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The influence of a craniocervical fascial treatment on the posture of the cervical spine and head

2020/01/15

Author: Johannes Gunz
Supervisor: Claudia Egger MSc.Ost

Introduction: This master thesis focuses on the influence of a fascial treatment at the cranoicervical area concerning the forward head posture (FHP). In the modern information and media socitey sedentary work is pretty common and usual. Sustained sitting posture is related as an important contributor to emerge chonic pain disorders.  

Objective and hypothesis: The objective of this study was to determine, if the fascial and myofasical treatment at the craniocervical area can change the posture of the cervical spine and the FHP. The assumption is: fascial and myofasical release techniques at the craniocervical area elongate the body height and reduce the FHP. 

Method: The study design was a randomised, single blinded cross-over trail. Twenty asymptomatic women without any chronic disorders or surgery on the spine participated in this study. Each experimentee had two interventions within seven days. The intervention was a sequence of different fascial techniques and the other one was a sham treatment, as an control group. Before and after both interventions, the body height and lateral photos were performed. The lateral photos were used to measure the craniocervical angle (CVA) and the head translation. For the statistical analysis was used the parametric T-Test.

Results: Statistical analysis of the data revealed a significant gain in body height (p < 0,001) as well as a significant (p = 0,001) reduction of the head translation in the intervention group compared to the sham group. The CVA of the intervention group got signicant smaller (p = 0,005) than the of the sham group.  

Conclusion: The hypothesis was confirmed. Fascial treatment at the craniocervical area may prove to be a useful intevention in adressing FHP. This study provides a snapshot immediately after the intervention. There is no information on long-term effect on the posture of  the head.

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