| Objective: Head forward posture is the most common abnormal posture at present,but there is no relatively unified scheme for Head forward posture treatment.The Objective of this study was to explore the changes and differences between conventional indexes and balance ability indexes after intervention in patients with Head forward posture by using Mc Kenzie therapy and Kinesio Taping,and in order to provide practical and easy rehabilitation methods for solving the problem of Head forward posture.Methods: Forty-five male college students with Head forward posture were recruited and randomly divided into Mc Kenzie treatment group(n=15),Kinesio Taping group(n=15)and blank control group(n=15),and the experimental intervention was carried out for 4 weeks respectively.Mc Kenzie treatment group received 20-minute rehabilitation training three times a week;In the Kinesio Taping group,the conventional kinesio of the same specification was used for 4 weeks of Taping intervention;The blank control group did not do any intervention.The conventional indexes and balance ability indexes of the subjects were measured at the time points about before the experiment,1 week,2 weeks,3 weeks and 4 weeks respectively.Repeated measures two-ways ANOVA was used for data analysis.Result:(1)Conventional indexes results show that:after four weeks of intervention,the Cranial Vertebral Angle,Visual Analogue Score,and Neck Disability Index are all significantly improved in both the Mc Kenzie treatment group and the Kinesio Taping group(P < 0.05).Moreover,the significant curative effect time was faster in the Mc Kenzie treatment group.After intervention with the two methods,the joint Range of Motion in six directions(anterior flexion,posterior extension,left flexion,right flexion,left rotation and right lateral)was significantly improved(P < 0.05).In addition,the significant curative effect time was faster in the Mc Kenzie treatment group,and the significant difference was found between the groups of left flexion angles(P < 0.05).(2)The results of balance ability indexes showed that: after four weeks of intervention of the Mc Kenzie treatment group and the Kinesio Taping group,scenario 4(eyes open,environment stable,support plane swinging),scenario5(eyes closed,environment stable,support plane swinging),scenario 6(eyes open,environment swinging,support plane swinging),comprehensive balance score and vestibular sensory score in the Sensory organization test,the overall and anteroposterior stability indexes in the static Posture stability test,the dorsiflexion and plantar flexion swing energy scores in the Adaptation test,and the comprehensive scores in anterior of the Y-balance test were all significantly improved(P < 0.05).Besides,there was significant difference in the scenario 5 score of the Sensory organization test and the anteroposterior stability indexes of the static Posture stability test between the two groups(P < 0.05).In the Limits of Stability test,the comprehensive Reaction Time,the anterior and posterior,comprehensive Movement Velocity and Endpoint,the anterior and comprehensive scores of Max Excursions,the anterior and posterior and comprehensive Directional Control scores were significantly improved in the Mckenzie treatment group and the Kinesio Taping group after 4 weeks intervention(P < 0.05),and the curative effect time of Mc Kenzie therapy intervention was faster than Kinesio Taping.Conclusion:(1)Both Mckenzie therapy and Kinesio Taping can effectively correct the forward head posture,alleviate pain,and improve the neck function and Range of Motion.(2)Both Mckenzie therapy and Kinesio Taping can effectively improve the static,self-dynamic and dynamic balance ability of subjects with forward head posture.(3)In the tests of conventional and balance ability indexes,compared with Kinesio Taping,Mackenzie therapy has a faster effect generating time and larger index change amplitude,but the effect maintenance was worse than Kinesio Taping. |
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