.: ORİJİNAL ARAŞTIRMA
The Comparison of the Factors Affecting Forward Head Posture in Academic Staff with Nonspecific Chronic Neck Pain: A Descriptive Study
Nonspesifik Kronik Boyun Ağrısı Olan Akademik Personelde İleri Baş Postürünü Etkileyen Faktörlerin Karşılaştırılması: Tanımlayıcı Çalışma
Turkiye Klinikleri J Health Sci. 2024;9(3):521-9
doi: 10.5336/healthsci.2024-101989
Makale Dili: EN
Tam Metin
Ücretsiz Erişim
ABSTRACT
Objective: The aim of the study the compare the factors affecting forward head posture in academic staff with nonspecific chronic neck pain. Material and Methods: Fifty subjects with nonspecific neck pain participated in this study. The subjects were divided into two groups, according to the cut-off value of the craniovertebral angle (CVA) as ''normal cervical posture'' and ''forward head posture(FHP+)''. Demographic information and the duration of sitting, computer and phone use were recorded. The pain severity during resting, sleep and activation were assessed using visual analog scale. The pain threshold of upper trapezius muscles and suboccipital region were assessed by algometer. Scapulothoracic muscle strength, deep cervical muscle endurance, and strength were assessed using a handheld dynamometer and a stabilizer pressure biofeedback unit, respectively. CVA was determined using photograph analysis methods. Cervical joint position sense was assessed using a dual digital inclinometer. Results: A total of 50 academic staff were included. Weight, body mass index and cell phone use duration were significantly higher in the FHP+ group(p=0.02; p=0.01). Also, the upper trapezius pain thresholds were significantly higher in the FHP+ group(p=0.02). Furthermore, significant difference was seen in the middle trapezius muscle strength, deep cervical flexor muscle endurance and joint position sense error, between the groups (p=0.02; p=0.03; p=0.01). Conclusion: In patients with nonspecific neck pain, FHP was associated with upper trapezius muscle pain thresholds, middle trapezius muscle strength and reduced deep cervical flexor muscle endurance and, neck joint position sense error respectively.
Keywords: Forward head posture; neck pain; academic staff
Objective: The aim of the study the compare the factors affecting forward head posture in academic staff with nonspecific chronic neck pain. Material and Methods: Fifty subjects with nonspecific neck pain participated in this study. The subjects were divided into two groups, according to the cut-off value of the craniovertebral angle (CVA) as ''normal cervical posture'' and ''forward head posture(FHP+)''. Demographic information and the duration of sitting, computer and phone use were recorded. The pain severity during resting, sleep and activation were assessed using visual analog scale. The pain threshold of upper trapezius muscles and suboccipital region were assessed by algometer. Scapulothoracic muscle strength, deep cervical muscle endurance, and strength were assessed using a handheld dynamometer and a stabilizer pressure biofeedback unit, respectively. CVA was determined using photograph analysis methods. Cervical joint position sense was assessed using a dual digital inclinometer. Results: A total of 50 academic staff were included. Weight, body mass index and cell phone use duration were significantly higher in the FHP+ group(p=0.02; p=0.01). Also, the upper trapezius pain thresholds were significantly higher in the FHP+ group(p=0.02). Furthermore, significant difference was seen in the middle trapezius muscle strength, deep cervical flexor muscle endurance and joint position sense error, between the groups (p=0.02; p=0.03; p=0.01). Conclusion: In patients with nonspecific neck pain, FHP was associated with upper trapezius muscle pain thresholds, middle trapezius muscle strength and reduced deep cervical flexor muscle endurance and, neck joint position sense error respectively.
