The Effect of Mckenzie Exercise to Increase Craniovertebral Angle in Forward Head Posture of Adolescent

Authors

  • Raras Hestina Laksmi Program Study Of Physiotherapy, Health Polytechnic Of Ministry Of Health Surakarta, Indonesia, Indonesia
  • Nitaya Putri Nur Hidayati Poltekkes Kemenkes Surakarta, Indonesia
  • Yuliana Ratmawati Program Study Of Physiotherapy, Health Polytechnic Of Ministry Of Health Surakarta, Indonesia, Indonesia

DOI:

https://doi.org/10.36408/mhjcm.v11i1.1013

Keywords:

forward head posture, McKenzie, craniovertebral angle

Abstract

BACKGROUND : adolescents with low physical activity and smartphone addiction has been indicated to reduced the craniovertebral angle, there by causing a forward head posture and increasing scapular dyskinesis, characterized by a craniovertebral angle (CVA) less than 50o. McKenzie is one of exercise that can helm correct posture in forward head posture

AIMS : to determine the effect of the McKenzie exercise on increasing the craniovertebral angle in the forward head posture of adolescents.

METHOD : students of MAN 1 Surakarta (Islamic Boarding School) with advanced head posture, aged 14-17 years using a simple random sampling technique divided into group I as the intervention group (n=16) and group II as the control group (n=14). Group I was given treatment of McKenzie exercise 3 times a week for 4 weeks, and the control group was not given any treatment. The Craniovertebral angle were assessed using photo analysis with Image-J application.

RESULT : The results of the study indicate that the characteristics of respondents according to age are mostly 16 years old. The mean NDI score in the intervention group was 23,63 and the mean NDI score in the control group was 24,60. The results of statistical test using independent samples test showed that there was a significant difference during the intervention and the control group (p=0,000)

CONCLUSION : McKenzie's exercise can affect to increasing the craniovertebral angle in the forward head posture of adolescents.

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References

Wulandari R. Peran Boarding School Bagi Pendidikan Karakter Anak Bangsa [Internet]. Kementerian Agama Wilayah Kerja Jawa Timur. 2013. Available from: https://jatim.kemenag.go.id/artikel/21653/peran-boarding-school-bagi-

Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Heal [Internet]. 2020;4(1):23–35. Available from: http://dx.doi.org/10.1016/S2352-4642(19)30323-2

Nilamsari N., Soebijanto., Lientje S. M. & SBR. Bangku ergonomis untuk memperbaiki posisi duduk siswa sman di kabupaten gresik (. J Ners, Fak Kesehat Masy Univ Airlangga [Internet]. 2015;10(1):87–103. Available from: e-issn: 27458733

Puspitasari, D. A., Wibawa, A., & Primayanti IDAID. Hubungan Forward Head Posture Dengan Keseimbangan Statis Pada Siswa Sman 1 Semarapura. Maj Ilm Fisioter Indones [Internet]. 2018;6(1):134―142. Available from: https://ojs.unud.ac.id/index.php/mifi/index

Sheikhhoseini R, Shahrbanian S, Sayyadi P, O’Sullivan K. Effectiveness of Therapeutic Exercise on Forward Head Posture: A Systematic Review and Meta-analysis. J Manipulative Physiol Ther [Internet]. 2018;41(6):530–9. Available from: https://doi.org/10.1016/j.jmpt.2018.02.002

Verma S, Shaikh J, Mahato R, Sheth M. Prevalence of forward head posture among 12-16 year old school going students - A cross sectional study. Appl Med Res. 2018;4(1):18.

Pangestu RGHB, Nugraha MHS, Saraswati PAS. Faktor Risiko Terjadinya Forward Head Posture. J Fisioter dan Rehabil. 2021;5(2):141–51.

Cote R, Vietas C, Kolakowski M, Lombardo K, Prete J, Dashottar A. Inter and Intra-Rater Reliability of Measuring Photometric Craniovertebral Angle Using a Cloud-Based Video Communication Platform. Int J Telerehabilitation. 2021;13(1):1–9.

Kim S, Jung J, Kim N. The Effects of McKenzie Exercise on Forward Head Posture and Respiratory. J Korean Phys Therpay. 2019;31(6):351–7.

Achmad A, Jawi IM, Sugijanto S, Ratna S LP, Iswari IS, Adiartha G IP. Mckenzie Neck Exercise Dan Forward Head Posture Exercise Dapat Menurunkan Nyeri Leher Mekanik Pada Pengguna Smartphone. Sport Fit J. 2020;8(2):63–8.

Lee DY, Nam CW, Sung YB, Kim K, Lee HY. Changes in rounded shoulder posture and forward head posture according to exercise methods. J Phys Ther Sci. 2017;29(10):1824–7.

Kim J, Kim S, Shim J, Kim H, Moon S, Lee N, et al. Effects of McKenzie exercise, Kinesio taping, and myofascial release on the forward head posture. J Phys Ther Sci. 2018;30(8):1103–7.

Son K, Cynn H-S, Lee J-H, Park D-H, Kim B-B. Effects of Deep Cervical Flexor Exercise with Visual Guide on Muscle Activity and Craniovertebral Angle in Subjects with Forward Head Posture. J Korean Soc Phys Med. 2019;14(2):53–61.

Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: A randomized clinical trial. BMC Musculoskelet Disord. 2017;18(1):1–10.

Ruivo RM, Pezarat-Correia P, Carita AI. Cervical and shoulder postural assessment of adolescents between 15 and 17 years old and association with upper quadrant pain. Brazilian J Phys Ther. 2014;18(4):364–71.

Munawaroh N, Sugiarto SI, Wahyudati S, Setiawati E. Perbandingan McKenzie dan Isometric Neck Exercise terhadap Keseimbangan pada Forward Head Posture. Medica Hosp J Clin Med. 2022;9(1):55–61.

Kim BB, Lee JH, Jeong HJ, Cynn HS. 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 [Internet]. 2016;30:31–7. Available from: http://dx.doi.org/10.1016/j.jelekin.2016.05.007

Hamill J, Knutzen KM, Derric TR. Biomekanika Dasar Gerakan Manusia: Dengan Ilustrasi Ergonomik, Ortopedik, & Latihan, Sudaryanto (ed). 4th ed. Jakarta: Penerbit buku Kedokteran EGC; 2018. 246–253 p.

Diky Krisnanda Sugianto, Safun Rahmanto, Dimas Sondang Irawan. The Relationships Between Sewing and Forward Head Posture. Phys Ther J Indones. 2020;1(1):9–12.

Kisner, C, and Colby LA. Terapi Latihan: Dasar dan Teknik; Editor Edisi Bahasa Indonesia Ghani NI. 6th ed. Jakarta; 2017. 92–93 p.

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Published

2024-03-28

How to Cite

1.
Laksmi RH, Nur Hidayati NP, Ratmawati Y. The Effect of Mckenzie Exercise to Increase Craniovertebral Angle in Forward Head Posture of Adolescent. Medica Hospitalia J. Clin. Med. [Internet]. 2024 Mar. 28 [cited 2024 Dec. 22];11(1):64-70. Available from: http://medicahospitalia.rskariadi.co.id/medicahospitalia/index.php/mh/article/view/1013

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