Influence of Body Positions on Craniovertebral Angle in the Elderly People With Forward Head Posture: A Pilot Study

  • JMR Office
  • Maryam Abbaszadeh-Amirdehi Department of Physiotherapy, School of Rehabilitation, Babol University of Medical Sciences, Babol, Iran.
  • Seyed Reza Hosseini Department of Community Medicine, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
  • Shahram Irani Department of Community Medicine, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
  • Setareh Mirasi Department of Physiotherapy, School of Rehabilitation, Babol University of Medical Sciences, Babol, Iran.
  • Shima Sam Department of Community Medicine, School of Medicine, Babol University of Medical Sciences, Babol, Iran.
Keywords: Forward head posture, Craniovertebral angle, Position, Elderly

Abstract

Introduction: Forward Head Posture (FHP) is one of the most common faulty sagittal postures of the craniocervical region in elderly adults. The sagittal alignment of the spine changes with different body positions. This study aimed to compare head postural alignment between sitting and standing positions in elder people with FHP.Materials and Methods: The head posture was assessed in 32 participants including 16 old adults with FHP (Mean±SD age=67.9±3.8 years) and 16 normal matched individuals (Mean±SD age=67.5±3.4 years). Side-view photographs were taken in standing and sitting positions to determine the amount of the craniovertebral angle.Results: The results of the paired t test indicated a significant difference between head postural alignment in sitting and standing positions for normal (P<0.003) group. However, there is no significant difference in sitting vs. standing in FHP group (P<0.09). Conclusion: The assessment of head postural alignment in elder people using craniovertebral angle in two different positions, sitting and standing, demonstrated no changes in the alignment of head at FHP participants. It may be due to need for keeping the forward gaze.

References

Andrew A, Guccione DA, Wong R, Avers D. Geriatric physical therapy. New York: Elsevier; 2011:
Sajjadi E, Olyaei G, Talebian S, Hadian MR, Jalaie Sh. The effect of forward head posture on cervical joint position sense. Journal of Paramedical Sciences. 2014; 5(4):27-31. [DOI:10.22037/jps.v5i4.7567]
Sharif SI, Al-Harbi AB. Falls in the elderly: Assessment of prevalence and risk factors. Pharmacy Practice. 2018; 16(3):1206. [DOI:10.18549/PharmPract.2018.03.1206] [PMCID] [PMID]
Kim KH, Kim SG, Hwangbo G. The effects of horse-riding simulator exercise and Kendall exercise on the forward head posture. Journal of Physical Therapy Science. 2015; 27(4):1125-7. [DOI:10.1589/jpts.27.1125] [PMID] [PMCID]
Lau HMC, Chiu TTW, Lam TH. Measurement of craniovertebral angle with Electronic Head Posture Instrument: Criterion validity. The Journal of Rehabilitation Research and Development; 2010; 47(9):911-8. [DOI:10.1682/JRRD.2010.01.0001] [PMID]
Brunton JBE, Aoife NM. Reliability of measuring natural head posture using the craniovertebral angle. Irish Ergonomics Review. 2003; 37-41.
Lee CH, Lee S, Shin G. Reliability of forward head posture evaluation while sitting, standing, walking and running. Human Movement Science. 2017; 55:81-6. [DOI:10.1016/j.humov.2017.07.008] [PMID]
Visscher CM, De Boer W, Lobbezoo F, Habets LLMH, Naeije M. Is there a relationship between head posture and craniomandibular pain? Journal of Oral Rehabilitation. 2002; 29(11):1030-6. [DOI:10.1046/j.1365-2842.2002.00998.x] [PMID]
Berthonnaud E, Hilmia R, Labellec H, Dimnetd J. Spino-pelvic postural changes between the standing and sitting human position: Proposal of a method for its systematic analysis. Computerized Medical Imaging and Graphics. 2011; 35(6):451-9. [DOI:10.1016/j.compmedimag.2011.02.004] [PMID]
Drzal-Grabiec J, Truszczyńska A, Fabjańska M, Trzaskoma Z. Changes of the body posture parameters in the standing versus relaxed sitting and corrected sitting position. Journal of Back and Musculoskeletal Rehabilitation. 2016; 29(2):211-7. [DOI:10.3233/BMR-150616] [PMID]
Caneiro JP, O'Sullivan P, Burnett A, Barach A, O'Neil D, Tveit O, et al. The influence of different sitting postures on head/neck posture and muscle activity. Manual Therapy. 2010; 15(1):54-60. [DOI:10.1016/j.math.2009.06.002] [PMID]
Fernandez-de-las-Penas C, Alonso-Blanco C, Cuadrado ML, Pareja JA. Forward head posture and neck mobility in chronic tension-type headache: A blinded, controlled study. Cephalalgia. 2006; 26(3):314-9. [DOI:10.1111/j.1468-2982.2005.01042.x] [PMID]
Nejati P, Lotfian S, Moezy A, Nejati M. The study of correlation between forward head posture and neck pain in Iranian office workers. International Journal of Occupational Medicine and Environmental Health. 2015; 28(2):295-303. [DOI:10.13075/ijomeh.1896.00352]
Shaghayegh Fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. European Spine Journal. 2016; 25(11):3577-82. [DOI:10.1007/s00586-015-4254-x] [PMID]
Lee ES, Ko CW, Suh SW, Kumar S, Kang IK, Yang JH. The effect of age on sagittal plane profile of the lumbar spine according to standing, supine, and various sitting positions. Journal of Orthopaedic Surgery and Research. 2014; 9(1):11. [DOI:10.1186/1749-799X-9-11] [PMID] [PMCID]
Meakin JR, Gregory JS, Aspden RM, Smith FW, Gilbert FJ. The intrinsic shape of the human lumbar spine in the supine, standing and sitting postures: characterization using an active shape model. Journal of Anatomy. 2009; 215(2):206-11. [DOI:10.1111/j.1469-7580.2009.01102.x] [PMID] [PMCID]
Black KM, McClure P, Polansky M. The influence of different sitting positions on cervical and lumbar posture. Spine (Phila Pa 1976). 1996; 21(1):65-70. [DOI:10.1097/00007632-199601010-00015]
Roussouly P1, Pinheiro-Franco JL. Biomechanical analysis of the spino-pelvic organization and adaptation in pathology. European Spine Journal. 2011; 20(Suppl 5):609-18. [DOI:10.1007/s00586-011-1928-x] [PMID] [PMCID]
Kuo YL, Tully EA, Galea MP. Video analysis of sagittal spinal posture in healthy young and older adults. Journal of Manipulative and Physiological Therapeutics. 2009; 32(3):210-5. [DOI:10.1016/j.jmpt.2009.02.002] [PMID]
Published
2019-01-09
How to Cite
1.
Office J, Abbaszadeh-Amirdehi M, Hosseini SR, Irani S, Mirasi S, Sam S. Influence of Body Positions on Craniovertebral Angle in the Elderly People With Forward Head Posture: A Pilot Study. jmr. 12(2):85-8.
Section
Research Article(s)