ORIGINAL PAPER
Effect of a mask-type craniocervical brace on head posture during computer typing in individuals with forward head posture
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1
Department of Physical Therapy, Cheongju University, Cheongju, Republic of Korea
 
2
Department of Physical Therapy, Baekseok University, Cheonan, Republic of Korea
 
 
Submission date: 2021-01-27
 
 
Acceptance date: 2021-08-14
 
 
Publication date: 2022-05-23
 
 
Physiother Quart. 2023;31(1):1-5
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Craniocervical braces decreased poor posture, but they were uncomfortable and difficult to wear. Thus, the purpose of this study was to (1) design a new forward head posture (FHP) brace that would be comfortable and aesthetically pleasing, (2) analyse the immediate effect of using a mask-type craniocervical brace, (3) analyse the time interval when FHP may become worse in individuals with FHP.

Methods:
The mask-type brace was made of very light flexible plastic with the use of a 3D printer. Uverall, 32 volunteers typed for 15 minutes with and without the brace. Photogrammetric analysis was applied to calculate forward head angle. A greater forward head angle indicates a less protracted head.

Results:
Wearing the brace for 15 minutes significantly increased the forward head angle as compared with when the brace was not worn. The forward head angle significantly decreased at 15 minutes compared with the status at 0 and 1 minutes.

Conclusions:
The use of the mask-type craniocervical brace is a viable option for preventing deterioration of FHP during typing activities that last for more than 15 minutes.

 
REFERENCES (32)
1.
Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, et al. Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med. 2003;60(9):649–654; doi: 10.1136/oem.60.9.649.
 
2.
Juul-Kristensen B, Søgaard K, Strøyer J, Jensen C. Computer users’ risk factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health. 2004;30(5):390–398; doi: 10.5271/sjweh.827.
 
3.
Brandt LP, Hviid Andersen J, Funch Lassen C, Kryger A, Overgaard E, Vilstrup I, et al. Neck and shoulder symptoms and disorders among Danish computer workers. Scand J Work Environ Health. 2004;30(5):399–409; doi: 10.5271/sjweh.828.
 
4.
Szeto GPY, Straker LM, O’Sullivan PB. A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work – 1: neck and shoulder muscle recruitment patterns. Man Ther. 2005;10(4):270–280; doi: 10.1016/j.math.2005.01.004.
 
5.
Szeto GPY, Straker LM, O’Sullivan PB. EMG median frequency changes in the neck-shoulder stabilizers of symptomatic office workers when challenged by different physical stressors. J Electromyogr Kinesiol. 2005;15(6):544–555; doi: 10.1016/j.jelekin.2005.06.004.
 
6.
Wegner S, Jull G, O’Leary S, Johnston V. The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain. Man Ther. 2010;15(6):562–566; doi: 10.1016/j.math.2010.06.006.
 
7.
Kang J-H, Park R-Y, Lee S-J, Kim J-Y, Yoon S-R, Jung K-I. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012;36(1):98–104; doi: 10.5535/arm.2012.36.1.98.
 
8.
Yip CHT, Chiu TTW, Poon ATK. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008;13(2):148–154; doi: 10.1016/j.math.2006.11.002.
 
9.
Morningstar MW. Cervical hyperlordosis, forward head posture, and lumbar kyphosis correction: a novel treatment for mid-thoracic pain. J Chiropr Med. 2003;2(3):111–115; doi: 10.1016/S0899-3467(07)60055-X.
 
10.
Kim B-B, Lee J-H, Jeong H-J, Cynn H-S. Effects of suboccipital release with craniocervical flexion exercise on craniocervical alignment and extrinsic cervical muscle activity in subjects with forward head posture. J Electromyogr Kinesiol. 2016;30:31–37; doi: 10.1016/j.jelekin.2016.05.007.
 
11.
Chiou W-K, Chou W-Y, Chen B-H. Notebook computer use with different monitor tilt angle: effects on posture, muscle activity and discomfort of neck pain users. Work. 2012;41(Suppl. 1):2591–2595; doi: 10.3233/WOR-2012-0504-2591.
 
12.
Yoo W-G, Kim M-H. Effect of different seat support characteristics on the neck and trunk muscles and forward head posture of visual display terminal workers. Work. 2010;36(1):3–8; doi: 10.3233/WOR-2010-1002.
 
13.
Kim M-H, Yoo W-G. Effect of a worktable position on head and shoulder posture and shoulder muscles in manual material handling. Work. 2015;51(2):289–292; doi: 10.3233/WOR-141866.
 
