{"id":"https://openalex.org/W7223443552","doi":"https://doi.org/10.1177/10538127261502109","title":"Effects of inspiratory muscle training on posture and respiratory muscle performance in forward head posture: Randomized controlled trial","display_name":"Effects of inspiratory muscle training on posture and respiratory muscle performance in forward head posture: Randomized controlled trial","publication_year":2026,"publication_date":"2026-10-24","ids":{"openalex":"https://openalex.org/W7223443552","doi":"https://doi.org/10.1177/10538127261502109","pmid":"https://pubmed.ncbi.nlm.nih.gov/42925276"},"language":"en","primary_location":{"id":"doi:10.1177/10538127261502109","doi":"https://doi.org/10.1177/10538127261502109","is_oa":true,"landing_page_url":"https://doi.org/10.1177/10538127261502109","pdf_url":null,"source":{"id":"https://openalex.org/S203251173","display_name":"Journal of Back and Musculoskeletal Rehabilitation","issn_l":"1053-8127","issn":["1053-8127","1878-6324"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Back and Musculoskeletal Rehabilitation","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1177/10538127261502109","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101834410","display_name":"G\u00fcrkan Demirta\u015f","orcid":"https://orcid.org/0000-0002-0741-4519","observed_orcids":["https://orcid.org/0000-0002-0741-4519"]},"institutions":[{"id":"https://openalex.org/I198265615","display_name":"Ni\u011fde \u00d6mer Halisdemir \u00dcniversitesi","ror":"https://ror.org/03ejnre35","country_code":"TR","type":"education","lineage":["https://openalex.org/I198265615"]},{"id":"https://openalex.org/I95634034","display_name":"Gazi University","ror":"https://ror.org/054xkpr46","country_code":"TR","type":"education","lineage":["https://openalex.org/I95634034"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"G\u00fcrkan Demirta\u015f","raw_affiliation_strings":["Gazi University","Nigde Omer Halisdemir University"],"raw_orcid":"https://orcid.org/0000-0002-0741-4519","affiliations":[{"raw_affiliation_string":"Gazi University","institution_ids":["https://openalex.org/I95634034"]},{"raw_affiliation_string":"Nigde Omer Halisdemir University","institution_ids":["https://openalex.org/I198265615"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044309920","display_name":"Zeliha \u00c7elik","orcid":"https://orcid.org/0000-0003-2550-7791","observed_orcids":["https://orcid.org/0000-0003-2550-7791"]},"institutions":[{"id":"https://openalex.org/I70387731","display_name":"Amasya \u00dcniversitesi","ror":"https://ror.org/00sbx0y13","country_code":"TR","type":"education","lineage":["https://openalex.org/I70387731"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Zeliha \u00c7elik","raw_affiliation_strings":["Amasya University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Amasya University","institution_ids":["https://openalex.org/I70387731"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5097530496","display_name":"Nevin Atalay G\u00fczel","orcid":"https://orcid.org/0000-0003-0467-7310","observed_orcids":["https://orcid.org/0000-0003-0467-7310"]},"institutions":[{"id":"https://openalex.org/I95634034","display_name":"Gazi University","ror":"https://ror.org/054xkpr46","country_code":"TR","type":"education","lineage":["https://openalex.org/I95634034"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Nevin A G\u00fczel","raw_affiliation_strings":["Gazi University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gazi University","institution_ids":["https://openalex.org/I95634034"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5101834410"],"corresponding_institution_ids":["https://openalex.org/I198265615","https://openalex.org/I95634034"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":{"value":4150,"currency":"USD","value_usd":4150},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.82441262,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"10538127261502109","last_page":"10538127261502109"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12006","display_name":"Ergonomics and Musculoskeletal Disorders","score":0.836899995803833,"subfield":{"id":"https://openalex.org/subfields/3307","display_name":"Human Factors and Ergonomics"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12006","display_name":"Ergonomics and Musculoskeletal Disorders","score":0.836899995803833,"subfield":{"id":"https://openalex.org/subfields/3307","display_name":"Human Factors and Ergonomics"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10356","display_name":"Orthodontics and Dentofacial Orthopedics","score":0.020099999383091927,"subfield":{"id":"https://openalex.org/subfields/3505","display_name":"Orthodontics"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.013799999840557575,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/inspiratory-muscle-training","display_name":"inspiratory muscle training","score":0.9919999837875366},{"id":"https://openalex.org/keywords/forward-head-posture","display_name":"forward head