Forward head in adults with headache


  • Gabriela Natália Ferracini Universidade de São Paulo
  • José Geraldo Speciali Universidade de São Paulo



Headache, Tension-type headache, Posture, Musculoskeletal dysfunction


Background and objectives: Some musculoskeletal disorders of the cranio-cervical region, as head protrusion, decreased mobility and cervical myofascial trigger points, have been studied in subjects with headache. The protrusion of the head seems to be an antalgic posture and a factor perpetuating the headache, not a causative factor. The aim of this study was to review the literature regarding changes in the cervical spine and skull positioning in patients with headache. Content: We carried out a systematic search in bibliographic databases PubMed (National Library of Medicine), and Lilacs (Latin American and Caribbean Health Sciences) to identify relevant scientific studies. After analysis, eight met the criteria and were selected for this review, resulting in total of 51 papers, only eight articles met all the selection criteria, totaling 314 individuals, 128 with a diagnosis of chronic tension-type headache, 51 with headache episodic tension-type, 20 and 115 individuals with migraine without headache. Conclusion: The results of these studies suggest that individuals with migraine and tension-type headache (episodic and chronic) have more protrusion of the head than the controls without headache.


Download data is not yet available.

Author Biographies

Gabriela Natália Ferracini, Universidade de São Paulo

Fisioterapeuta, doutoranda da Faculdade de Medicina de Ribeirão Preto (FMRP-USP) Ribeirão Preto, SP, Brasil

José Geraldo Speciali, Universidade de São Paulo

Professor Associado de Neurologia do Departamento de Neurociências e Ciências do Comportamento da
Faculdade de Medicina de Ribeirão Preto (FMRP-USP). Ribeirão Preto, SP, Brasil




How to Cite

Ferracini GN, Speciali JG. Forward head in adults with headache. HM [Internet]. 2013 Mar. 31 [cited 2021 Oct. 24];4(1):31-5. Available from:




Most read articles by the same author(s)