PNF and Movement 2020; 18(1): 45-53
Correlation between Standing Balance and Forward Head Posture in Adolescents
Eun-Ju Lee, P.T., Ph.D
Department of Physical Therapy, College of Health Science, Kyungsung University
Correspondence to: Eun-Ju Lee (
Received: December 2, 2019; Revised: December 27, 2019; Accepted: December 27, 2019; Published online: April 30, 2020.
© Korea Proprioceptive Neuromuscular Facilitation Association. All rights reserved.

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Purpose: This study investigated the correlation between standing balance and head-forward posture in adolescents.
Methods: The participants in this study were 15 female adolescents. We took photographs of the participants’ craniovertebral angle with a digital camera to determine the degree of head-forward posture. Standing balance was evaluated using the 30-second Romberg test of BT4. The measurements were taken on a stable-support surface and on an unstable-support surface using a balance pad. The data measured in this study were analyzed using SPSS version 23.0, and the statistical significance level α was established as 0.05. Pearson correlation coefficient analysis was performed to identify the correlation between the degree of head-forward position of the participants and their balance ability.
Results: When we measured 30 seconds of the Romberg test, we observed that, with their eyes open, the participants’ head-forward posture and balance were not correlated. However, with their eyes closed, there was a strong correlation between the forward position of the head and the balance ability, which declined as the head position increased.
Conclusion: Adolescents with severe head-forward posture exhibited problems with balance in posture control with closed eyes when visual information was not available. It can be inferred that an abnormality occurs in proprioceptor sensation due to their habitual head-forward posture. Education on correct posture and preventive activities should be recommended to improve the health of such adolescents and avoid possible future problems of physical deterioration.
Keywords: Forward head posture, Craniovertebral angle, Balance, Adolescents

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