DOI: 10.3822/ijtmb.v15i2.673
- June Quek. Effects of thoracic kyphosis and forward head posture on cervical range of motion in older adults.2013,18: 65-71.DOI:10.1016/j.math.2012.07.005
- Joana Pacheco. Forward head posture is associated with pressure pain threshold and neck pain duration in university students with subclinical neck pain .2018, DOI: 10.1080/08990220.2018.1475352
- Eun-Kyung Kim. Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. 2016. 28: 2929–2932.DOI: https://doi.org/10.1589/jpts.28.2929
- Kevin G. Laudner. Forward Shoulder Posture in Collegiate Swimmers: A Comparative Analysis of Muscle-Energy Techniques. 2015;50(11):1133–1139, DOI: 10.4085/1062-6050-50.11.07
- Shahnaz Hasan. The Combined Effect of the Trapezius Muscle Strengthening and Pectoralis Minor Muscle Stretching on Correcting the Rounded Shoulder Posture and Shoulder Flexion Range of Motion among Young Saudi Females: A Randomized Comparative Study. 2023, 11(4),500, DOI: https://doi.org/10.3390/ healthcare11040500
- Ayesha Majeed. Comparative effectiveness of pectoralis minor stretching and rhomboids strengthening on resting position of scapula in healthy persons with rounded shoulder posture.2021,3(46)
- Juchul Cho. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial.2017,18(525), DOI: 10.1186/s12891-017-1889-2
- Toni S. Roddey. The Effect of Pectoralis Muscle Stretching on the Resting Position of the Scapula in Persons with Varying Degrees of Forward Head/ Rounded Shoulder Posture. 2002, Vol. 10 No. 3 ,124 – 128, DOI: https://doi.org/10.1179/ 106698102790819247
- Upneet Kaur. Prompt Impact of Muscle Energy Technique on Pectoralis Muscle Tightness in Computer Users: A Quasi-Experimental Study.2023. Vol. 13, No.2 , 123-128.DOI: https://doi.org/10.15280/jlm.2023.13.2.123
- Seoyon Yang. Treatment of Chronic Neck Pain in Patients with Forward Head Posture: A Systematic Narrative Review.2023.11(2604). DOI: https://doi.org/10.3390/healthcare11192604
Introduction
Forward head and rounded shoulder posture (FHRSP) is one of the leading cause of neck pain and shoulder pain among
college going students and adults. The aim of this study was to know the effect of muscle energy technique and stabilization
exercise among college students with forward head and rounded shoulder posture.
Methods
Overall, 20 FHRSP population were recruited via convenient sampling and consecutively assigned into 2 groups (10
participants each). Group A received Stabilisation exercise while group B received MET. All treatments were administered
for 30 minutes / session, 3 days a week for 6 weeks. NPRS [Numerical Pain Rating Scale], Measuring Craniovertebral angle
[using goniometer], Neck Disability Index [NDI] are used as outcome measures. Descriptive statistics served to summarize
the demographic characteristics of the participants and interferential statistics of t-test was used to determine the effect of
intervention within the groups and between the groups. All statistical analysis was performed with the IBM SPSS statistics
software.
Results
The participants mean difference within group showed significant improvement as compared to between group. It
shows that there was improvement in patients with Muscle Energy Technique than Stabilisation Technique. CVA, NDI and
NPRS have shown improvement in MET than ST.
Conclusion
MET and Stabilisation Technique are both beneficial in improving pain and postural issues, with MET being more
advantageous. MET may be the preferred approach for the management of chronic shoulder, neck pain and forward head
and rounded shoulder posture.
Keywords :
FHRSP, Muscle Energy Technique, Stabilisation Exercise, Craniovertebral Angle, Neck Disability Index, NPRS.