Skip to main content

Table 2 Description of the therapeutic exercises performed during the intervention period

From: Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study

Exercise Main Muscles Description
Chin tuck in the supine position Longus colli
Longus capitis
In the supine position, the patient, guided by the Stabilizer Pressure biofeedback device, reaches 5 pressure targets in 2 mmHg increments from a baseline of 20 mmHg until the final level of 30 mmHg by performing a neck curl with the chin tucked. The training starts at the level that the participant can hold steady for 10 s without activation of the superficial neck flexor muscles while performing a slow craniocervical flexion. For each target level, the contraction duration increases to 10 s, and each patient performs 10 repetitions. If three attempts by the patient are successful, then she continues to the next level. The test was stopped when the subject failed to hold for 10 s at the pressure level in any of the 3 repetitions or when she contracted incorrect muscle groups.
Cervical rotation with chin tuck in a sitting position Longus colli
Longus capitis
Semispinalis Capitus
Semispinalis Cervicis
Sternocleidomastoid
Longissimus Capitis
In a sitting position, the patient rotates her head in both directions (left-right) with simultaneous contraction of the deep neck flexors (with the chin tucked). The movement stops at the point where the patient leaves the axis of rotation and performs both rotation and lateral flexion.
Cervical lateral flexion with chin tuck in a sitting position Longus colli
Longus capitis
Rectus capitis lateralis
Scalenes
Sternocleidomastoid
Obliquus Capitus Superior
In a sitting position, the patient laterally flexes the head in both directions (left-right) with simultaneous contraction of the deep neck flexors (with chin tucked). The movement stops at the point where the patient leaves the axis of movement and performs both rotation and lateral flexion.
Shoulder horizontal abduction
with external rotation in the prone position
Middle trapezius
Lower trapezius
Rhomboids
Infraspinatus
Teres minor
In the prone position, the patient horizontally abducts and externally rotates the shoulders with the elbow flexed at 90°. The patient lifts both shoulders at the same time, trying to squeeze both scapulae together, avoiding movement of the head, which rests in the neutral position.