Correlation of head and shoulder posture with non-specific neck pain: A cross-sectional study

Authors

  • Kadrya H Battecha Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Mohamed Salaheldein Alayat Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Gihan Samir Mousa Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Mahmoud H M Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Ali A. El-monsif Thabet Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Anwar A. Ebid Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Mohamed Mohamed Ibrahim Salem Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Albatol B. Alharbi Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Ghaidaa W. Batawi Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Danah M. Almurakshi Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
  • Tala M. Bogis Department of Medical Rehabilitation Sciences, College of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia (KSA).
DOI: https://doi.org/10.6018/sportk.637981
Keywords: Non-Specific Neck Pain, Forward Head Posture, Rounded Shoulders, Numerical Rating Scale, Cervical Angles

Abstract

Non-specific neck pain (NSNP) is one of the most significant health problems especially with frequent use of media devices as computers and cell phones that may be associated with some faulty postures as forward head posture or rounded shoulders. The aim of this study was to investigate the relation of neck, head and shoulders angles: cranio-cervical angle (CVA), forward shoulder angle (FSA), coronal shoulder angle (CSA) and sagittal head tilt angle (SHT) with the non-specific neck pain. A total of ‏ 100 females with non-specific neck pain, whose ages were ranged between 18-25 years old. Numeric Pain Rating Scale (NPRS) and Digital Camera were used to assess neck pain, and neck different angles of cervical and shoulders, respectively. There was indicated a positive and significant correlation between NPRS and FSA (P < 0.045), while there were non-significant correlations between NPRS and other variables (P > 0.05). It was found that there was a significant positive correlation between forward shoulder angle and non-specific neck pain in the sample of female participants. However, no significant associations were observed between neck pain intensity and CCA, CSA, and SHT. Addressing and improving forward shoulder angles may be a potential strategy to reduce neck pain in individuals with non-specific neck pain.

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References

Aafreen, A., Khan, A. R., Khan, A., Ahmad, A., Alzahrani, A. H., & Alhusayni, A. I., et al. (2023). Neck health metrics and quality of life: A comparative study in bike drivers with and without neck pain. Journal of Multidisciplinary Healthcare, 16, 3575–3584. https://doi.org/10.2147/JMDH.S386124

Aafreen, Khan, A., Ahmad, A., Khan, A. R., Maurya, N., Alameer, M. M., et al. (2023). Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions. Heliyon, 9(9), 1-11. https://doi.org/10.1016/j.heliyon.2023.e19336

Al-Hadidi, F., Bsisu, I., AlRyalat, S. A., Al-Zu'bi, B., Bsisu, R., & Hamdan, M., et al. (2019). Association between mobile phone use and neck pain in university students: A cross-sectional study using numeric rating scale for evaluation of neck pain. PLoS ONE, 14(5), 1-10. https://doi.org/10.1371/journal.pone.0217231

Battecha, K., Abdelatif, N., Kamel, D., & Tantawy, S. (2019). The effect of cranio-cervical flexion training and rest breaks on neck pain and functional performance in visual display unit users. Bioscience Research, 15, 3708–3717.

de Campos, T. F., Maher, C. G., Steffens, D., Fuller, J. T., & Hancock, M. J. (2018). Exercise programs may be effective in preventing a new episode of neck pain: A systematic review and meta-analysis. Journal of Physiotherapy, 64(3), 159–165. https://doi.org/10.1016/j.jphys.2018.05.002

Ertekin, E., & Günaydın, Ö. E. (2021). Neck pain in rounded shoulder posture: Clinico-radiologic correlation by shear wave elastography. International Journal of Clinical Practice, 75(8), 1-6. https://doi.org/10.1111/ijcp.14240

Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011). Validity of four pain intensity rating scales. Pain, 152(10), 2399–2404. https://doi.org/10.1016/j.pain.2011.07.005

Gbiri, C., & Shittu, A. (2014). Effects of a six-weeks balance training on balance performance and functional independence in hemiparetic stroke survivors. Indian Journal of Physiotherapy and Occupational Therapy, 8, 123–127.

