{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T22:09:13Z","timestamp":1792534153615,"version":"4.5.0"},"reference-count":94,"publisher":"Human Kinetics","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,1]]},"abstract":"<jats:p>Although current lumbar stabilization exercises are beneficial for chronic mechanical low back pain, further research is recommended focusing on global spinal alignment normalization. This randomized, controlled, blinded trial was conducted to determine the effects of adding cervical posture correction to lumber stabilization on chronic mechanical low back pain. Fifty adult patients (24 males) with chronic mechanical low back pain and forward head posture received 12 weeks treatment of either both programs (group A) or lumbar stabilization (group B). The primary outcome was back pain. The secondary outcomes included the craniovertebral angle, Oswestry Disability Index, C<jats:sub>7<\/jats:sub>-S<jats:sub>1<\/jats:sub> sagittal vertical axis, and sagittal intervertebral movements. The multivariate analysis of variance indicated a significant group-by-time interaction (<jats:italic>P<\/jats:italic>\u2009=\u2009.001, partial <jats:italic>\u03b7<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u2009.609). Pain, disability, C<jats:sub>7<\/jats:sub>-S<jats:sub>1<\/jats:sub> sagittal vertical axis, and l<jats:sub>2<\/jats:sub>-l<jats:sub>3<\/jats:sub> intervertebral rotation were reduced in group A more than B (<jats:italic>P<\/jats:italic>\u2009=\u2009.008, .001, .025, and .001). Craniovertebral angle was increased in A when compared to B (<jats:italic>P<\/jats:italic>\u2009=\u2009.001). However, there were no significant group-by-time interactions for other intervertebral movements. Within-group comparisons were significant for all outcomes except for craniovertebral angle within patients in the control group. Adding cervical posture correction with lumber stabilization for management of chronic low back pain seemed to have better effects than the application of a stabilization program only.<\/jats:p>","DOI":"10.1123\/jab.2020-0005","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T04:55:01Z","timestamp":1605070501000},"page":"43-51","source":"Crossref","is-referenced-by-count":10,"title":["Efficacy of Integrating Cervical Posture Correction With Lumbar Stabilization Exercises for Mechanical Low Back Pain: A Randomized Blinded Clinical Trial"],"prefix":"10.1123","volume":"37","author":[{"given":"Aliaa M.","family":"Elabd","sequence":"first","affiliation":[{"name":"1Pharos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salah-Eldin B.","family":"Rasslan","sequence":"additional","affiliation":[{"name":"2Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haytham M","family":"Elhafez","sequence":"additional","affiliation":[{"name":"2Cairo University"},{"name":"3Suez University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar M.","family":"Elabd","sequence":"additional","affiliation":[{"name":"4Delta University for Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.","family":"Behiry","sequence":"additional","affiliation":[{"name":"4Delta University for Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed I.","family":"Elerian","sequence":"additional","affiliation":[{"name":"2Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"key":"ref251","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/MRR.0b013e3282fc0f93","article-title":"Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain","volume":"31","author":"Boonstra","year":"2008","journal-title":"Int J Rehabil Res"},{"key":"ref731","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.wem.2010.10.002","article-title":"Visual analog scale (VAS) for assessment of acute mountain sickness (AMS) on Aconcagua","volume":"22","author":"Van Roo","year":"2011","journal-title":"Wilderness Environ Med"},{"key":"ref931","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/S0161-4754(99)70065-5","article-title":"A review of biomechanics of the central nervous system--part II: spinal cord strains from postural loads","volume":"22","author":"Harrison","year":"1999","journal-title":"J Manipulative Physiol Ther"},{"key":"ref451","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.jmpt.2008.10.004","article-title":"Spinal curves and health: a systematic critical review of the epidemiological literature dealing with associations between sagittal spinal curves and health","volume":"31","author":"Christensen","year":"2008","journal-title":"J Manipulative Physiol Ther"},{"key":"ref741","doi-asserted-by":"crossref","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","article-title":"The oswestry disability index","volume":"25","author":"Fairbank","year":"2000","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref891","doi-asserted-by":"crossref","first-page":"153","DOI":"10.3171\/2014.11.SPINE1441","article-title":"How the neck affects the back: changes in regional cervical sagittal alignment correlate to HRQOL improvement in adult thoracolumbar deformity patients at 2-year follow-up","volume":"23","author":"Protopsaltis","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"ref591","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.neuron.2015.02.042","article-title":"Neuromechanical principles underlying movement modularity and their implications for rehabilitation","volume":"86","author":"Ting","year":"2015","journal-title":"Neuron"},{"key":"ref721","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1097\/MRR.0b013e3282fc0f93","article-title":"Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain","volume":"31","author":"Boonstra","year":"2008","journal-title":"Int J Rehabil Res"},{"key":"ref801","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/j.jmpt.2013.09.002","article-title":"Reliability of the craniocervical posture assessment: visual and angular measurements using photographs and radiographs","volume":"36","author":"Gadotti","year":"2013","journal-title":"J Manipulative Physiol Ther"},{"key":"ref911","first-page":"267","article-title":"Dysafferentation: a novel term to describe the neuropathophysiological effects of joint complex dysfunction. 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