posture","score":1.0},{"id":"https://openalex.org/keywords/craniovertebral-angle","display_name":"craniovertebral angle","score":0.902999997138977},{"id":"https://openalex.org/keywords/postural-alignment","display_name":"postural alignment","score":0.7580000162124634},{"id":"https://openalex.org/keywords/respiratory-muscle-strength","display_name":"respiratory muscle strength","score":0.8759999871253967},{"id":"https://openalex.org/keywords/respiratory-endurance","display_name":"respiratory endurance","score":0.8610000014305115},{"id":"https://openalex.org/keywords/maximum-inspiratory-pressure","display_name":"maximal inspiratory pressure","score":0.9480000138282776},{"id":"https://openalex.org/keywords/maximum-expiratory-pressure","display_name":"maximal expiratory pressure","score":0.9359999895095825},{"id":"https://openalex.org/keywords/thoracic-kyphosis","display_name":"thoracic kyphosis","score":0.9869999885559082},{"id":"https://openalex.org/keywords/postural-disorders","display_name":"postural disorders","score":0.5950000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8468999862670898},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.6812000274658203},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.6304000020027161},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5275999903678894},{"id":"https://openalex.org/C130915335","wikidata":"https://www.wikidata.org/wiki/Q754337","display_name":"Muscles of respiration","level":3,"score":0.5030999779701233},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.45820000767707825},{"id":"https://openalex.org/C178910020","wikidata":"https://www.wikidata.org/wiki/Q2211994","display_name":"Sagittal plane","level":2,"score":0.39469999074935913},{"id":"https://openalex.org/C182215343","wikidata":"https://www.wikidata.org/wiki/Q472287","display_name":"Respiration","level":2,"score":0.39410001039505005},{"id":"https://openalex.org/C2781219604","wikidata":"https://www.wikidata.org/wiki/Q30324067","display_name":"Forward head posture","level":2,"score":0.38510000705718994},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3691999912261963},{"id":"https://openalex.org/C102959455","wikidata":"https://www.wikidata.org/wiki/Q7313954","display_name":"Repeated measures design","level":2,"score":0.367900013923645},{"id":"https://openalex.org/C99476002","wikidata":"https://www.wikidata.org/wiki/Q42297","display_name":"Analysis of variance","level":2,"score":0.3467999994754791},{"id":"https://openalex.org/C75603125","wikidata":"https://www.wikidata.org/wiki/Q1877462","display_name":"Pulmonary function testing","level":2,"score":0.33730000257492065},{"id":"https://openalex.org/C163498912","wikidata":"https://www.wikidata.org/wiki/Q472287","display_name":"Respiratory physiology","level":3,"score":0.31700000166893005},{"id":"https://openalex.org/C2779151272","wikidata":"https://www.wikidata.org/wiki/Q774933","display_name":"Erector spinae muscles","level":3,"score":0.29159998893737793},{"id":"https://openalex.org/C2776874296","wikidata":"https://www.wikidata.org/wiki/Q6940317","display_name":"Muscle fatigue","level":3,"score":0.28529998660087585},{"id":"https://openalex.org/C2779418094","wikidata":"https://www.wikidata.org/wiki/Q478389","display_name":"Kyphosis","level":3,"score":0.28049999475479126},{"id":"https://openalex.org/C97834683","wikidata":"https://www.wikidata.org/wiki/Q942508","display_name":"Thorax (insect anatomy)","level":2,"score":0.2646999955177307},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.25679999589920044},{"id":"https://openalex.org/C2780333948","wikidata":"https://www.wikidata.org/wiki/Q653305","display_name":"Spirometry","level":3,"score":0.25589999556541443},{"id":"https://openalex.org/C27101514","wikidata":"https://www.wikidata.org/wiki/Q206120","display_name":"Lung volumes","level":3,"score":0.2524999976158142},{"id":"https://openalex.org/C99830354","wikidata":"https://www.wikidata.org/wiki/Q362854","display_name":"Endurance training","level":2,"score":0.25049999356269836}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/10538127261502109","doi":"https://doi.org/10.1177/10538127261502109","is_oa":true,"landing_page_url":"https://doi.org/10.1177/10538127261502109","pdf_url":null,"source":{"id":"https://openalex.org/S203251173","display_name":"Journal of Back and Musculoskeletal Rehabilitation","issn_l":"1053-8127","issn":["1053-8127","1878-6324"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Back and Musculoskeletal Rehabilitation","raw_type":"journal-article"},{"id":"pmid:42925276","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42925276","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of back and musculoskeletal rehabilitation","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1177/10538127261502109","doi":"https://doi.org/10.1177/10538127261502109","is_oa":true,"landing_page_url":"https://doi.org/10.1177/10538127261502109","pdf_url":null,"source":{"id":"https://openalex.org/S203251173","display_name":"Journal of Back and Musculoskeletal Rehabilitation","issn_l":"1053-8127","issn":["1053-8127","1878-6324"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Back