Postural neck pain: An investigation of habitual sitting posture, perception of ‘good’ posture and cervicothoracic kinaesthesia

Edmondston, Stephen J.; Chan, Hon Yan; Ngai, Gorman Chi Wing; Warren, Madeline; Williams, Jonathan M.; Glennon, Susan; Netto, Kevin

doi:10.1016/j.math.2006.07.007

Cited by 101 publications

(87 citation statements)

References 38 publications

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“…Poor head posture is generally accepted as one of the causes for neck pain because poor postural awareness and habitual poor postures may result in greater loading on the supporting structure and may cause sensitization and pain [33]. Currently, upright posture evaluation is recommended as part of the comprehensive physical examination of the cervical spine [34].…”

Section: Discussionmentioning

confidence: 99%

Measurement of craniovertebral angle with Electronic Head Posture Instrument: Criterion validity

Lau¹,

Chiu²,

Lam³

2010

JRRD

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Abstract-This study evaluated the criterion-related validity of the Electronic Head Posture Instrument (EHPI) in measuring the craniovertebral (CV) angle by correlating the measurements of CV angle with anterior head translation (AHT) in lateral cervical radiographs. It also investigated the correlation of AHT and CV angle with the Chinese version of the Northwick Park Questionnaire (NPQ) and Numeric Pain Rating Scale (NPRS). Thirty patients with diagnosis of mechanical neck pain for at least 3 months without referred symptoms were recruited in an outpatient physiotherapy clinic. The results showed that AHT measured with X-ray correlated negatively with CV angle measured with EHPI (r = -0.71, p < 0.001). CV angle also correlated negatively with NPQ (r = -0.67, p < 0.001) and NPRS (r = -0.70, p < 0.001), while AHT positively correlated with NPQ (r = 0.390, p = 0.033) and NPRS (r = 0.49, p = 0.006). We found a negative correlation between CV angle measured with the EHPI and AHT measured with the X-ray lateral film as well as with NPQ and NPRS in patients with chronic mechanical neck pain. EHPI is a valid tool in clinically assessing and evaluating cervical posture of patients with chronic mechanical neck pain.

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Section: Discussionmentioning

confidence: 99%

Measurement of craniovertebral angle with Electronic Head Posture Instrument: Criterion validity

Lau¹,

Chiu²,

Lam³

2010

JRRD

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“…Consistent with the observed relationship between greater sitting hours and greater incidence of neck pain, factors inferring a better level of physical conditioning (extensor endurance) Caneiro et al, 2010;Edmondston et al, 2007;Edmondston et al, 2011;Falla et al, 2007).…”

Section: Factors Decreasing the Risk Of Developing Neck Painsupporting

confidence: 66%

A longitudinal study of risk factors for non-specific neck pain in office workers

Jun¹

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Neck pain at work is associated with reduced productivity, work absenteeism, and often requires treatment resulting in substantial costs to society. Working with a computer has been linked to the development of neck pain. Computer work is a constant factor in the office work environment, and within industry, office workers show the highest incidence of neck pain among all occupations. Therefore prevention of neck pain for office workers has become a priority. While there is an emerging body of literature investigating risk factors for the development of neck pain in office workers it is evident that major gaps still exist. For example, a current model exploring the aetiology of neck pain in workers (Bone and Joint Decade Task Force Model) has not sufficiently explained physical risk factors (workplace and worker), not explored the role of coping on the interaction between workplace psychosocial factors and psychological distress, and has not considered the impact of cultural diversity. The aim of this thesis is to address these deficits.In Study 1 physical risk factors for the development of neck pain in office workers were evaluated through a systematic review with meta-analysis. The review highlighted the poor standardization and quantification of working postural behavior that was mostly limited to subjective or momentary observational assessments.In Study 4 a direct quantitative measure of postural behaviour (percent of time spent in neutral upper body posture) with during office work using wireless sensors was developed with known measurement properties (good to excellent reliability) which could be included in the longitudinal study.A longitudinal study of 220 office workers (160 from Brisbane, Australia and 60 from Daegu, South Korea) without neck pain was recruited from industry. These office workers completed baseline self-report questionnaires measuring psychosocial factors, psychological distress, and coping resources. Follow-up measurements were taken over a 12 month period to evaluate the incidence of neck pain. Physical factors (postural behaviour during office work, neck range of motion, and upper body physical performance) were also evaluated at baseline. 3In Studies 5 and 6, measurements recorded at baseline were analyzed to clarify the physical and psychosocial characteristics of the office worker sample. Study 5 showed that the relationship between job strain and psychological distress (depression, anxiety, and stress symptoms) was moderated by coping strategies. In particular a greater dependence on escape coping strategies enhanced the effect of job strain on depression symptoms, which was in turn reduced when accompanied by higher levels of social support.Study 6 showed that postural behaviour of office workers was governed by multiple factors including both workplace and individual factors. In particular, ergonomic factors (e.g., higher desk height, greater distance on desk top between keyboard and the edge of desk), individual physical factors (e.g., less neck flexor strength/endu...

