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Forward head posture (FHP) [1] is an excessively kyphotic (hunched) thoracic spine. It is clinically recognized as a form of repetitive strain injury. [citation needed] The posture can occur in dentists, [2] surgeons, [3] and hairdressers, [4] or people who spend time on electronic devices.
"Bend your left ear down towards your left shoulder and then your right ear down towards your right shoulder" to test for pain free cervical spine lateral flexion. Now test for stiffness or pain flexing or extending the cervical spine: "bend your neck forwards to try to touch your chin against your chest." "bend your neck back to lift your chin."
Delayed onset Lhermitte's sign has been reported following head and/or neck trauma. [9] [10] This occurs ~2 1/2 months following injury, without associated neurological symptoms or pain, and typically resolves within 1 year. [citation needed]
For neck pain, manipulation and mobilization produce similar changes, and manual therapy and exercise are more effective than other strategies. [12] A 2015 Cochrane systematic review found that there is no high-quality evidence assessing the effectiveness of spinal manipulation for treating neck pain. [13]
In 2002–03, the majority of those who sought chiropractic did so for relief from back and neck pain and other neuromusculoskeletal complaints; [19] most do so specifically for low back pain. [ 19 ] [ 224 ] The majority of U.S. chiropractors participate in some form of managed care. [ 8 ]
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