The Short-term Effects of the Repositioning Exercise on Forward Head Posture and Rounded Shoulder Posture in College Swimmers: A Randomized Controlled Trial

Authors

  • Nattapat Bunyuen Student, Master of Science Program in Exercise and Sports Sciences, Graduate School, Khon Kaen University
  • Yodchai Boonprakob Assistant Professor, Department of Physical Therapy, Faculty of Medical Technology, Khon Kaen University

Keywords:

Repositioning exercise, Forward head posture, Rounded shoulder

Abstract

This study aimed to investigate the short-term effects of repositioning exercise on changes in forward head posture and rounded shoulder posture in college swimmers. Participants in this study are members of KKU Aquatic Club,  Khon Kaen University,  36 males,  mean age  21.58±1.98 years, mean weight  73.42±12.10, mean height 1.75±0.05 meter, mean body mass index 23.97±3.46. Participants were divided into two groups by block randomization method. The first group is the repositioning exercise group doing reposition exercises three times per week, about 30 minutes each for four weeks, with the researcher controlling and supervising the exercise. The control group was the second group that performed regular swimming training. The variables in the study included the craniovertebral angle, pectoralis minor index, DASH-SM questionnaire, and 50-meter freestyle swimming time were assessed before the study (1st week) and end of the study (4th week). When comparing the effect of reposition exercises on the change within the group in the fourth week, the repositioning exercise group had a statistically significant increase in the variables such as craniovertebral angle (p=0.001), right pectoralis minor index (p=0.001), DASH-SM questionnaire score (p=0.03) and 50-meter freestyle swimming time were reduced statistically significant (p=0.019). The control group did not have statistically significant among all variables. Moreover, when comparing the effect of the repositioning exercise on the changes in the variables between the groups, there was no statistically significant difference for all variables (p<0.05). Summarizing the experiment results, it was found that if increasing the duration of exercise or modifying the exercise posture may result in more apparent differences and help correct forward head posture, rounded shoulder posture, helping to reduce shoulder injuries, and increase the performance of the swimmer.

References

Barbosa TM, Marinho DA, Costa MJ, Silva AJ. Biomechanics of Competitive Swimming Strokes. Biomechanics in Applications. 2011;23.

Johnson JE, Sim FH, Scott SG. Musculoskeletal Injuries in Competitive Swimmers. Mayo Clinic Proceedings. 1987 Apr;62(4):289–304.

Stocker D, Pink M, Jobe FW. Comparison of shoulder injury in collegiate- and master’s-level swimmers. Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine. 1995;5(1):4–8.

Pink MM, Tibone JE. THE PAINFUL SHOULDER IN THE SWIMMING ATHLETE. Orthopedic Clinics of North America. 2000;31(2):247–261.

Allegrucci M, Whitney SL, Irrgang JJ. Clinical Implications of Secondary Impingement of the Shoulder in Freestyle Swimmers. J Orthop Sports Phys Ther. 1994 Dec;20(6):307–318.

Asundi K, Odell D, Luce A, Dennerlein JT. Changes in posture through the use of simple inclines with notebook computers placed on a standard desk. Applied Ergonomics. 2012 Mar;43(2):400–407.

Janda V. Muscles and motor control in low back pain : assessment and management. In Churchill Livingstone, New York; 1987.

Kang JI, Choi HH, Jeong DK, Choi H, Moon YJ, Park JS. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci. 2018;30(6):804–808.

Kendall, McCreary EK. Muscles, Testing and Function (Third Edition). Br J Sports Med. 1984 Mar;18(1):25.

McMaster WC, Troup J. A survey of interfering shoulder pain in United States competitive swimmers. Am J Sports Med. 1993 Jan;21(1):67–70.

Hruska R, Anderson J. Postural respiration – an integrated approach to treatment of patterned thoraco-abdominal pathomechanics. Chapel Hill, North Carolina; 2019

Jantoon N, Uthaikhup S. Effects of an exercise program on cervical posture and sensorimotor function in persons with forward head posture. :10.

Lau HMC, Chiu TTW, Lam TH. Measurement of craniovertebral angle with Electronic Head Posture Instrument: Criterion validity. JRRD. 2010;47(9):911.

Borstad JD. Measurement of Pectoralis Minor Muscle Length: Validation and Clinical Application. J Orthop Sports Phys Ther. 2008 Apr;38(4):169–174.

Sharma A, Sharma A, Mishra A, Maini D, Sharma P, Verma T. Pectoralis Minor Index: Does Ethnicity Hold Relevance? Estimation of Pectoralis Minor Length in the Indian Population and Its Correlation with Hand Length. JOIO. 2020 May;54(3):374–380.

Buntragulpoontawee M, Phutrit S, Tongprasert S, Wongpakaran T, Khunachiva J. Construct validity, test–retest reliability and internal consistency of the Thai version of the disabilities of the arm, shoulder and hand questionnaire (DASH-TH) in patients with carpal tunnel syndrome. BMC Research Notes. 2018 Mar 27;11(1):208.

Greenfield B, Catlin PA, Coats PW, Green E, McDonald JJ, North C. Posture in Patients With Shoulder Overuse Injuries and Healthy Individuals. J Orthop Sports Phys Ther. 1995 May;21(5):287–295.

Kluemper M, Uhl T, Hazelrigg H. Effect of Stretching and Strengthening Shoulder Muscles on Forward Shoulder Posture in Competitive Swimmers. Journal of Sport Rehabilitation. 2006 Feb;15(1):58–70.

Kim HJ, Lee D. The study of correlation between forward head posture and shoulder pain: A STROBE-compliant cross-sectional study. Phys Ther Rehabil Sci. 2021 Sep 30;10(3):251–256.

Mougios V, Deligiannis A. Effect of water temperature on performance, lactate production and heart rate at swimming of maximal and submaximal intensity. The Journal of sports medicine and physical fitness. 1993;33 1:27–33.

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Published

2023-12-27

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บทความวิจัย