and Musculoskeletal Rehabilitation","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9907000064849854,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320321861","display_name":"Gazi \u00dcniversitesi","ror":"https://ror.org/054xkpr46"},{"id":"https://openalex.org/F4320336535","display_name":"Ulusal Metroloji Enstit\u00fcs\u00fc, T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ftirma Kurumu","ror":"https://ror.org/02zcjdk53"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W1592738453","https://openalex.org/W1970216399","https://openalex.org/W1986292114","https://openalex.org/W2004008756","https://openalex.org/W2030692650","https://openalex.org/W2058089934","https://openalex.org/W2087484885","https://openalex.org/W2087775816","https://openalex.org/W2105815730","https://openalex.org/W2136284635","https://openalex.org/W2411883748","https://openalex.org/W2465625489","https://openalex.org/W2596784394","https://openalex.org/W2606788485","https://openalex.org/W2608252708","https://openalex.org/W2758132823","https://openalex.org/W2783207557","https://openalex.org/W2811623191","https://openalex.org/W2902920477","https://openalex.org/W2937437085","https://openalex.org/W2981067716","https://openalex.org/W2997612004","https://openalex.org/W3036823481","https://openalex.org/W3081185200","https://openalex.org/W3093864338","https://openalex.org/W3173642816","https://openalex.org/W3198086847","https://openalex.org/W4211025614","https://openalex.org/W4311569206","https://openalex.org/W4311626882","https://openalex.org/W4392995917","https://openalex.org/W4399595874","https://openalex.org/W4411932306"],"related_works":["https://openalex.org/W7152036326","https://openalex.org/W7203931836","https://openalex.org/W4416068285","https://openalex.org/W4402003114","https://openalex.org/W3098773521","https://openalex.org/W4311569206","https://openalex.org/W7213393872","https://openalex.org/W2787169418","https://openalex.org/W6938952039","https://openalex.org/W4417436746"],"abstract_inverted_index":{"Background":[0],"Forward":[1],"head":[2,160],"posture":[3],"(FHP)":[4],"alters":[5],"spinal":[6],"alignment,":[7],"impairs":[8],"core":[9],"stability,":[10],"and":[11,21,38,58,66,123,127,134,176,217,238],"disrupts":[12],"respiratory":[13,36,53,55,59,124,214],"mechanics.":[14],"Due":[15],"to":[16,34,45,91],"the":[17,47,92,107,112,271],"link":[18],"between":[19],"respiration":[20],"postural":[22,39,149,254,276],"control,":[23],"inspiratory":[24,221],"muscle":[25,56,125,215,248],"training":[26,249],"(IMT)":[27],"may":[28,265],"serve":[29],"as":[30],"a":[31,82,101,267],"targeted":[32],"intervention":[33],"enhance":[35],"function":[37,121,186],"alignment.":[40],"Purpose":[41],"This":[42,68],"study":[43],"aimed":[44],"investigate":[46],"effects":[48,147,198,210],"of":[49,275],"IMT":[50,93,98,104,264],"on":[51],"posture,":[52],"functions,":[54],"strength,":[57],"endurance":[60,128,239],"in":[61,256,270],"individuals":[62,257],"with":[63,81,106,258],"FHP.":[64,259],"Materials":[65],"methods":[67],"prospective,":[69],"randomized":[70],"controlled":[71],"trial":[72],"was":[73],"completed":[74,100],"by":[75],"40":[76],"participants":[77],"aged":[78],"18\u201335":[79],"years":[80],"craniovertebral":[83],"angle":[84,161],"(CVA)":[85],"\u2264":[86],"50\u00b0.":[87],"Participants":[88],"were":[89,130,211],"allocated":[90],"or":[94,193],"control":[95,113],"group.":[96],"The":[97,260],"group":[99,114,143,194,206],"structured":[102],"6-week":[103],"protocol":[105],"PowerBreathe":[108],"\u00ae":[109],"device,":[110],"while":[111],"received":[115],"no":[116,189],"intervention.":[117],"Postural":[118],"assessments,":[119],"pulmonary":[120],"tests,":[122],"strength":[126,216],"evaluations":[129],"conducted":[131],"at":[132],"baseline":[133],"after":[135],"6":[136],"weeks.":[137],"Results":[138],"Mixed-model":[139],"ANOVA":[140],"showed":[141,188],"significant":[142,190,205],"\u00d7":[144,195,207],"time":[145,196,208],"interaction":[146,197,209],"for":[148,213,252],"parameters,":[150],"including":[151,219],"CVA":[152],"(F":[153,162,170,179,223,232,240],"=":[154,157,163,166,171,180,183,224,233,241,244],"13.975,":[155],"p":[156,165,173,182,200,226,235,243],"0.001),":[158,175,228,237],"sagittal":[159],"8.105,":[164],"0.007),":[167],"C7-wall":[168],"distance":[169],"16.330,":[172],"<":[174,227,236],"thoracic":[177],"kyphosis":[178],"8.135,":[181],"0.006).":[184],"Respiratory":[185],"parameters":[187],"group,":[191],"time,":[192],"(all":[199],">":[201],"0.05).":[202],"In":[203],"contrast,":[204],"observed":[212],"endurance,":[218],"maximal":[220,229],"pressure":[222,231],"53.645,":[225],"expiratory":[230],"40.399,":[234],"12.386,":[242],"0.001).":[245],"Conclusion":[246],"Inspiratory":[247],"appears":[250],"effective":[251],"improving":[253],"alignment":[255],"results":[261],"indicate":[262],"that":[263],"be":[266],"valuable":[268],"adjunct":[269],"early":[272],"conservative":[273],"management":[274],"disorders.":[277]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-25T00:00:00"}