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“…A intensidade da dor foi avaliada pela EVA, que consiste em uma linha horizontal com 10 cm em que, na extremidade esquerda, encontra-se a indicação sem dor (0) e na direita, dor intensa (10). A EVA é um instrumento simples e confiável para avaliar a dor tanto em situações clínicas quanto em pesquisas 9 .…”

Section: Métodosunclassified

“…Pesquisas anteriores mostram que diferentes fatores podem estar presentes nas disfunções cervicais, destacando-se, dentre eles, a redução da força dos músculos flexores e extensores da região cervical 4,5 , a hiperatividade e o aumento da fatigabilidade dos músculos flexores do pescoço [6][7][8] , a limitação da amplitude de movimento 9 , a anteriorização da posição da cabeça 10,11 , a redução da propriocepção cervical 12 e a presença de dor 13,14 . Nas disfunções cervicais, a dor é geralmente o sintoma mais frequente, estando relacionada aos esforços repetitivos e à manutenção de posturas inadequadas durante a atividade ocupacional, que acarretam microtraumatismos às vértebras cervicais e aos tecidos moles periarticulares 15,16 .…”

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Correlação entre postura da cabeça, intensidade da dor e índice de incapacidade cervical em mulheres com queixa de dor cervical

Soares¹,

Weber²,

Trevisan

et al. 2012

Fisioter. Pesqui.

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| Neck pain is the most common symptom of cervical dysfunctions often being related to the maintenance of postures. Postural changes of the head are often associated with the occurrence of neck pain with an anterior approach was the most frequent. The purpose was to investigate the correlation between head posture, pain intensity and neck disability index. The study group (SG) was composed of women, aged between 20 and 50 years who complained of neck pain for more than three months, and the control group (CG) for asymptomatic women. Pain intensity was assessed by visual analogue scale (VAS), disability by neck disability index (NDI) and the head posture by the craniovertebral angle (CV). Normality of the data was verified by the Lilliefors test and the comparison between groups by the Student's t-test for independent samples, and the association between variables by Spearman correlation test. Significance level was 5%. The SG had lower average CV for the angle (p=0.02). The CV angle was negatively correlated with the VAS (r=-0.48) and NDI (r=-0.15) suggesting that the smaller the angle, the greater the intensity of neck pain and disability. The NDI and VAS showed a positive correlation (r=0.59). The angle CV in subjects with neck pain was significantly lower than in healthy individuals association with the neck disability index and pain.Keywords | neck pain; posture; head.RESUMO | A dor cervical é o sintoma mais comum das disfunções cervicais, frequentemente relacionado à manutenção de posturas inadequadas. As alterações posturais da cabeça estão associadas à ocorrência de dor cervical, sendo a anteriorização a alteração mais comum. O objetivo foi investigar a correlação entre postura da cabeça, intensidade da dor e índice de incapacidade cervical -neck disability index (NDI). O grupo estudo (GE) foi composto por mulheres na faixa entre 20 e 50 anos com queixas de dor cervical por mais de três meses, e o grupo controle (GC), por mulheres assintomáticas. A intensidade da dor foi avaliada pela escala visual analógica (EVA), a incapacidade pelo NDI e a postura da cabeça pelo ângulo craniovertebral (CV). A normalidade dos dados foi verificada pelo teste de Lilliefors, e a comparação entre os grupos pelo teste t de Student para amostras independentes e a associação entre as variáveis pela correlação de Spearman. O nível de significância foi de 5%. O GE apresentou mé-dias menores para o ângulo CV (p=0,02). O ângulo CV demonstrou correlação negativa com a EVA (r=-0,48) e o NDI (r=-0,15), sugerindo que quanto menor o ângulo, maior a intensidade da dor e a incapacidade cervical. O NDI e a EVA apresentaram correlação positiva (r=0,59). O ângulo CV em indivíduos com dor cervical foi significativamente menor que em assintomáticos, apresentando correlação moderada com o NDI e a dor.Descritores | cervicalgia; postura; cabeça.Correlação entre postura da cabeça, intensidade da dor e índice de incapacidade cervical em mulheres com queixa de dor cervical Correlation between head posture, pain and disability index neck in...

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Postural neck pain: An investigation of habitual sitting posture, perception of ‘good’ posture and cervicothoracic kinaesthesia

Cited by 101 publications

References 38 publications

Measurement of craniovertebral angle with Electronic Head Posture Instrument: Criterion validity

Measurement of craniovertebral angle with Electronic Head Posture Instrument: Criterion validity

A longitudinal study of risk factors for non-specific neck pain in office workers

Correlação entre postura da cabeça, intensidade da dor e índice de incapacidade cervical em mulheres com queixa de dor cervical

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