THE EFFECTS OF REPOSITIONING EXERCISE ON ALTERATION OF FORWARD HEAD POSTURE AND ROUND SHOULDER IN ESPORT ATHLETES
DOI:
https://doi.org/10.14456/jsst.2022.20Keywords:
Esport, Forward head posture , Round shoulderAbstract
Purpose: This study investigated the effects of a repositioning exercise on changes in a forward head posture with round shoulders in electronic sports (Esports) athletes. Methods: Forty-eight (36 males and 12 females) Esports athletes aged 18-25 years, who spent 6 hours/day for at least 6 months, with a craniovertebral angle (CVA) of less than 50 degrees, and visual analog scale (VAS) of less than or equal to 4, were randomly allocated into experimental (n=24) and control (n=24) groups. The experimental group (EG) received the repositioning exercise program of 40 minutes/day, 3 days/week, for 6 weeks. The control group (CG) did not receive any intervention other than routine tasks. CVA, pectoral minor index (PMI), and heart rate variability (HRV), EQ-5D-5L were assessed at baseline, after 4 weeks, and after 6 weeks, respectively. Results: There was a statistically significant increase in CVA between-group at 4-week (p<.05), and 6-week (p<.05) in the EG. The EG had a significantly greater increase in CVA than the CG at 4-week [p=0.04, ES (95%CI) = 0.08 (0.01-3.91)] and 6-week [p=0.002, ES (95%CI) = 0.19 (1.38-6.03)], whereas the PMI and HRV did not differ significantly between groups. Conclusions: The repositioning exercise can improve CVA in Esports athletes. However, there was no change in PMI and HRV.
(Journal of Sports Science and Technology 2022; 22 (2): 136-153))
(Received: 8 September 2022, Revised: 6 December 2022, Accepted: 7 December 2022)
*Corresponding author: Yodchai Boonprakob School of Physical Therapy, Faculty of Associated Medical Science, Khon Kaen University, THAILAND Research Institute for Human High Performance and Health Promotion, Khon Kaen University, THAILAND E-mail: yodchai@kku.ac.th
References
Difrancisco-Donoghue J, Balentine J, Schmidt G, Zwibel H. Managing the health of the eSport athlete: An integrated health management model. BMJ Open Sport Exerc Med. 2019 Jan 1;5(1).
Lam W, Chen B, Liu R, Cheung JC, Wong DW-C. Spine Posture, Mobility, and Stability of Top Mobile Esports Athletes: A Case Series. Biology (Basel). 2022 May 11;11(5):737.
Sahrmann S, Azevedo DC, Dillen L Van. Diagnosis and treatment of movement system impairment syndromes. Brazilian J Phys Ther. 2017;21(6):391–9.
Kim D, Cho M, Park Y, Yang Y. Effect of an exercise program for posture correction on musculoskeletal pain. J Phys Ther Sci. 2015 Jun;27(6):1791–4.
Kang J-I, Choi H-H, Jeong D-K, Choi H, Moon Y-J, Park J-S. Effect of scapular stabilization exercise on neck alignment and muscle activity in patients with forward head posture. J Phys Ther Sci. 2018 Jun;30(6):804–8.
Maffetone P. The assessment and treatment of muscular imbalance – The Janda Approach. J Bodyw Mov Ther. 2010 Jul;14(3):287–8.
Camargo PR, Neumann DA. Kinesiologic considerations for targeting activation of scapulothoracic muscles – part 2: trapezius. Brazilian J Phys Ther. 2019 Nov;23(6):467–75.
Mullane M, Turner A, Bishop C. Exercise Technique: The Dead Bug. Strength Cond J. 2019;41(5).
Jang EJ, Yun SY, Choi BJ, Kim YG. The horticultural activity of touching soil and the autonomic nervous stress response of patients with brain disease. Hortic Sci Technol. 2019 Feb 1;37(1):151–8.
Komori T. The relaxation effect of prolonged expiratory breathing. Ment Illn. 2018 May 15;10(1):7669.
Moezy A, Sepehrifar S, Dodaran MS. The effects of scapular stabilization based exercise therapy on pain, posture, flexibility and shoulder mobility in patients with shoulder impingement syndrome: A controlled randomized clinical trial. Med J Islam Repub Iran. 2014;28(1):1–15.
Tomas-Carus P, Branco JC, Raimundo A, Parraca JA, Batalha N, Biehl-Printes C. Breathing exercises must be a real and effective intervention to consider in women with fibromyalgia: A pilot randomized controlled trial. J Altern Complement Med. 2018;24(8):825–32.
Harman K, Hubley-Kozey CL, Butler H. Effectiveness of an exercise program to improve forward head posture in normal adults: A randomized, controlled 10-week trial. J Man Manip Ther. 2005;13(3):163–76.
Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr 25;93(3):281–90.
Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. 2011;20(10):1727–36.
Nakao M. Heart Rate Variability and Perceived Stress as Measurements of Relaxation Response. J Clin Med. 2019 Oct 16;8(10):10–1.
Salo PK, Häkkinen AH, Kautiainen H, Ylinen JJ. Effect of neck strength training on health-related quality of life in females with chronic neck pain: a randomized controlled 1-year follow-up study. Health Qual Life Outcomes. 2010 May 14;8:48.
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.
Borstad JD. Measurement of pectoralis minor muscle length: Validation and clinical application. J Orthop Sports Phys Ther. 2008;38(4):169–74.
Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005 Apr;35(4):227–38.
Manimmanakorn N. Heart Rate Variability Assessment and Clinical Uses. Vol. 28, J Thai Rehabil Med. 2018.
Pattanaphesaj J, Thavorncharoensap M. Measurement properties of the EQ-5D-5L compared to EQ-5D-3L in the Thai diabetes patients. Health Qual Life Outcomes. 2015 Feb 6;13(1):14.
Janda V. Muscles and Motor Control in Cervicogenic Disorders. Phys Ther Cerv Thorac Spine. 2002; 182–99.
Janwantanakul P, Pensri P, Jiamjarasrangsri V, Sinsongsook T. Prevalence of self-reported musculoskeletal symptoms among office workers. Occup Med (Chic Ill). 2008 Sep 1;58(6):436–8.
Karthik V, Arulpragassame S, Parkavi K, Priyanka K, Jayalakshmi P. Effect of Neck Stabilisation Exercise on Cranio-Vertebral Angle in Patients with Non- Specific Neck Pain. YMER Digit. 2022 Mar 15;21(03):215–26.
Szczygieł E, Sieradzki B, Masłoń A, Golec J, Czechowska D, Węglarz K, et al. Assessing the impact of certain exercises on the spatial head posture. Int J Occup Med Environ Health. 2019 Feb 5;32(1):43–51.
Lee J, Cynn H, Yoon T, Ko C, Choi W, Choi S, et al. The effect of scapular posterior tilt exercise, pectoralis minor stretching, and shoulder brace on scapular alignment and muscles activity in subjects with round-shoulder posture. J Electromyogr Kinesiol. 2015 Feb;25(1):107–14.
Makivić B, Nikić MD, Willis MS. Heart Rate Variability (HRV) as a Tool for Diagnostic and Monitoring Performance in Sport and Physical Activities. J Exerc Physiol Online. 2013;16(3):103–31.