Gu, Q., Pan, L., Yu, L., & Li, H. (2024). Effect of scapular posterior tilting exercise on scapular muscle activities in men and women with a rounded shoulder posture. Journal of Orthopaedic Surgery and Research, 19, 1-7. https://doi.org/10.1186/s13018-024-04810-z

Guzman, J., Hurwitz, E. L., Carroll, L. J., Haldeman, S., Côté, P., Carragee, E. J., Peloso, P. M., van der Velde, G., Holm, L. W., Hogg-Johnson, S., Nordin, M., & Cassidy, J. D. (2009). A new conceptual model of neck pain: Linking onset, course, and care: The Bone and Joint Decade 2000–2010 Task Force on Neck Pain and its Associated Disorders. Spine, 33, 14–23. https://doi.org/10.1097/BRS.0b013e3181643d09

Janda, V. (1983). On the concept of postural muscles and posture in man. Australian Journal of Physiotherapy, 29(3), 83–84.

Kapreli, E., Vourazanis, E., & Strimpakos, N. (2008). Neck pain causes respiratory dysfunction. Medical Hypotheses, 70(5), 1009–1013.

Kebaetse, M., McClure, P., & Pratt, N. A. (1999). Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Archives of Physical Medicine and Rehabilitation, 80(8), 945–950.

Khan, Z. K., Ahmed, S. I., Baig, A. A. M., & Farooqui, W. A. (2022). Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, ROM, and QOL in the management of non-specific neck pain: A randomized controlled trial. BMC Musculoskeletal Disorders, 23(1), 1-11. https://doi.org/10.1186/s12891-022-05598-2

Kim, E. K., & Kim, J. S. (2016). Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. Journal of Physical Therapy Science, 28(10), 2929–2932. https://doi.org/10.1589/jpts.28.2929

Lafage, R., Ferrero, E., Henry, J. K., Challier, V., Diebo, B., & Liabaud, B., et al. (2015). Validation of a new computer-assisted tool to measure spino-pelvic parameters. The Spine Journal, 15(12), 2493–2502. https://doi.org/10.1016/j.spinee.2015.06.032

Lau, K. T., Cheung, K. Y., Chan, K. B., Chan, M. H., Lo, K. Y., & Chiu, T. T. (2010). Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability. Manual Therapy, 15(5), 457–462. https://doi.org/10.1016/j.math.2010.03.011

Lee, M.-H., & Chu, M. (2014). Correlations between craniovertebral angle (CVA) and cardiorespiratory function in young adults. Journal of the Korean Society of Physical Medicine, 9, 107-113.

Lu, Y., Liu, S., & Bai, Y. (2022). Analysis of digital photography technology in the era of big data. Mobile Information Systems, 2022, 1-8. https://doi.org/10.1155/2022/3880755

Mahmoud, N. F., Hassan, K. A., Abdelmajeed, S. F., Moustafa, I. M., & Silva, A. G. (2019). The relationship between forward head posture and neck pain: A systematic review and meta-analysis. Current Reviews in Musculoskeletal Medicine, 12(4), 562–577. https://doi.org/10.1007/s12178-019-09547-1

Nejati, P., Lotfian, S., Moezy, A., & Nejati, M. (2015). The study of correlation between forward head posture and neck pain in Iranian office workers. International Journal of Occupational Medicine and Environmental Health, 28(2), 295–303. https://doi.org/10.13075/ijomeh.1896.00263

Ordway, N. R., Seymour, R. J., Donelson, R. G., Hojnowski, L. S., & Edwards, W. T. (1999). Cervical flexion, extension, protrusion, and retraction: A radiographic segmental analysis. Spine, 24(3), 240–247.

Paksaichol, A., Janwantanakul, P., Purepong, N., Pensri, P., & van der Beek, A. J. (2012). Office workers' risk factors for the development of non-specific neck pain: A systematic review of prospective cohort studies. Occupational and Environmental Medicine, 69(9), 610–618. https://doi.org/10.1136/oemed-2011-100450

Raine, S., & Twomey, L. (1994). Posture of the head, shoulders and thoracic spine in comfortable erect standing. Australian Journal of Physiotherapy, 40(1), 25–32.

Raine, S., & Twomey, L. T. (1997). Head and shoulder posture variations in 160 asymptomatic women and men. Archives of Physical Medicine and Rehabilitation, 78(11), 1215–1223.

