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KMID : 1151220220280030051
Journal of Korean Academy of Orthopedic Manual Therapy
2022 Volume.28 No. 3 p.51 ~ p.59
Effects of MWM for Improving Ankle Dysfunction on Pain, Neck Disability, and Craniovertebral Angle in Patients with Neck Pain Accompanied by Forward Head Posture
Lee Jae-Nam

Jung Sang-Mo
Jeong Young-June
Abstract
Background: This study aimed to investigate the effect of mobilization with movement (MWM) applied to the ankle joint, on the craniovertebral angle (CVA), pressure pain threshold, and neck disability index (NDI) in asymptomatic adults with a forward head posture (FHP).

Methods: A total of 32 subjects with FHP were assigned to either the MWM group (N=16) or the cranio-cervical flexion exercise (CCFE) group (n=16). The CVA, pressure pain threshold and NDI were measured before and 4 weeks after the intervention.

Results: A significant improvement in the CVA was observed in the MWM group (p<.05), whereas no significant changes (p>.05) were observed in the CCFE group. Both groups showed significant differences in the pressure pain threshold and NDI before and after the intervention (p<.05).

Conclusion: The results of the study suggest that MWM applied to the ankle joint can effectively improve the CVA, pressure pain threshold, and NDI of adults with a forward head posture. Based on this study, the ankle MWM technique for dorsiflexion can be used as an objective research method for additional studies targeting FHP patients in the future.
KEYWORD
Craniovertebral angle, Forward head posture, Mobilization with movement, Neck disability index, Pressure pain threshold
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