Prevalence of Ponytail, Bun, Headband and Hijab on Headache, Cervical Mobility and Forward Head Posture

Abstract

Assessing posture and range of motion can benefit greatly from physical therapy techniques for preventing forward
head posture and cervical mobility. Reduced cervical mobility and high neck pain are prognostic factors for longterm
pain and handicap following a whiplash injury. While poorly understood external compression headaches
are thought to come from persistent stimulation of cutaneous nerves caused by pressure being applied to the
scalp or forehead. The aim of this study was to assess the effect of different hairstyles on forward head posture,
cervical mobility, and headache and their severity among young girls so that the best preventive measures can
be taken in order to deduct all the outcomes. 120 students were divided into 4 groups (bun, ponytail, headband,
hijab). The forward head posture, cervical mobility, and headache were assessed by photographic method via
Web Plot Digitizer, range of motion, and visual analog scale (VAS) respectively. From the data median (IQR)
come out as:- VAS-bun 2.5(3), ponytail 3.5(2.3), headband 6.5(2), and hijab 3(4). Craniovertebral angle:- bun
51.82 (6.67), ponytail 49.57 (9.35), headband 51.18 (8.24), hijab 48.39 (6.29). Cervical mobility (extension,
flexion, lateral flexion, rotation):- bun- [61(10), 39.5(13), 37(8), 71(9)]; ponytail- [57 (13), 40 (7), 34.5 (13),
72 (12)]; headband- [ 61(15), 39.5(8), 37(11), 71(13)]; hijab- [60(14), 39.5(12), 35.5(12), 71(10)]. . This study
concluded the incidence of headaches was identified in the group wearing headbands, whereas in the group
wearing ponytails, the prevalence of decreased cervical mobility was acknowledged. In both the ponytail group
and the hijab group, there was a slight preponderance of forward head posture