The Effect of Eight Weeks Water-Based Corrective Exercises on the Upper Extremity ROM in Men with Upper Cross Syndrome (Janda approach)

Oral Presentation
Paper ID : 1091-12THCONG
Oral / Poster Presentation File: 1091-12Thcong-1.m4v 
1M.Sc. Department of Sport Injury and Corrective Exercise, University of Bu-Ali, Hamedan, Iran
2Associate Prof. Department of Sport Injuries and Corrective Exercise, University of Bu-Ali, Hamedan, Iran
3Assistant professor, Department of Sport Injuries and Corrective Exercise, University of Razi, Kermanshah, Iran
Prolonged repetitive motions and poor postures have been emphasized as causing defects and alterations to motor patterns. One of the most common muscle imbalances in the upper extremity is Upper Cross Syndrome in which muscle imbalances result in extensive changes including Forward Head Posture (FHP), Rounded Shoulder Posture (RSP) and Hyper Kyphosis (HK). Quek et al (2012) have reported a significant decrease shoulder ROM in people with Thoracic kyphosis and forward head. The aim of this study was to investigate the effect of eight weeks Water-Based corrective exercises) Janda approach (on the upper limbs ROM in affected men.
30 students with FHP, RSP and HK were selected and allocated in experimental (n=14) and control (n=16) groups. Imaging from lateral view and AutoCAD software 2013 were used to evaluate the FHP and RSP angles and HK was measured by flexible ruler. Inclinometers Model (Acumar ACU001) was used to measure neck flexion and extension, also, shoulder abduction, flexion, internal rotation and external rotation. Data analysis with SPSS version 18 was performed at the significant level of 0.05. Paired and independent sample t-test was used to within and between groups means comparison.
The results showed that the experimental group had significant improvement in neck flexion and extension ROM (P=0.0001), and shoulder flexion, abduction, internal and external rotation ROM (P=0.0001). Additionally, the results of independent t-test showed that there was a significant difference between the experimental and control group (P=0.0001).
According to the results of this study, the neck and shoulder ROM increasing can be attributed to decrease in (FHP), (RSP) and (HK) angles and their postural correction. It also seems that another reason for the ROM increasing in the study’s subjects was to perform stretching exercises that can increase ROM by mechanical and neuromuscular adaptation. Probably the use of water environment along with the corrective protocol can have an additional effect on increasing the ROM in people with upper cross syndrome and recommend it to athletic trainers as an effective method