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Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion

  • Kim, Dae-Hyun (Department of Physical Therapy, Chonbuk National Hospital) ;
  • Kim, Chang-Ju (Department of Physical Therapy, College of Health Science, Cheongju University) ;
  • Son, Sung-Min (Department of Physical Therapy, College of Health Science, Cheongju University)
  • Received : 2018.08.30
  • Accepted : 2018.10.07
  • Published : 2018.12.30

Abstract

Objectives: The purpose of this study was to determine whether the cranial vertebral angle (CVA) and the range of motion (ROM) was different between participants with a forward head posture (FHP), with or without pain. Methods: Forty-four participants who had FHP participated in this study. The FHP was assessed digitally by measuring a lateral view the CVA for each subject. A cervical ROM device measured the cervical ROM. The volunteers were allocated to either, with pain (n = 22), or without pain (n = 22) groups, and pain was evaluated using the Numeric Pain Rating Scale. Results: The FHP in the pain group showed a significant difference in the CVA, and the cervical ROM in both flexion and extension, compared with those in the FHP without pain group (p < 0.05). Logistic regression analysis indicated that the occurrence of cervical area pain was higher amongst subjects who had a decreased CVA and flexion motion. Conclusion: This study suggested that decreased CVA and cervical flexion range, were predictive factors for the occurrence of pain in the cervical region.

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