Which statement regarding excessive forward head posture is true?

Excessive forward head posture is indeed significant and can lead to various physical issues. The statement that it can cause neck pain is particularly relevant. This posture increases the strain on the neck and upper back muscles, leading to muscle fatigue and discomfort. Over time, the structural alignment of the cervical spine can be adversely affected, contributing to chronic pain conditions.

Additionally, while the option states that swallowing difficulties are rare with this posture, it is important to recognize that forward head posture can, in some cases, influence swallowing mechanics. The position can affect the alignment of the airway and the esophagus, potentially leading to difficulties in swallowing. Thus, acknowledging that both neck pain and potential swallowing issues can arise from excessive forward head posture is essential in understanding the implications of this condition.

Therefore, the combination of these two effects affirms the correctness of the statement that both can occur, solidifying the validity of the selected answer.