Background: The relationship between forward head posture (FHP) and thoracic kyphosis has been a subject of interest in the rehabilitation field for visual display terminal workers.
Objective: The aim of this study was to investigate the immediate effects of the craniocervical brace use on craniocervical angle (CCA), thoracic kyphosis angle (TKA), and trunk extensor muscle activity.
Methods: Twelve young male subjects with forward head posture (21.6±1.9 years) participated in this study. We compared CCA & TKA and trunk extensor muscle activity between with and without application of the craniocervical brace during visual display terminal work.
Results: When wearing the craniocervical brace, the subjects demonstrated significantly greater CCA at the start and the end of the task and less change in CCA during the task (p < 0.05). While non-significantly less TKA was seen at the start of the task, significantly less TKA was observed at the end of the task when using the craniocervical brace (p < 0.05). The craniocervical brace use also led to significantly less change in TKA (p < 0.05). There was no significant difference in the trunk extensor muscle activity.
Conclusions: Use of the craniocervical brace decreased FHP immediately, lessened thoracic kyphosis over time, and prevented the worsening of FHP and thoracic kyphosis during visual display terminal work.
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http://dx.doi.org/10.3233/WOR-162378 | DOI Listing |
Surg Neurol Int
December 2022
Department of Neurosurgery, Kagawa Rosai Hospital, Marugame City, Japan.
Background: Occipital condyle fractures (OCF) are commonly identified in patients suffering from severe craniocerebral trauma. Here, we present a 57-year-old male whose computed tomography (CT)-documented atlanto-occipital dislocation (AOD), due to just minor trauma was successfully managed with bracing alone.
Case Description: A 57-year-old male presented with the right upper neck pain following a motor vehicle accident.
Front Surg
May 2022
Department of Orthopedic, Children's Hospital of Hebei Province, Shijiazhuang, China.
Background: To investigate the effect of posterior atlantoaxial screw fixation for the treatment of atlantoaxial dislocation in children with Down syndrome (DS).
Methods: Children diagnosed with DS who underwent posterior atlantoaxial screw fixation or occipitocervical fusion from January 2017 to January 2020 in Hebei Children's Hospital were retrospectively included. Preoperative CT and MRI were performed to check the os odontoideum (OsO) and spinal cord compression, signal changes and spinal cord injury grade (ASIA grade).
Eur Spine J
October 2021
Department of Neurosurgery, University of Florida Health - Jacksonville, 655 West 8th Street, Jacksonville, FL, 32209, USA.
Background And Purpose: Occipital condylar avulsion fractures are considered potentially unstable, associated with craniocervical dissociation spectrum injuries, and thought to carry a relatively high mortality rate based on the current literature. The purpose of this study was to identify patient with acute, occipital condylar avulsion fractures and evaluate for the incidence of concomitant cervical osteoligamentous trauma and craniocervical dissociation spectrum injury on cervical spine CT and MRI.
Materials And Methods: Patients who suffered an inferomedial occipital condylar avulsion fracture were identified retrospectively using Nuance mPower software.
AME Case Rep
April 2021
School of Nursing and Health Studies, The Open University of Hong Kong, Hong Kong, China.
Rheumatoid arthritis (RA) is an autoimmune disease that affects the synovial tissue which lines joints and tendons. The craniocervical junction is made up exclusively of synovial joints and ligaments and especially vulnerable to the inflammatory process of RA. The chronic inflammation of RA leads to loss of ligamentous restriction and erosion of the bony structures and results in craniocervical instability (CCI).
View Article and Find Full Text PDFJ Neurosurg Pediatr
July 2020
1Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri.
Objective: In patients with Chiari malformation type I (CM-I) and a syrinx who also have scoliosis, clinical and radiological predictors of curve regression after posterior fossa decompression are not well known. Prior reports indicate that age younger than 10 years and a curve magnitude < 35° are favorable predictors of curve regression following surgery. The aim of this study was to determine baseline radiological factors, including craniocervical junction alignment, that might predict curve stability or improvement after posterior fossa decompression.
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