Effect of Therapeutic Feedback on Non-Face to Face Exercise for Forward Head Posture: Posture, Muscle Strength, Pressure pain Threshold

Objective: This study is to investigate the effect of real-time feedback from the therapist on posture, muscle strength, pain ofsubjects with forward head posture based on a non-face-to-face complex exercise program. Design: Two-group pretest-posttest design. Methods: Thirty healthy men and women in their twenties with forward head posture with a Craniovertebral angle of 52° or less were targeted, the final selection was made as 15 experimental groups who performed the non-face-to-face intervention programwhile receiving real-time feedback and 15 control subjects who performed the non-face-to-face intervention program withoutproviding feedback. Six of them were eliminated, and a total of 24 were conducted as subjects. All exercise groups performed an exercise program three times a week, 30 minutes each, for a total of two weeks. Before and after exercise, Craniovertebral angle(CVA), CranioRotation angle (CRA), muscle strength, and tenderness threshold were evaluated. Results: Significant differences were shown in both groups in CVA, and tenderness threshold before and after exercise (p<0.05),and CRA, the left middle trapezius muscle strength, only in the experimental group (p<0.05). In the comparison of theamount ofchange between exercise groups, the group that received feedback on CVA, CRA and tenderness threshold showed a significantchange than the group without feedback (p<0.05). Conclusions: As a result of this study, it can be seen that the therapist s real-time feedback is more effective in improving theforward head posture. This requires feedback from the therapist on posture correction during non-face-to-face exerciseintervention.