Effect of exercise on pain, and posture in patients with chronic neck pain: A narrative review

Background and purpose: Chronic neck pain is one of the most common musculoskeletal disorders. Many studies have reported the effect of exercise on pain, but given the increase in neck arch, hyperkyphosis, and scapular function that are associated with pain-related postural changes, it seems that the study of pain changes with forward head posture, hyper-kyphosis, and The purpose of the present study was to review the study of the effect of exercise therapy on pain and head angle and hyperkyphosis and scapular function in people with chronic neck pain. Materials and Methods: Search with related keywords was done in all years and in PEDRO, PubMed, Google Scholar, Noormags, Magiran, Trip Database databases. Studies investigating the effect of various types of exercise interventions on pain and Forward head angle, hyperkyphosis and scapular function in people with chronic neck pain were included in the study. The PEDro scale was used to evaluate the quality of selected articles. Results: 97 studies were reviewed, of which five studies with inclusion criteria (score higher than 5 on the Pedro scale) were selected for review. There were many differences in the methodology, the main index being evaluated, the number of samples, the method of implementation, the method of evaluating the variables, etc. in the studies. In people with chronic neck pain, exercise reduced pain, forward angle and correction of neck deformity. And studies that showed a reduction in the forward angle and correction of anomalies after exercise had a greater reduction in neck pain. Conclusion: It seems that exercise can reduce the pain associated with abnormalities in people with chronic neck pain.