Keywords: Forward head posture; neck pain; academic staff
ÖZET
Amaç: Çalışmanın amacı, nonspesifik kronik boyun ağrısı olan akademik personelde ileri baş pozisyonuna etkileyen faktörlerin karşılaştırılmasıdır. Gereç ve Yöntemler: Bu çalışmaya, nonspesifik kronik boyun ağrısı olan elli katılımcı dâhil edildi. Katılımcılar, kraniovertebral açı değerine göre ''normal servikal pozisyon'' ve ''ileri baş duruşu(FHP+)'' olmak üzere iki gruba ayrıldı. Demografik bilgiler ve oturma, bilgisayar ve telefon kullanım süresi kaydedildi. Dinlenme, uyku ve aktivasyon sırasındaki ağrı şiddeti, görsel analog skalası kullanılarak değerlendirildi. Üst trapezius ve suboksipital kaslarının ağrı eşiği algometre ile değerlendirildi. Skapulotorasik kas kuvveti, derin servikal kas kuvvet ve enduransı el dinamometresi ve stabilizer basınçlı biyofeedback ünitesi kullanılarak değerlendirildi. Kraniovertebral açı, fotoğraf analiz yöntemleriyle belirlendi. Servikal eklem pozisyon hissi, dijital inklinometre kullanılarak değerlendirildi. Bulgular: Toplam 50 akademik personel dâhil edildi. FHP+ grubunda kilo, beden kitle indeksi ve cep telefonu kullanım süresi anlamlı olarak daha yüksek olduğu belirlendi (p=0,02; p=0,01). FHP+ grubunda üst trapezius ağrı eşiğinin anlamlı olarak daha yüksek olduğu belirlendi (p=0,02). Gruplar arasında orta trapezius kas kuvveti, derin servikal fleksör kas dayanıklılığı ve eklem pozisyon hissi bakımıdan anlamlı fark olduğu belirlendi. (sırasıyla p=0,02; p=0,03; p=0,01). Sonuç: Nonspesifik boyun ağrısı olan hastalarda, FHP; üst trapezius kas ağrı eşiği, orta trapezius kas kuvveti, azalmış derin servikal fleksör kas dayanıklılığı ve servikal eklem pozisyon hissi ile ilişkilidir.
Anahtar Kelimeler: İleri baş postürü; boyun ağrısı; akademik personel
Amaç: Çalışmanın amacı, nonspesifik kronik boyun ağrısı olan akademik personelde ileri baş pozisyonuna etkileyen faktörlerin karşılaştırılmasıdır. Gereç ve Yöntemler: Bu çalışmaya, nonspesifik kronik boyun ağrısı olan elli katılımcı dâhil edildi. Katılımcılar, kraniovertebral açı değerine göre ''normal servikal pozisyon'' ve ''ileri baş duruşu(FHP+)'' olmak üzere iki gruba ayrıldı. Demografik bilgiler ve oturma, bilgisayar ve telefon kullanım süresi kaydedildi. Dinlenme, uyku ve aktivasyon sırasındaki ağrı şiddeti, görsel analog skalası kullanılarak değerlendirildi. Üst trapezius ve suboksipital kaslarının ağrı eşiği algometre ile değerlendirildi. Skapulotorasik kas kuvveti, derin servikal kas kuvvet ve enduransı el dinamometresi ve stabilizer basınçlı biyofeedback ünitesi kullanılarak değerlendirildi. Kraniovertebral açı, fotoğraf analiz yöntemleriyle belirlendi. Servikal eklem pozisyon hissi, dijital inklinometre kullanılarak değerlendirildi. Bulgular: Toplam 50 akademik personel dâhil edildi. FHP+ grubunda kilo, beden kitle indeksi ve cep telefonu kullanım süresi anlamlı olarak daha yüksek olduğu belirlendi (p=0,02; p=0,01). FHP+ grubunda üst trapezius ağrı eşiğinin anlamlı olarak daha yüksek olduğu belirlendi (p=0,02). Gruplar arasında orta trapezius kas kuvveti, derin servikal fleksör kas dayanıklılığı ve eklem pozisyon hissi bakımıdan anlamlı fark olduğu belirlendi. (sırasıyla p=0,02; p=0,03; p=0,01). Sonuç: Nonspesifik boyun ağrısı olan hastalarda, FHP; üst trapezius kas ağrı eşiği, orta trapezius kas kuvveti, azalmış derin servikal fleksör kas dayanıklılığı ve servikal eklem pozisyon hissi ile ilişkilidir.
Anahtar Kelimeler: İleri baş postürü; boyun ağrısı; akademik personel
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