PDF(Pubmed)
Abstract：
Individuals with psychotic disorders often lead sedentary lives, heightening the risk of developing forward head posture. Forward head posture affects upper cervical vertebrae, raising the likelihood of daily discomforts like skeletal misalignment, neck pain, and reduced cardiorespiratory fitness. Improving cardiorespiratory fitness in psychotic disorders is relevant, given its proven benefits in enhancing physical and mental health. This study investigates forward head posture by measuring craniovertebral angles in psychotic disorders and the relationship with reduced cardiorespiratory fitness. To determine whether forward head posture is specific to psychotic disorders, we also included individuals with autism spectrum disorder and healthy controls. Among 85 participants (32 psychotic disorders, 26 autism spectrum disorder, 27 healthy controls), photogrammetric quantification revealed a significantly lower mean craniocervical angle in psychotic disorders compared to autism spectrum disorder (p = < 0.02) and the healthy control group (p = < 0.01). Reduced craniovertebral angle is related to diminished cardiorespiratory fitness in psychosis (R2 = 0.45, p = < 0.01) but not in other control groups. This study found reduced craniovertebral angles, indicating forward head posture in psychotic disorders. Moreover, this relates to diminished cardiorespiratory fitness. Further research is needed to examine the underlying causes and to investigate whether this can be reversed through physical therapy.
摘要：
患有精神病的人经常过着久坐的生活，增加发展向前头部姿势的风险。前头姿势影响上颈椎，增加日常不适的可能性，如骨骼错位，颈部疼痛,减少心肺健康。改善精神病患者的心肺健康状况是相关的，鉴于其在增强身心健康方面的优势。这项研究通过测量精神病性障碍的颅骨角度以及与心肺健康降低的关系来调查前头姿势。为了确定前头姿势是否特定于精神障碍，我们还纳入了自闭症谱系障碍患者和健康对照者.在85名参与者中(32名精神病患者，26自闭症谱系障碍，27个健康对照），摄影测量定量显示，与自闭症谱系障碍（p=<0.02）和健康对照组（p=<0.01）相比，精神病性障碍的平均颅颈角明显降低。头盖角减小与精神病患者的心肺功能降低有关（R2=0.45，p=<0.01），但与其他对照组无关。这项研究发现颅骨角度减小，表明精神病患者的前头姿势。此外，这与心肺健康下降有关。需要进一步的研究来检查根本原因，并调查这种情况是否可以通过物理治疗逆转。
