Quantitative measurements of forward head posture in a clinical settings: a technical feasibility study

Mani, Suresh; Omar, Baharudin; Ahmad, Kamsuriah; Muniandy, Yughdtheswari; Singh, Devinder Kaur Ajit

doi:10.1080/21679169.2017.1296888

Cited by 24 publications

(29 citation statements)

References 27 publications

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“…Ten studies were cross-sectional studies (compared FHP between a group of participants with neck pain and a group of asymptomatic participants) [27,28,[31][32][33][34][35][36][37][38], while four papers were cross-sectional without a comparison group (presented correlation data between FHP and neck pain) [39][40][41][42] and one study investigated the correlation between four postural clusters and neck pain [43]. Of the ten studies that presented comparative data, 3 studies presented correlational data also [28,32,33].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Included studies controlled for different confounding factors: six studies controlled for both age and sex [27, 32-34, 37, 43], while two studies controlled for sex only [35,40] or for age only [28] and six studies did not control for sex or age [31,36,38,39,41,42].…”

Section: Quality Assessmentmentioning

confidence: 99%

“…Overall FHP Difference Between Neck Pain and Asymptomatic Participants A total of 10 articles performed comparisons between neck pain and asymptomatic groups: seven out of these 10 articles measured the craniovertebral angle (CVA; the angle between C7, tragus, and horizontal) [27,28,31,32,35,36,38], one study measured the complementary angle of CVA (angle between C7, tragus, and vertical) [33], and 2 studies used a cervical range of motion (CROM) device to measure FHP distance and upper cervical angle (UCA), which represents the angle between vertical, occipite, and nose, measured by a sagittal inclinometer on the CROM device [34,37].…”

Section: Meta-analysismentioning

confidence: 99%

“…We excluded the studies which: Of the seven studies that measured CVA, 3 studies included adolescents [28,31,35], 2 studies included adults [32,36], one study included adults and older adults with subgroup analysis [27], and one study included a wide age range sample (adolescent, adults, and older adults); therefore, this study was not included in subgroup analysis [38].…”

Section: Meta-analysismentioning

confidence: 99%

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The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis

Mahmoud

Hassan

Abdelmajeed

et al. 2019

Curr Rev Musculoskelet Med

161

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Purpose of Review Forward head posture (FHP) is the most common cervical postural fault in the sagittal plane that is found with different severity levels in almost all populations. Despite claims that FHP may be related to neck pain, this relation seems to be controversial. Thus, our purpose is to determine whether FHP differs between asymptomatic subjects and those with neck pain and to investigate if there is a relationship between head posture and neck pain. Recent Findings A total of 15 cross-sectional studies were eligible for inclusion for this systematic review and meta-analysis. Ten studies compared FHP between a group of asymptomatic participants and a group of participants with neck pain and an overall mean difference (MD) of 4.84 (95% CI = 0.14, 9.54), indicating a significant between-group difference, contrary to adolescent (MD = − 1.05; 95% CI = − 4.23, 2.12). Eight studies showed significant negative correlations between FHP and neck pain intensity (r = − 0.55; 95% CI = − 0.69, − 0.36) as well as disability (r = − 0.42; 95% CI = − 0.54, − 0.28) in adults and older adults, while in adolescents, only lifetime prevalence and doctor visits due to neck pain were significant predictors for FHP. Summary This systematic review found that age played an important role as a confounding factor in the relation between FHP and neck pain. Also, the results showed that adults with neck pain show increased FHP when compared to asymptomatic adults and that FHP is significantly correlated with neck pain measures in adults and older adults. No association was found between FHP and most of neck pain measures in adolescents.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Quality Assessmentmentioning

confidence: 99%

Section: Meta-analysismentioning

confidence: 99%

Section: Meta-analysismentioning

confidence: 99%

See 2 more Smart Citations

The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis

Mahmoud

Hassan

Abdelmajeed

et al. 2019

Curr Rev Musculoskelet Med

161

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“…The cervical spine has the necessary lordotic curvature to compensate the thoracic spine's kyphosis [1] which is associated with the neutral position of the head [2]. An increase or decrease in physiological cervical lordosis may not necessarily imply an abnormal head position, although there is the expectation of a "straight" cervical spine, for example, being associated with a previously projected head.…”

Section: Introductionmentioning

confidence: 99%

Frontal-Mental Line Inclination Test for assessment of cervical curvature: validation and applicability

et al. 2019

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Introduction: Alternative testing for X-rays in the assessment of the spine have the advantage of not causing radiation problems, but need to be validated. Objective: To propose a clinical test for assessment of the cervical spine based on the frontal-mental line inclination, identifying its concurrent validity in relation to the gold standard and determining its clinical applicability. Method: The present study was separated into two phases: (1) Test of Frontal-mental Line Inclination’s (TFMLI) validation protocol (evaluation of head position using X-ray analysis and computerized photogrammetry and assessment of cervical curvature using X-ray analysis and the TFMLI) (n = 35); (2) testing the possibility of performing the TFMLI with a universal goniometer (n = 23). Results: In phase 1, for the evaluation of head position, the gold standard and photogrammetry showed high and significant correlation (r = 0.602; p < 0.001). When evaluating cervical curvature, the gold standard and the TFMLI showed high and significant correlation (r = 0.597; p = 0.019). In phase 2, for the evaluation of head position, photogrammetry and goniometry showed high and significant correlation (rs = 0.662; p < 0.001). For the evaluation of cervical curvature, the TFMLI performed with photographs and with goniometry showed almost perfect and significant correlation (r = 0.969; p < 0.001). Conclusion: The TFMLI is suitable for an initial evaluation of the cervical spine posture of individuals with anterior head position and can be applied in clinical practice with the use of a universal goniometer.

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Is Neck Pain Related to Sagittal Head and Neck Posture?: A Systematic Review and Meta-analysis

Rani

Paul

Chauhan

et al. 2023

JOIO

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Quantitative measurements of forward head posture in a clinical settings: a technical feasibility study

Cited by 24 publications

References 27 publications

The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis

The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis

Frontal-Mental Line Inclination Test for assessment of cervical curvature: validation and applicability

Is Neck Pain Related to Sagittal Head and Neck Posture?: A Systematic Review and Meta-analysis

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