The Relationship Between Cervical Curve and Endurance in Upper Trapezius Muscles
DOI:
https://doi.org/10.15294/r6x5ct48Keywords:
Cervical curve, upper trapezius, muscle endurance, forward head postureAbstract
Introduction: A decrease in the cervical curve due to Forward Head Posture (FHP) can reduce the endurance of the upper trapezius muscle, which plays an essential role in supporting the head. Objectives: This study aims to determine the relationship between cervical curve and upper trapezius muscle endurance. Method: The study used a quantitative design with a cross-sectional approach, involving 36 Physiotherapy students of Universitas Muhammadiyah Surakarta. Measurement of cervical curve was done with craniovertebral angle (CVA), while muscle endurance was measured through isometric contraction with 90° shoulder abduction. Data analysis used Spearman Rank Correlation test. Result: There is a positive and significant relationship between upper trapezius muscle endurance and craniovertebral angle (CVA), with a correlation coefficient of 0.433 and a significance value (p-value) of 0.008. This shows that the better the upper trapezius muscle endurance, the more upright a person's head posture. Conclusion: A decrease in cervical curve (FHP) is associated with decreased muscle endurance, which can lead to faster fatigue and muscle soreness. This finding shows the importance of posture management in preventing musculoskeletal disorders, especially in the student population who are often exposed to prolonged device use activities.
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around the neck which include the scaleni muscle, upper trapezius and strenocleidomatoideus muscle. When muscles become shorter or longer compared to their resting position, their ability to produce force is also reduced. Continued muscle tension can cause a decrease in muscle endurance, resulting in faster fatigue, chronic pain, and postural disturbances that further aggravate the condition of FHP.
CONCLUSION
The study concludes that there is a positive and significant relationship between upper trapezius muscle endurance and cervical posture (CVA), indicating that better muscle endurance is associated with a more upright head posture. Future research is recommended to use a longitudinal design to assess changes over time, especially after posture correction interventions.
REFERENCES
Abd El-Azeim, A.S. et al. (2022) ‘Impact of adding scapular stabilization to postural correctional exercises on symptomatic forward head posture: a randomized controlled trial’, European Journal of Physical and Rehabilitation Medicine, 58(5), pp. 757–766. Available at: https://doi.org/10.23736/S1973-9087.22.07361-0.
Arooj, A. et al. (2022) ‘Forward Head Posture in Young Adults: A Systematic Review’, THE THERAPIST (Journal of Therapies & Rehabilitation Sciences), 3(1), pp. 32–35. Available at: https://doi.org/10.54393/tt.v3i1.38.
Azimi, P. et al. (2021) ‘Sagittal balance of the cervical spine : a systematic review and meta ‑ analysis’, European Spine Journal, 30(6), pp. 1411–1439. Available at: https://doi.org/10.1007/s00586-021-06825-0.
Bokaee, F. et al. (2017) ‘Comparison of cervical muscle thickness between asymptomatic women with and without forward head posture’, Brazilian Journal of Physical Therapy, 21(3), pp. 206–211. Available at: https://doi.org/10.1016/j.bjpt.2017.04.003.
Deeney, C. and O’Sullivan, L.W. (2017) ‘Effects of cognitive loading and force on upper trapezius fatigue’, Occupational Medicine, 67(9), pp. 678–683. Available at: https://doi.org/10.1093/occmed/kqx157.
Goswami, S. and Contractor, D.E. (2022) ‘Prevalence of Forward Head Posture Amongst Physiotherapy Students - A Cross Sectional Study’, International Journal of Health Sciences and Research, 12(7), pp. 88–92. Available at: https://doi.org/10.52403/ijhsr.20220712.
Haryo, G. et al. (2021) ‘Faktor Risiko Terjadinya Forward Head Posture Risk Factors of Forward Head Posture’, Jurnal Fisioterapi dan Rehabilitasi, 5(2), pp. 141–151.
Hernata Putri, A.R. and Sulistyaningsih (2020) ‘Myofascial Release Menurunkan Nyeri dan Meningkatkan Fungsional Leher Myofascial Pain Syndrome Otot Upper Trapezius Adinda Riestiani Hernatha Putri 1 , Sulistyaningsih 2* 1,2’, Jurnal Keterapian Fisik, 5(2), pp. 62–145.
