头前伸姿势的多系统交互影响与综合康复策略
Multisystem Interactions of Forward Head Posture and Integrated Rehabilitation Strategies
DOI: 10.12677/acm.2025.15113316, PDF,   
作者: 魏玉娇：南京市浦口区中医院康复科，江苏 南京
关键词: 头前伸；颈痛；康复治疗；本体感觉；Forward Head Posture； Neck Pain； Rehabilitation； Proprioception
摘要: 改成头前伸姿势(Forward Head Posture, FHP)是一种常见的姿势异常，表现为下颈椎屈曲和上颈椎过伸，伴颈椎前凸增大及颈肩部肌肉负荷增加。本文综述FHP的定义、成因、多系统影响及康复进展。其发生与长期不良姿势、性别差异、错误运动模式和异常呼吸等因素相关，不仅引起肌力失衡和关节应力变化，还可导致颈部本体感觉障碍、脊柱稳定性下降、呼吸受限和头痛等问题。康复干预包括综合训练、稳定性训练、手法治疗、呼吸训练和PNF等方法，均显示出良好矫正效果。治疗FHP需综合考虑多系统影响，采取个体化、多模式策略，以改善姿势控制、缓解症状并提升功能。
Abstract: Forward head posture (FHP) is a common postural abnormality characterized by flexion of the lower cervical spine and hyperextension of the upper cervical spine, accompanied by an increase in cervical lordosis and elevated muscle load in the neck and shoulder regions. This article reviews the definition, causes, multisystem impacts, and rehabilitation advances related to FHP. Its development is associated with factors such as prolonged poor posture, gender differences, faulty movement patterns, and abnormal breathing. FHP not only leads to muscular imbalances and altered joint stress but may also cause impaired neck proprioception, reduced spinal stability, restricted respiratory function, and tension-type headaches. Rehabilitation interventions, including comprehensive training, stability exercises, manual therapy, breathing retraining, and PNF, have demonstrated positive corrective effects. Treatment for FHP should take into account its multisystem effects and involve individualized, multimodal strategies to improve postural control, alleviate symptoms, and enhance functional status.
文章引用：魏玉娇. 头前伸姿势的多系统交互影响与综合康复策略[J]. 临床医学进展, 2025, 15(11): 2030-2038. https://doi.org/10.12677/acm.2025.15113316

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