关键词: Neck pain Posture craniovertebral angle forward head posture kinematics virtual reality

Mesh : Humans Neck Pain / diagnosis Cross-Sectional Studies Posture Neck Neck Muscles

来  源:   DOI:10.1080/09593985.2022.2044420

Abstract:
UNASSIGNED: Poor posture is traditionally associated with various musculoskeletal disorders. Consequently, educators in the musculoskeletal field have been teaching postural observation as part of the physical assessment. Forward head posture (FHP) is hypothesized to be associated with neck pain; however, evidence in this topic remains inconclusive.
UNASSIGNED: To investigate the association between FHP and neck pain intensity, disability, and cervical kinematics in individuals with neck pain compared to asymptomatic individuals. A secondary aim of this study was to explore the possible effect of a head-mounted display (HMD) used in a virtual reality (VR) assessment on FHP.
UNASSIGNED: The study was conducted with 43 volunteers (20 asymptomatic individuals, 23 individuals with neck pain) aged 19 to 62. FHP was assessed by measuring craniovertebral angle on profile photographs. Secondary outcome measures included pain intensity, the neck disability index (NDI) questionnaire, and neck kinematics using specialized VR software.
UNASSIGNED: There were no significant differences between individuals with neck pain and asymptomatic individuals in FHP (craniovertebral angle = 48.24°±7.29; 48.90°±5.89, respectively, p > .05). The neck pain group demonstrated a restricted range of motion and slower neck movements (p < .05). We found no significant correlation between FHP and visual analog scale, NDI, and most neck kinematic measures.
UNASSIGNED: Our findings cannot support a clinically applicable association between FHP and neck pain. Additionally, individuals with neck pain had a lower range of motion and slower neck movements.
摘要:
背景:不良姿势传统上与各种肌肉骨骼疾病有关。因此,肌肉骨骼领域的教育工作者一直在教授姿势观察,作为身体评估的一部分。假设前头姿势(FHP)与颈部疼痛有关;然而,这个话题的证据仍然没有定论。
目的:为了研究FHP与颈部疼痛强度之间的关系,残疾,与无症状个体相比,颈部疼痛个体的颈椎运动学。这项研究的第二个目的是探索虚拟现实(VR)评估中使用的头戴式显示器(HMD)对FHP的可能影响。
方法:该研究对43名志愿者(20名无症状个体,23名颈部疼痛患者),年龄在19至62岁之间。通过测量轮廓照片上的颅骨角度来评估FHP。次要结果指标包括疼痛强度,颈部残疾指数(NDI)问卷,和颈部运动学使用专门的VR软件。
结果:在FHP中,颈部疼痛个体和无症状个体之间没有显着差异(颅骨角度=48.24°±7.29;48.90°±5.89,分别p>.05)。颈部疼痛组表现出有限的活动范围和较慢的颈部运动(p<0.05)。我们发现FHP和视觉模拟量表之间没有显着相关性,NDI,和大多数颈部运动学措施。
结论:我们的研究结果不能支持FHP与颈部疼痛之间的临床应用相关性。此外,颈部疼痛患者的活动范围较低,颈部运动较慢.
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