CORE Physical Therapy In Omaha Explains…

By Dr. Mark Rathjen PT DPT CSCS

CORE Physical Therapy Co-owner

17660 Wright St.  9/10

Omaha NE

402-933-4027

“The exercise intervention was successful at decreasing forward head and protracted shoulder in adolescents. Detraining period was not sufficient to reduce the overall training effects. This study supports the postural training and rehabilitation performed during Physical Education classes, with the aim of preventing and managing upper quadrant musculoskeletal pain” 

Scapular training and postural are integral for humans who exhibit bad posture and work in areas that require sitting. Computer work and studying/reading can also lead to posture issue. Phone use, video games and texting are the primary reason younger people have earlier than normal issue with posture. Important to note that training, retraining  and progression toward postural awareness is effective in nearly all age samples.

As we have seen in other areas, we also notice that issues at the neck will be compensation down stream to the hips and lower back. Further compensation can happen even further down the kinematic chain. Combating these issues starts with 3 Principles.

  1. full motion and restore range ( shoulder, neck, upper thoracic )
  2. Full scapular,  and extensor strength. ( rotator cuff, lats, mid traps, etc.)
  3. full integration into motor replanning with resistance training.  gradual Loading.

These principles followed correctly also for full cortex integration and reflex instinctual movement patterns. Also note that continue work and maintenance are essential to keeping all of the prevention and rehabilitation work achieved during physical Therapy.

 

The effects of training and detraining after an 8 month resistance and stretching training program on forward head and protracted shoulder postures in adolescents: Randomised controlled study

R M Ruivo 1, A I Carita 2, P Pezarat-Correia 3
Affiliations

Abstract

Purpose: This study aimed to evaluate the effects of a 32-week resistance and stretching training program applied in Physical Education classes on forward head posture and protracted shoulder posture of Portuguese adolescents (15-17 years old). The detraining effects after a 16-week period were also measured.

Methods: This prospective, randomized and controlled study was conducted in two secondary schools in Portugal. One hundred and thirty adolescents with forward head and protracted shoulder posture were randomly assigned to a control or experimental group. The sagittal head, cervical and shoulder angle were measured before and after a 32-week time intervention period. The control group (n = 46) did only the Physical Education classes whereas the exercise group (n = 42) received a posture corrective exercise programme in addition to Physical Education classes. A 16 week detraining period followed the 32-week.

Results: Significant increase were observed in the cervical and shoulder angle in the experimental group following the 32 week-intervention period. After the 16-week detraining period no significant differences were observed in the three postural angles in the intervention group.

Conclusions: The exercise intervention was successful at decreasing forward head and protracted shoulder in adolescents. Detraining period was not sufficient to reduce the overall training effects. This study supports the postural training and rehabilitation performed during Physical Education classes, with the aim of preventing and managing upper quadrant musculoskeletal pain. CLINICALTRIALS.

Gov identifier: NCT02190331.

Keywords: Detraining; Neck; Posture; Rehabilitation.

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