Kara, D., Harput, G. and Duzgun, I. (2021) ‘Shoulder-Abduction Angle and Trapezius Muscle Activity During Scapular-Retraction Exercise’, Journal of Athletic Training, 56(12), pp. 1327–1333. Available at: https://doi.org/10.4085/1062-6050-0053.21.
Lee, K.J. et al. (2015) ‘The effect of forward head posture on muscle activity during neck protraction and retraction’, Journal of Physical Therapy Science, 27(3), pp. 977–979. Available at: https://doi.org/10.1589/jpts.27.977.
Lintang, P. (2017) ‘Daya tahan otot tungkai’, Article, pp. 7–30.
Mahmoud, N.F. et al. (2019) ‘The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis’, Current Reviews in Musculoskeletal Medicine, 12(4), pp. 562–577. Available at: https://doi.org/10.1007/s12178-019-09594-y.
Mehdikhani, R. et al. (2022) ‘Effect of Muscle Fatigue on the Upper Trapezius Muscle With and Without Myofascial Trigger Points in Students With Neck Pain: A Randomized Controlled Clinical Trial’, Crescent Journal of Medical and Biological Sciences, 10(1), pp. 36–42. Available at: https://doi.org/10.34172/cjmb.2023.06.
Naz, A., Bashir, M.S. and Noor, R. (2018) ‘Prevalance of forward head posture among university students’, Rawal Medical Journal, 43(2), pp. 260–262.
Nitin Worlikar, A. and Rajesh Shah, M. (2019) ‘Incidence of Forward Head Posture and Associated Problems in Desktop Users’, International Journal of Health Sciences & Research (www.ijhsr.org), 9(2), p. 96. Available at: www.ijhsr.org.
Noviati, N.D. (2022) ‘Hubungan Indeks Massa Tubuh Terhadap Craniovertebral Angle Pada Pekerja Back Office’, Indonesian Journal of Physiotherapy, 2(2), pp. 153–157. Available at: https://doi.org/10.52019/ijpt.v2i2.4541.
Ramalingam, V. and Subramaniam, A. (2019) ‘Prevalence and associated risk factors of forward head posture among university students’, Indian Journal of Public Health Research and Development, 10(7), pp. 775–780. Available at: https://doi.org/10.5958/0976-5506.2019.01669.3.
Ravichandran, P., Karthika Ponni, H. and Antony Leo Aseer, P. (2016) ‘Effectiveness of Ischemic Compression on Trapezius Myofascial Trigger Points in Neck Pain’, International Journal of Physiotherapy, 3(2), pp. 186–192. Available at: https://doi.org/10.15621/ijphy/2016/v3i2/94883.
Sa’bantoro, A.F. (2023) ‘HUBUNGAN ANTARA FORWARD HEAD POSTURE DENGAN KEJADIAN NECK PAIN, SPASME DAN NYERI OTOT UPPER TRAPEZIUS PADA ATLET ESPORTS DI KOTA MAKASSAR’.
Sugijanto and Army, H. (2015) ‘Efektifitas Latihan Koreksi Postur Terhadap Disabilitas dan Nyeri Leher Kasus Sindroma Miofasial Otot Upper Trapezius Mahasiswa Wanita Universitas Esa Unggul’, Journal Fisioterapi, 15(2), pp. 69–83.
Wibisono, I. (2023) ‘Pengaruh Durasi Penggunaan Smartphone Di Kalangan Pelajar Terhadap Frekuensi Nyeri Leher’, Jurnal Fisioterapi Terapan Indonesia, 2(1). Available at: https://doi.org/10.7454/jfti.v2i1.1045.
Wijianto, W., Dewangga, M.W. and Batubara, N. (2019) ‘Resiko Terjadinya Gangguan Keseimbangan Dinamis dengan Kondisi Forward Head Posture (FHP) pada Pegawai Solopos’, Gaster, 17(2), p. 217. Available at: https://doi.org/10.30787/gaster.v17i2.427.
