Establishing minimal clinically important difference for effectiveness of corrective exercises on craniovertebral and shoulder angles among students with forward head posture: a clinical trial study

Bibliographic Details
Title: Establishing minimal clinically important difference for effectiveness of corrective exercises on craniovertebral and shoulder angles among students with forward head posture: a clinical trial study
Authors: Zahra Heydari, Rahman Sheikhhoseini, Shahnaz Shahrbanian, Hashem Piri
Source: BMC Pediatrics, Vol 22, Iss 1, Pp 1-11 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Pediatrics
Subject Terms: Posture, Head, Shoulder, Exercise, Minimal clinically important difference, Pediatrics, RJ1-570
More Details: Abstract Background Previous studies have addressed the effects of different exercises and modalities on forward head posture (FHP), but the minimal clinically important difference (MCID) of the effect of exercises on FHP remains unclear. Therefore, this study aimed to investigate the effects of selective corrective exercises (SCEs) on the craniovertebral angle (CVA) and shoulder angle (SA) in students with FHP and to establish MCID for these angles. Methods In this randomized clinical trial study, a total of 103 second-grade male students with FHP were enrolled. Participants were randomly assigned to experimental and control groups. CVA and SA of participants were measured before and after the 8-week selective corrective exercise program (including strengthening and stretching exercises). The photogrammetric method was used to measure CVA and SA. MCID value was calculated for CVA and SA using the distribution method. Results The results showed that there was a significant difference between the experimental and control groups in terms of CVA (F = 89.04, P = 0.005, Effect size = 0.47) and SA (F = 18.83, P = 0.005, Effect size = 0.16). After eight weeks of selective corrective exercises, the MCID values of CVA and SA were 1.40° and 1.34°, respectively. Conclusion This study revealed that the selective corrective exercises might lead to postural correction of students having FHP problem. Results further indicated that a corrective exercise program would be considered beneficial if it increased CVA and SA values at least 1.40 and 1.34 degrees, respectively.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2431
Relation: https://doaj.org/toc/1471-2431
DOI: 10.1186/s12887-022-03300-7
Access URL: https://doaj.org/article/2ad842615050407c8f2821c2f3470a42
Accession Number: edsdoj.2ad842615050407c8f2821c2f3470a42
Database: Directory of Open Access Journals
More Details
ISSN:14712431
DOI:10.1186/s12887-022-03300-7
Published in:BMC Pediatrics
Language:English