"Evaluating Physiotherapy Techniques For Forward Head Posture: A Literature Review”

Abstract

Introduction: Forward head posture (FHP) is a prevalent musculoskeletal condition characterized by an anterior translation of the head relative to the neutral position of the cervical spine. This posture alteration can lead to various musculoskeletal dysfunctions and pain. The purpose of this literature review was to identify and evaluate the best physiotherapy interventions for the management of forward head posture. Methods: A comprehensive search was conducted across electronic databases, including PubMed, PEDro, and Google Scholar, to identify relevant studies published between 2000 and 2021. A total of 27 studies met the inclusion criteria and were analyzed. The inclusion criteria encompassed studies examining the effects of physiotherapy interventions on forward head posture in various populations and age groups. Results: Based on the available evidence, combination of exercises targeting deep cervical flexors and stabilization exercises appear to be the most effective, followed by manual therapy and myofascial release appears to be the most effective approach for addressing forward head posture. Future research should focus on evaluating the long-term effects and cost-effectiveness of these interventions. Discussion: The findings of this review suggest that a multimodal approach combining exercise programs, manual therapy techniques, and postural correction strategies yields the best results in managing forward head posture. Exercise programs focusing on strengthening the deep cervical flexor muscles and improving thoracic mobility were found to be particularly effective. Additionally, interventions targeting ergonomic modifications and patient education were found to be valuable adjuncts to treatment.