目的:本研究旨在评估和比较汽车和自行车驾驶员前头姿势(FHP)的患病率,及其与颈部和心肺参数的潜在相关性。
方法:这项横断面研究涉及来自勒克瑙市区和郊区的400名参与者,北方邦,印度,包括200名汽车司机和200名年龄在18-65岁之间、至少有五年驾驶历史的自行车司机。使用诸如颈椎活动范围和颈部残疾指数(NDI)之类的测量来评估颈部健康。通过静息心率评估心肺参数,血压,和使用肺活量测定测试的肺功能测试,和FHP使用Surgimap应用程序进行评估。使用IBMSPSSStatistics软件(26.0版)进行统计分析,包括描述性统计,假设检验,二进制数据的卡方检验或Fisher精确检验,和相关分析。
结果:结果表明,汽车和自行车驾驶员的平均FHP差异具有统计学意义(p=0.0001),表明汽车司机的FHP患病率高于自行车司机。相关分析显示FHP和颈部健康指标之间存在显著关联,尤其是颈椎屈曲(r=0.71,p<0.05),(r=0.78,p<0.05)和左侧旋转(r=0.56,p<0.05),(r=0.61,p<0.05)在汽车和自行车驾驶员中。在心肺参数中,静息心率与FHP显著相关(r=0.33,p<0.05),(r=0.42,p<0.05),肺活量测定结果FVC(r=0.29,p<0.05),FEV1(r=0.22,p<0.05),汽车和自行车驾驶员的FVC(r=0.31,p<0.05)。
结论:我们观察到汽车驾驶员的FHP发生率更高,表明在骑自行车的过程中,长时间的静态姿势可能比动态移动导致更大的姿势偏差。这种关联表明,FHP可能对全身健康产生广泛的影响,超越肌肉骨骼问题。这些发现有可能影响旨在改善驾驶员整体健康结果的预防策略和干预措施。
OBJECTIVE: This study aimed to evaluate and compare the prevalence of Forward Head Posture (FHP) in car and bike drivers, and its potential correlation with
neck and cardiopulmonary parameters.
METHODS: This cross-sectional study involved 400 participants from urban and suburban areas around Lucknow, Uttar Pradesh, India, including 200 car drivers and 200 bike drivers aged 18-65 years with a minimum five-year driving history.
Neck health was assessed using measurements such as cervical range of motion and
Neck Disability Index (NDI), cardiopulmonary parameters were evaluated through resting heart rate, blood pressure, and pulmonary function tests using the spirometry test, and FHP was assessed using Surgimap application. Statistical analysis was performed using IBM SPSS Statistics software (version 26.0) and included descriptive statistics, hypothesis testing, Chi-square or Fisher\'s exact test for binary data, and correlation analyses.
RESULTS: The result show that difference in the mean FHP between car and bike drivers was statistically significant (p = 0.0001), indicating a higher prevalence of FHP among car drivers than among bike drivers. Correlation analyses revealed significant associations between FHP and
neck health metrics, especially cervical flexion (r = 0.71, p<0.05), (r = 0.78, p<0.05) and left-side rotation (r = 0.56, p<0.05), (r = 0.61, p<0.05) in car and bike drivers. Among the cardiopulmonary parameters, significant correlations with FHP were observed in resting heart rate (r = 0.33, p<0.05), (r = 0.42, p<0.05), spirometry results FVC (r = 0.29, p<0.05), FEV1 (r = 0.22, p<0.05), and FVC (r = 0.31, p<0.05) for car and bike drivers.
CONCLUSIONS: We observed a higher incidence of FHP in car drivers, indicating that a prolonged static posture may lead to greater postural deviation than dynamic movement during biking. This association suggests that FHP could have wide-reaching implications for systemic health, beyond musculoskeletal issues. These findings have the potential to influence preventative strategies and interventions aimed at improving the overall health outcomes for drivers.