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KMID : 0357220090210020071
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Journal of Korean Society Physical Therapy
2009 Volume.21 No. 2 p.71 ~ p.77
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The Effect of Forward Head Posture and Cervical ROM on Chronic and Episodic Tension-Type Headache in University Students
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Chae Yun-Won
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Abstract
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Purpose: This study assessed the differences in the forward head posture (FHP), cervical range of motion, and headache clinical parameters in episodic tension-type headache (ETTH) subjects, chronic tension-type headache (CTTH) subjects, and healthy controls (university students).
Methods: Fifteen CTTH subjects, 15 ETTH subjects and 15 controls without headache were examined. Side-view images of each group were taken in both the sitting and standing positions, in order to assess the FHP by measuring the craniovertebral angle. The CROM was used to measure the cervical range of motion. A headache diary was kept for 4 weeks to assess the headache intensity, frequency, and duration.
Results: The craniovertebral angle was smaller, ie, there was a greater FHP, in the CTTH and ETTH subjects than in the healthy controls in both the sitting and standing positions (p<0.05). The CTTH and ETTH subjects showed a lower cervical range of motion than the healthy controls in the total range of motion as well as in the half-cycles (p<0.05).
Conclusion: The increased FHP and decreased cervical range of motion might be a contributing factor in the initiation of tension-type headache.
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KEYWORD
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Tension-type headache, Chronic, Episodic, Forward head posture, Cervical range of motion
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