Comparison of brueggers exercise with elastic resistance band and deep cervical flexor training with pressure biofeedback unit in asymptomatic subjects with forward head posture: A randomized controlled trial

Background: Forward head posture (FHP) is the most frequently attained postural deviation associated with rounding of shoulders. These postural deviations are caused due to a muscular imbalance, which occurs around scapula and shoulder joint. Objectives: To study and compare the effect of Bruegger’s Exercise, deep cervical flexor training (DCFT) on Craniovertebral angle (CVA), Craniocervical flexion endurance test (CCFET), and Pectoralis minor index (PMI) in asymptomatic subjects with FHP. Methods: The present study was three arm parallel randomized controlled trials. Fifty-one subjects with asymptomatic forward head posture were allocated to either Group A (Bruegger’s Exercise with Elastic resistance band) or Group B (deep cervical flexor training with Pressure Biofeedback Unit) or Group C (control or Isometric neck exercises). The primary outcome was CVA and the secondary outcomes were CCFET and PMI. All subjects were assessed on 1st day and end of 3rd week, for CVA, CCFET, and PMI. Follow up assessment was done for CVA alone at 6th and 9th week. Statistical analysis included Paired t-test/Wilcoxon signed–rank test, ANOVA/Kruskal–Wallis test and Shapiro-Wilk test. The adaptations of the human body resulting from the aging process especially loss of flexibility can increase the risk of falls and the risk of developing other health conditions. Exercise training, especially the Pilates exercise method, has become a crucial sort of physical activity that minimizes the deleterious effects of aging on flexibility. Few studies have evaluated the effect of this training method on body flexibility among elderly.

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