The Study Of The Therapeutic Effect Of Manual Therapy Based On The Discovery Of Posture Secret Combined With Self-Stretching Therapy On Forward Head And Round Shoulder Posture

Objective: Forward head and round shoulder posture are very common postural disorders which are easy to lead to pain and discomfort and effect the quality of life for patients,and are one of the reasons leading to sub-health of adults.For sedentary workers,it is very difficult to maintain a correct and good posture for a long time.Long-term use of smart phones can also lead to head tilt and abnormal shoulder posture.This abnormal posture includes lower cervical flexion,upper cervical extension,scapula extension and shoulder internal rotation.There are so many kinds of methods to treat it now,but it is difficult to satisfy the patients because of the slowly recovery speed and the long course of treatment.The Discovery of Posture Secret is based on the neutral posture of human body,it mainly aims at the neuromuscular control disorder caused by mechanical problems,and restoring normal neuromuscular control by activating and stabilizing the activities of joints and muscles.In this study,we use manual therapy based on the Discovery of Posture Secret as a new physiotherapy method to investigate the effect of postural adjustment on forward head and round shoulder posture.Methods: Thirty-five patients were selected from January 2022 to August 2022,who met the selection criteria.They were randomly divided into two groups: treatment group(n =18)and control group(n = 17).During the observation period,5 cases fell off,including 3cases in the experimental group and 2 cases in the control group,at last,15 patients in each group fulfilled the study.Patients in the control group were treated with self-stretching therapy for 20 minutes a day,7 days a week,for a total of 4 weeks.Patients in the treatment group were treated with self-stretching therapy(20 minutes a day,6 days a week)combined with manual therapy based on the Discovery of Posture Secret(20min minutes a day,1 day a week)for a total of 4 weeks.The manual therapy based on the Discovery of Posture Secret were to find out makers of non-neutral position of head,cervical vertebra,shoulder joint and thoracic vertebra and to adjust the position and function of joints and muscles.Before treatment,after the first treatment,2 weeks and 4 weeks after treatment,the Forward Head Angle(FHA)in stand position,Forward Shoulder Angle(FSA)in stand position and the distance between the table and the acromion while the patient was in the supine position,the distance between the spinous of thoracic vertebrae and the inner surface of the scapula and the scapular index were assessed.Results:Before treatment,there were no significant difference in FHA,FSA and the distance between the table and the acromion while the subject was in the supine position,the distance between the spinous of thoracic vertebrae and the inner surface of the scapula and the scapular index between the two groups(P>0.05).Withingroup comparison : for the control group,after the first treatment,there were no significant difference in FHA,FSA and the distance between the table and the acromion while the subject was in the supine position,the distance between the spinous of thoracic vertebrae and the inner surface of the scapula and the scapular index and after the treatment for 2 weeks and 4 weeks,FHA,FSA and the distance between the table and the acromion while the subject was in the supine position,the distance between the spinous of thoracic vertebrae and the inner surface of the scapula decreased compared with that before treatment,the scapular index increased compared with that before treatment(P < 0.05).For the treatment group,after treatment for the first treatment,2 weeks and 4 weeks,FHA,FSA and the distance between the table and the acromion while the subject was in the supine position decreased compared with that before treatment(P < 0.05).Comparison between two groups: after treatment for the first treatment,2 weeks and 4 weeks,FHA and FSA in the treatment group decreased compared with the corresponding time point in the control group(P<0.05).After treatment for the first treatment and 2 weeks,there were significant difference in the distance between the table and the acromion while the subject was in the supine position,the distance between the spinous of thoracic vertebrae and the inner surface of the scapula and the scapular index compared with the corresponding time point in the control group(P<0.05)and there was no significant difference after treatment for the 4 weeks compared with the corresponding time point in the control group(P>0.05).Conclusion : The results showed that the FHRS posture was improved by the manual therapy based on the Discovery of Posture Secret combined with self-stretching therapy,especially on the recovery speed and efficacy.Therefore,the Discovery of Posture Secret can be used as a new method to treat patients with FHRS posture.