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Since neck pain is significantly associated with working with a forward head posture of 20 degrees or more, I consider it mandatory that dental hygienists wear well-designed ergonomic loupes for a long and healthy career.
From a clinical perspective, protrusion is frequently observed as a feature of forward head posture (FHP) and retraction is the therapeutic exercise commonly used to treat FHP (Paris 1990).
Forward head posture (FHP) is one of the most common cervical abnormalities that predisposes individuals toward pathological conditions, such as headache [6-7], neck pain [8-9], temporomandibular disorders , vertebral bodies disorders , soft-tissue length and strength alteration [12-13], or even scapula and shoulder dyskinesis [14-15].
This is why habitually sitting and standing with a forward head posture creates tension and strain in the neck, shoulders and back, which can lead to headaches and upper body pain.