03/20/2025
A new article was published recently to determine the effect of individual muscle activities on the maintenance of an upright posture; as well as the effect of each spinal muscle impairment on upright posture with and without compensatory activities of the other muscles in the role of maintaining an upright posture.
This was done to help connect the dots with the relationship to symptoms related to spinal asymmetry.
What we commonly know as forward head posture can be seen in most people; the slumping of the head due to everyday work, activity, daily habits, etc. Over time as it gets worse it can be diagnosed as dropped head syndrome (DHS). "Primary symptoms of DHS include neck pain and anterior flexion impairment. Furthermore, excessive flexion of the head and neck can lead to difficulties in walking and eating, as well as trismus, dysphagia, and skin lesions (ulcerations) in the anterior neck and chest. The causative factors for DHS are diverse and include neurogenic factors (arising from conditions such as various neurological disorders), myogenesis (resulting from various muscle diseases), and cervical spondylosis-related causes (arising from intervertebral disc bulging and bone-spur formation)."
What they found was it is not just the muscles in the upper and back and neck affecting the forward head posture. In fact, it is the muscles throughout the entire back and body which are not functioning properly, or creating compensation patterns that affects the neck. "...the fatigue of the single muscle can be compensated for by increasing activation levels of the synergistic muscles resulting in unchanged MVC torque. They suggest that the synergistic muscles may be controlled by descending command signals at the supraspinal and spinal levels."
These are all things I see everyday, and I have posted about previously, but it’s always good to have new research to support my findings.
So, what can you do at home to help? Exercises targeting neck extensors, as well as posture improvement exercises for the thoracolumbar (Mid-lower back) region and localized rehabilitation of muscles like the psoas (hip flexor), are essential.
The occurrence of diseases characterized by irregular spinal alignment, such as kyphosis, lordosis, scoliosis, and dropped head syndrome (DHS) is increasing, particularly among older adults. DHS is characterized by an excessive forward tilt of the head and neck, causing the head to droop. Although i...