Rani, B., Paul, A., Chauhan, A., Pradhan, P., & Dhillon, M. S. (2023). Is neck pain related to sagittal head and neck posture? A systematic review and meta-analysis. Indian Journal of Orthopaedics, 57(3), 371–403.

Robertson, J. A. (1984). Review of Muscles, Testing and Function (3rd ed.), by F. P. Kendall & E. K. McCreary. British Journal of Sports Medicine, 18(1), 1-25.

Rottermund, J., Knapik, A., Saulicz, E., Myśliwiec, A., Saulicz, M., & Rygiel, K. A., et al. (2015). Back and neck pain among school teachers in Poland and its correlations with physical activity. Medycyna Pracy, 66(6), 771–778. https://doi.org/10.13075/mp.5893.00173

Sheth, S., Shaikh, J., Mahato, R., & Sheth, M. (2018). Prevalence of forward head posture among 12–16-year-old school-going students: A cross-sectional study. Applied Medical Research, 4, 18–24.

Shinde, S., & Shah, D. (2022). Correlation of craniovertebral angle with neck pain in undergraduate students: A cross-sectional study. International Journal of Health Sciences and Research, 12, 96–101.

Shiravi, S., Letafatkar, A., Bertozzi, L., Pillastrini, P., & Khaleghi Tazji, M. (2019). Efficacy of abdominal control feedback and scapula stabilization exercises in participants with forward head, round shoulder postures, and neck movement impairment. Sports Health, 11(3), 272–279. https://doi.org/10.1177/1941738119832876

Singla, D., Veqar, Z., & Hussain, M. E. (2017). Photogrammetric Assessment of Upper Body Posture Using Postural Angles: A Literature Review. Journal of chiropractic medicine, 16(2), 131–138. https://doi.org/10.1016/j.jcm.2017.01.005

Singla, D., Veqar, Z., & Hussain, M. E. (2017). Photogrammetric assessment of upper body posture using postural angles: A literature review. Journal of Chiropractic Medicine, 16(2), 131–138. https://doi.org/10.1016/j.jcm.2017.03.004

Wang, H. K., & Cochrane, T. (2001). Mobility impairment, muscle imbalance, muscle weakness, scapular asymmetry and shoulder injury in elite volleyball athletes. Journal of Sports Medicine and Physical Fitness, 41(3), 403–410.

Yip, C. H., Chiu, T. T., & Poon, A. T. (2008). The relationship between head posture and severity and disability of patients with neck pain. Manual Therapy, 13(2), 148–154. https://doi.org/10.1016/j.math.2007.01.010

Yuen, G. K., Clements, J. B., Ramalingam, V., & Sundar, V. (2021). Understanding upper body playing-related musculoskeletal disorders among piano and non-piano players using photogrammetry. Clinica Terapeutica, 172(2), 163–167.

Published
22-11-2024
How to Cite
Battecha, K. H., Salaheldein Alayat, M., Mousa, G. S., H M, M., Thabet, A. A. E.- monsif, Ebid, A. A., … Bogis, T. M. (2024). Correlation of head and shoulder posture with non-specific neck pain: A cross-sectional study. SPORT TK-EuroAmerican Journal of Sport Sciences, 13, 59. https://doi.org/10.6018/sportk.637981
Issue
Vol. 13 (2024)
Section
Articles

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The works and papers that are published in this Journal are subject to the following terms:

1. The Publication Service of the University of Murcia (the publisher) has the Publication Rights (Copyright) to the published papers and works, and favors and permits the reusing of the same under the license indicated in point 2.

© Servicio de Publicaciones, Universidad de Murcia, 2013

2. The papers and works are to be published in the digital edition of the Journal under the license Creative Commons Reconocimiento-No Comercial-Sin Obra Derivada 3.0 España (legal text). The copying, using, spreading, transmitting and publicly displaying of the papers, works or publication are permitted as long as: i) the authors and original sources (Journal, publisher and URL of the publication) are quoted; ii) it is not used for commercial benefit; iii) the existence and specifications of this users license are mentioned.

3. Conditions of Self-Archiving. It is permitted and encouraged that the authors spread electronically the pre-print (before printing) and/or post-print (the revised, evaluated and accepted) versions of their papers or works before their publication since this favors their circulation and early diffusion and therefore can help increase their citation and quotation, and also there reach through the academic community.