Dr. Riyasatali Shaikh, Dr. Rashmi Sudhakar Yeradkar


Background: Forward head posture is one of the most common cervical abnormalities that leads to neck pain. The purpose of this study was to investigate the effects of scapular stabilization exercises versus scapular brace on neck posture, pain, and quality of life in individuals with forward head posture.

Method: 30 subjects (21 males & 9 female) with chronic neck pain were included as per inclusion criteria neck pain > 6 months, Shoulder girdle flexibility test [ fingertips > 2 inches (5cm) apart]. Subjects with h/o polytrauma, psychiatry illness and pregnant women were excluded. Participants were randomly allocated to two groups: experimental group (n=15), treated with, figure of eight scapular brace and scapular stabilization exercise and control group (n=15) group, received only scapular stabilization exercises. The subjects in intervention group were instructed to wear the brace minimum six hours in a day with 30 minutes in continuation. Pain, NDI score, forward head & forward shoulder angle were measured before and after six weeks exercise program.

Result: The brace along with scapular stabilization exercises decreased NDI score significantly (27.00% (95% C.I. 22.66%, 31.34%) in experimental than control 33.13% (95% C.I. 28.56%, 37.71%) group. The change in VAS scores after intervention were greater in the experimental  (2.53,95% C.I. 2.12 to 2.94) as compared to the control group (2.07, 95% C.I. 1.74 to 2.40).

Conclusion: The application of figure of eight scapular brace along with scapular stabilization exercises improved shoulder posture and scapular stability with reduction in pain in patients with chronic neck pain.


Forward head, Neck Disability Index, Neck pain, Scapular stabilization exercises, Scapula brace.

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Silva AG, Punt TD, Sharples P, Vilas-boas JP, et al. ; Head Postur and Neck Pain of hronic

Nontraumatic Origin : A Comparison Between Patients and Pain-Free Persons.YAPMR


Lee J, Heon-seock Cynn,Tae-lim Yoon,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 Electromyography and kinesiology;2015;25(1):107–

Cole AK, Mcgrath ML, Shana E, Padua DA, Rucinski TJ, Prentice WE. Scapular Bracing

and Alteration of Posture and Muscle Activity in Overhead Athletes With Poor posture,

;48(1); 12-24

Boyoung Im, Young Kim, Yijung Chung, et.al, Effects of scapular stabilization exercise on

neck posture and muscle activation in individuals with neck pain and forward head posture J.

Physical Therapy Sciences. 2016; 28(3): 951–955.

Katherine Harman, Cheryl L Hubley-Kozey, Heather Butler; Effectiveness of an Exercise

Program to Improve Forward Head Posture in Normal Adults: A Randomized, Controlled 10-

Week Trial. The Journal of manual & manipulative therapy; 2005;13(3):163-167


Sterling M, Rebbeck T,The Neck Disability Index (NDI). Aust J Physiotherapy.2005; 51(4):271.

Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR; Validation of Digital Visual Analog Scale Pain scoring with a traditional paper-based visual analog scale in adults.; J Am Acad Orthop Surg Glob Res Rev. 2018 ,23; 2(3):88

Charles A. Thigpen a,b,*, Darin A. Padua c , Lori A. Michener d , Kevin Guskiewicz c ;

Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks;

Journal of electromyography and kinesiology, 2010,20(4):701-9.

Moezy A, Sepehrifar S, Solaymani Dodaran M.; 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 Republic Iran,

Vol 28:87.

Nesreen Fawzy Mahmoud, Karima A. Hassan, Salwa F. Abdelmajeed et al; The

Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and

Meta-Analysis: Musculoskeletal Medicine, 2019: 26 (12) :562–577

Kiana Fathollahnejad, Amir Letafatkar, Malihe Hadadnezhad; The effect of manual

Therapy and stabilizing exercises on forward head and rounded shoulder postures: a six

week intervention with a one-month follow-up study; BMC Musculoskeletal Disorders, 2019,

Vol 20(1) :86-93.

Zahra Abdollahzad et al; Effects of 4 Week Postural Corrective Exercise on Correcting Forward Head Posture; Journal of Modern Rehabilitation; 2017; 11(2):85-92.

Arja Häkkinen, Petri Salo, Ulla Tarvainen, Kaija Wiren, et.al; Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain; Journal of Rehabilitation Medicine; 2007; Vol 39: 575–576

Mark Kluemper, Tim Uhl, and Heath Hazelrigg; Effect of Stretching and Strengthening Shoulder Muscles on Forward Shoulder posture in Competitive Swimmers; Journal of Sport Rehabilitation. 2006, 15, 58-70

Ashley Kahlil Cole;The Spine and Scapula Stabilizing (S3) Brace Has an Effect on Posture and Muscle Activity in Overhead Athletes with Poor Posture.

Gascon, Sarah & Gilmer, Gabrielle & Hanks, Matthew & Washington, Jessica & Oliver, Gretchen; Biomechanical influences of a postural compression garment on scapular positioning, International Journal of Sports Physical Therapy.2018; 13: 700-706.

Thomas T. Chiu, Tai-Hing Lam, Anthony J. Hedley; Correlation Among Physical Impairments, Pain, Disability, and Patient Satisfaction in Patients with Chronic Neck Pain; Arch Phys Med Rehabilitation Vol 86, 2005; 534-540.

Boyoung Im. Effects of scapular stabilization exercise on neck posture and muscle activation in individuals with neck pain and forward head posture. Journal of Physical Therapy.2015; 28(3):951-955.

Michael Sharp, Andew Symes, Nawaf Alhabib et. al; Changes in mechanical load and extensor muscle activity in the cervico-thoracic spine induced by sitting posture modification. Ergonomics, 2011, Vol 54(2); 179-186.

Motiallah Tahereh. The correlation between forward head posture and trigger points in trapezius muscle in subjects with chronic neck pain. 2013;8(6): 989-997.


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