Effects of Radial Extracorporeal Shockwave Therapy on Muscle Properties, Postural Alignment, and Function in Adults with Forward Head Posture: A Randomized Controlled Trial

• 발행기관: 물리치료재활과학회
• 저자명: Jejeong Lee Beomsoo Jung Yongwoo Lee
• 간행물 정보: 『Physical Therapy Rehabilitation Science』제14권 제2호, 221~231쪽, 전체 11쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2025.06.30

국문 초록

Objective: We evaluatedthe effects of radial extracorporeal shockwave therapy (rESWT) on muscle tone, stiffness, decrement,postural alignment, neck function, and pain in adults with forward head postureDesign: A single-blind randomized controlled trial. Methods: Thirty-one adults with FHP were randomly assigned to a group that received rESWT with corrective exercises (n = 15)or a group that performed corrective exercises only (n = 16) for 4 weeks. rESWT was applied once weekly (2,000 impulses, 1.0bar), while corrective exercises were performed three times per week. Outcome measures included upper trapezius muscle tone,stiffness, and decrement (MyotonPRO), craniovertebral angle (CVA), Neck Disability Index (NDI), and pain (visual analog scale[VAS]). Pre- and postintervention data were compared using paired and independent t-tests. Results: The rESWT group showed significantly greaterreductions in muscle tone and stiffness than the control group (p < 0.05). Both groups demonstrated significant post-intervention improvements in CVA, NDI, and VAS scores (p < 0.05), butno significantbetween-group differences were observed in these measuresConclusions: rESWT combined with corrective exercises effectively reduced localized muscle stiffness in patients with FHP. Corrective exercise alone wassufficient to improve postural alignment and neck function and alleviate pain. These findingssuggest that rESWT offers additional benefits in targeting mechanical muscle properties.

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키워드

Forward Head Posture Radial Extracorporeal Shockwave Therapy Muscle Tone Postural Alignment Neck Pain