Document Type : Research Article (s)


1 Faculty of Physical Education and Sport Sciences, Allameh Tabataba’i University, Tehran, Iran

2 Faculty of Physical Education and Sport Sciences, Allameh Tabataba’i University, Tehran, Iran


Background: Reactive neuromuscular training (RNT) is a training method used in rehabilitation. However, its effectiveness on
forward head posture (FHP) is still unknown. This study aimed to compare the effects of traditional training with 8-week RNT
on the craniovertebral, shoulder, and kyphotic angles in high school students with FHP.
Methods: In this randomized clinical trial, conducted in Urmia city, Iran (2018), we selected a total of 60 male high school
students using a convenient sampling technique. We assigned the subjects to one control group and two experimental groups;
one of the experimental groups performed traditional exercises while the other did RNT. After the pre-test, the training program
performed three days a week under the supervision of a researcher. Posture assessment carried out in two steps: prior to training
(pre-test data) and after eight weeks of training (post-test data). We applied a photogrammetric method to evaluate the sagittal
angles of the neck and shoulder. Moreover, we conducted the ANCOVA test at a significance level of P.
Results: Both training methods improved trunk posture (F=156.07, p <0.001) and the sagittal angles of the neck (F=35.35,
p <0.001) and shoulder (F=23.31, p <0.001); however, RNT was more effective than the traditional type of training (p <0.001).
Conclusion: Eight weeks of traditional and RNT exercises enhanced kyphotic, shoulder, and craniovertebral angles. It seems
that RNT might have a better outcome in the management of high school students with FHP.


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