Forward head posture and a rounded shoulder posture are common findings associated with neck pain and shoulder dysfunction, and are often treated in physiotherapy settings. A forward head posture causes an extension of the upper cervical spine and shortening of the extensor muscles of the neck.
Manual therapy is commonly used in several disciplines to improve the segmental movement of the cervical spine, as well as for improving soft tissue restrictions and cervical pain. However, stabilising exercises for the deep neck flexors of the neck and scapular positioning are also commonly used to improve the posture of the head, neck and shoulders and thus manage pain.
This study aimed to identify if one treatment modality or a combined approach proved to be superior in improving overall function, posture and pain with participants with chronic neck pain.