Review of Forward-Head Posture and Vestibular Deficits in Older Adults

AbstractPurpose of ReviewForward-head posture (FHP) is a common postural deviation associated with older age, cervical muscle weakness, poor balance, anteriorly displaced center of mass, increased postural sway and fall risk, impaired cervical proprioception, and possibly vestibular dysfunction. Studies have found increased fall risk in older adults with FHP but have not identified a casual reason for this relationship. This review aims to examine the links between (FHP) and vestibular deficits.Recent FindingsWhile assessment of overall posture, including FHP, is a common component of a physical therapy evaluation, a standardized method of clinical measurement for FHP is lacking. The craniovertebral angle (CVA) appears to be the most reliable method, with FHP defined as less than or equal to 44 –53 degrees. Studies where FHP is measured using the CVA appear to be more accurate in identifying associations between this postural deviation and factors that impact postural control in older adults, such as balance and cervical proprioception. Limited studies have found FHP to be associated wit h duration of clinical symptoms of vestibular disease. FHP also heightens age-related increases in anterior-posterior postural sway.SummaryCompelling evidence exists that links FHP with vestibular deficits, increased fall risk, and impaired cervical proprioception. Further research using CVA and a consistent definition of FHP is needed to answer this question and develop clinical practice g...
Source: Current Geriatrics Reports - Category: Geriatrics Source Type: research