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|title: ||Head posture assessment for patients with neck pain: is it useful?|
|authors: ||Silva, A. G.|
Punt, T. David
Vilas-Boas, J. P.
Johnson, M. I.
|keywords: ||Head posture|
|issue date: ||2009|
|publisher: ||Mark Allen Healthcare|
|abstract: ||Aims: Neck pain is a common complaint and accounts for a significant proportion of individuals seeking
physiotherapy. Assessment for patients with neck pain normally involves a judgment of head posture. Head
posture is considered important as deviations from ‘normal’ may have detrimental biomechanical and
physiological implications and provide clues as to optimal interventions. However, studies comparing head
posture between patients with neck pain and asymptomatic individuals have shown conflicting results. This
article critically appraises the role of head posture assessment for patients with neck pain.
Methods: The rationale for a relationship between head posture and neck pain is discussed; clinical
assessment of head posture—including issues around surrogate measures, validity and reliability—is
explored, and studies comparing patients with neck pain and asymptomatic individuals are examined.
Finally, studies investigating techniques to correct head posture are appraised.
Findings and conclusions: It is unclear whether the assessment of head posture through observation is
valid and/or reliable and whether therapeutic interventions to improve head posture result in gains for the
patient. There is a need for further research exploring the links between these factors, and practitioners
should be encouraged to re-appraise the value of assessing head posture for patients with neck pain.|
|publisher version/DOI: ||http://www.ijtr.co.uk/|
|source: ||International Journal of Therapy and Rehabilitation|
|appears in collections||ESS - Artigos|
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