14.
Yoon T-L, Cynn H-S, Choi S-A, Lee J-H, Chio B-S. Effect of the craniocervical brace on craniocervical angle, thoracic kyphosis angle, and trunk extensor muscle activity during typing in subjects with forward head posture. Work. 2016;55(1):163–169; doi: 10.3233/WOR-162378.
 
15.
Cole AK, McGrath ML, Harrington SE, Padua DA, Ru­cinski TJ, Prentice WE. Scapular bracing and alteration of posture and muscle activity in overhead athletes with poor posture. J Athl Train. 2013;48(1):12–24; doi: 10.4085/1062-6050-48.1.13.
 
16.
Kim D-H, Kwon H, Yoo W-G. Effect of assistive device for neck retraction (ANR) on neck muscles during neck retraction exercise. J Phys Ther Sci. 2013;25(5):537–538; doi: 10.1589/jpts.25.537.
 
17.
Ivancic PC. Effects of orthoses on three-dimensional load-displacement properties of the cervical spine. Eur Spine J. 2013;22(1):169–177; doi: 10.1007/s00586-012-2552-0.
 
18.
Forward head posture correction collar. United States Patient Application Publication; 2006. Available from: https://patentimages.storage.g....
 
19.
Maruyama T, Grivas TB, Kaspiris A. Effectiveness and outcomes of brace treatment: a systematic review. Physiother Theory Pract. 2011;27(1):26–42; doi: 10.3109/09593985.2010.503989.
 
20.
Chung MK, Lee I, Kee D. Quantitative postural load assessment for whole body manual tasks based on perceived discomfort. Ergonomics. 2005;48(5):492–505; doi: 10.1080/00140130400029217.
 
21.
Miedema MC, Douwes M, Dul J. Recommended maximum holding times for prevention of discomfort of static standing postures. Int J Ind Ergon. 1997;19(1):9–18; doi: 10.1016/0169-8141(95)00037-2.
 
22.
Thigpen CA, Padua DA, Michener LA, Guskiewicz K, Giuliani C, Keener JD, et al. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. J Electromyogr Kinesiol. 2010;20(4):701–709; doi: 10.1016/j.jelekin.2009.12.003.
 
23.
Abràmoff MD, Magalhães PJ, Ram SJ. Image processing with ImageJ. Biophotonics Int. 2004;11(7):36–42.
 
24.
Kuo Y-L, Tully EA, Galea MP. Video analysis of sagittal spinal posture in healthy young and older adults. J Manipulative Physiol Ther. 2009;32(3):210–215; doi: 10.1016/j.jmpt.2009.02.002.
 
25.
Shin A-R, Lee J-H, Kim D-E, Cynn H-S. Thera-Band application changes muscle activity and kyphosis and scapular winging during knee push-up plus in subjects with scapular winging: the cross-sectional study. Medicine. 2018;97(14):e0348; doi: 10.1097/MD.0000000000010348.
 
26.
Fernández-de-las-Peñas C, Alonso-Blanco C, Cuadrado ML, Pareja JA. Forward head posture and neck mobility in chronic tension-type headache: a blinded, controlled study. Cephalalgia. 2006;26(3):314–319; doi: 10.1111/j.1468-2982.2005.01042.x.
 
27.
Takasaki H, Delbridge BM, Johnston V. Taping across the upper trapezius muscle reduces activity during a standardized typing task – an assessor-blinded randomized cross-over study. J Electromyogr Kinesiol. 2015;25(1):115–120; doi: 10.1016/j.jelekin.2014.10.004.
 
28.
MacSween A, Brydson G, Hamilton J. The effect of custom moulded ethyl vinyl acetate foot orthoses on the gait of patients with rheumatoid arthritis. Foot. 1999;9(3):128–133; doi: 10.1054/foot.1999.0529.
 
29.
Park S-Y, Yoo W-G. Effect of EMG-based feedback on posture correction during computer operation. J Occup Health. 2012;54(4):271–277; doi: 10.1539/joh.12-0052-oa.
 
30.
Yoo W-G, Yi C-H, Cho S-H, Jeon H-S, Cynn H-S, Choi H-S. Effects of the height of ball-backrest on head and shoulder posture and trunk muscle activity in VDT workers. Ind Health. 2008;46(3):289–297; doi: 10.2486/indhealth.46.289.
 
31.
Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral sciences. Boston: Houghton Mifflin; 1998.
 
32.
Garza JLB, Eijckelhof BHW, Johnson PW, Raina SM, Rynell P, Huysmans MA, et al. Developing a framework for assessing muscle effort and postures during computer work in the field: the effect of computer activities on neck/shoulder muscle effort and postures. Work. 2012;41(Suppl. 1):2377–2380; doi: 10.3233/WOR-2012-0468-2377.
 
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