Publicação
Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons
| Resumo: | Head Posture and neck pain of chronic nontraumatic origin: a comparison between patients and pain-free persons. Arch Phys Med Rehabil 2009;90:669-74. Objective: To compare standing head posture measurements between patients with nontraumatic neck pain (NP) and pain-free individuals. Design: Single-blind (assessor) cross-sectional study. Setting: Hospital and general community. Participants: Consecutive patients (n=40) with chronic nontraumatic NP and age- and sex-matched pain-free participants (n=40). Interventions: Not applicable. Main Outcome Measures: Three angular measurements: the angle between C7, the tragus of the car, and the horizontal; the angle between the tragus of the ear, the eye, and the horizontal; and the angle between the inferior margins of the right and the left ear and the horizontal were calculated through the digitization of video images. Results: NP patients were found to have a significantly smaller angle between C7, the tragus, and the horizontal, resulting in a more forward head posture than pain-free participants (NP, mean +/- SD, 45.4 degrees +/- 6.8 degrees; pain-free, mean +/- SD, 48.6 degrees +/- 7.1 degrees; P<.05; confidence interval [CI] for the difference between groups, 0.9 degrees-6.3 degrees). Dividing the Population according to age into younger (<= 50y) and older (>50y) revealed an interaction, with a statistically significant difference in head posture for younger participants with NP compared with younger pain-free participants (NP, mean +/- SD, 46.1 degrees +/- 6.7 degrees; pain-free, mean +/- SD, 51.8 degrees +/- 5.9 degrees; P<.01; CI for the difference between groups, 1.8 degrees-9.7 degrees) but no difference for the older group (NP, mean +/- SD, 44.8 degrees +/- 7.1 degrees; pain-free, mean +/- SD, 45.1 degrees +/- 6.7 degrees; P>.05; CI for the difference between groups, -4.9 degrees-4.2 degrees). No other differences were found between patients and pain-free participants. Conclusions: Younger patients with chronic nontraumatic NP were shown to have a more forward head Posture in standing than matched pain-free participants. However, the difference, although statistically significant, was perhaps too small to be clinically meaningful. |
|---|---|
| Autores principais: | Silva, Anabela |
| Outros Autores: | Punt, TD; Sharples, P; Vilas-Boas, JP; Johnson, MI |
| Assunto: | head posture neck pain Rehabilitation |
| Ano: | 2009 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Aveiro |
| Idioma: | inglês |
| Origem: | RIA - Repositório Institucional da Universidade de Aveiro |
| _version_ | 1866172494570848256 |
|---|---|
| author | Silva, Anabela |
| author2 | Punt, TD Sharples, P Vilas-Boas, JP Johnson, MI |
| author2_role | author author author author |
| author_facet | Silva, Anabela Punt, TD Sharples, P Vilas-Boas, JP Johnson, MI |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Silva, Anabela\"},{\"Person.name\":\"Punt, TD\"},{\"Person.name\":\"Sharples, P\"},{\"Person.name\":\"Vilas-Boas, JP\"},{\"Person.name\":\"Johnson, MI\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Silva, Anabela Punt, TD Sharples, P Vilas-Boas, JP Johnson, MI |
| datacite.date.Accepted.fl_str_mv | 2009-01-01T00:00:00Z |
| datacite.date.embargoed.fl_str_mv | 10000-01-01T00:00:00Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| datacite.subjects.subject.fl_str_mv | head posture neck pain Rehabilitation |
| datacite.titles.title.fl_str_mv | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| dc.creator.none.fl_str_mv | Silva, Anabela Punt, TD Sharples, P Vilas-Boas, JP Johnson, MI |
| dc.date.Accepted.fl_str_mv | 2009-01-01T00:00:00Z |
| dc.date.embargoed.fl_str_mv | 10000-01-01T00:00:00Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10773/6918 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| dc.subject.none.fl_str_mv | head posture neck pain Rehabilitation |
| dc.title.fl_str_mv | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Head Posture and neck pain of chronic nontraumatic origin: a comparison between patients and pain-free persons. Arch Phys Med Rehabil 2009;90:669-74. Objective: To compare standing head posture measurements between patients with nontraumatic neck pain (NP) and pain-free individuals. Design: Single-blind (assessor) cross-sectional study. Setting: Hospital and general community. Participants: Consecutive patients (n=40) with chronic nontraumatic NP and age- and sex-matched pain-free participants (n=40). Interventions: Not applicable. Main Outcome Measures: Three angular measurements: the angle between C7, the tragus of the car, and the horizontal; the angle between the tragus of the ear, the eye, and the horizontal; and the angle between the inferior margins of the right and the left ear and the horizontal were calculated through the digitization of video images. Results: NP patients were found to have a significantly smaller angle between C7, the tragus, and the horizontal, resulting in a more forward head posture than pain-free participants (NP, mean +/- SD, 45.4 degrees +/- 6.8 degrees; pain-free, mean +/- SD, 48.6 degrees +/- 7.1 degrees; P<.05; confidence interval [CI] for the difference between groups, 0.9 degrees-6.3 degrees). Dividing the Population according to age into younger (<= 50y) and older (>50y) revealed an interaction, with a statistically significant difference in head posture for younger participants with NP compared with younger pain-free participants (NP, mean +/- SD, 46.1 degrees +/- 6.7 degrees; pain-free, mean +/- SD, 51.8 degrees +/- 5.9 degrees; P<.01; CI for the difference between groups, 1.8 degrees-9.7 degrees) but no difference for the older group (NP, mean +/- SD, 44.8 degrees +/- 7.1 degrees; pain-free, mean +/- SD, 45.1 degrees +/- 6.7 degrees; P>.05; CI for the difference between groups, -4.9 degrees-4.2 degrees). No other differences were found between patients and pain-free participants. Conclusions: Younger patients with chronic nontraumatic NP were shown to have a more forward head Posture in standing than matched pain-free participants. However, the difference, although statistically significant, was perhaps too small to be clinically meaningful. |
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| identifier.url.fl_str_mv | http://hdl.handle.net/10773/6918 |
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| institution | Universidade de Aveiro |
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| language | eng |
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| person_str_mv | Silva, Anabela Punt, TD Sharples, P Vilas-Boas, JP Johnson, MI |
| publishDate | 2009 |
| publisher.none.fl_str_mv | Elsevier |
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| spelling | porHead Posture and neck pain of chronic nontraumatic origin: a comparison between patients and pain-free persons. Arch Phys Med Rehabil 2009;90:669-74. Objective: To compare standing head posture measurements between patients with nontraumatic neck pain (NP) and pain-free individuals. Design: Single-blind (assessor) cross-sectional study. Setting: Hospital and general community. Participants: Consecutive patients (n=40) with chronic nontraumatic NP and age- and sex-matched pain-free participants (n=40). Interventions: Not applicable. Main Outcome Measures: Three angular measurements: the angle between C7, the tragus of the car, and the horizontal; the angle between the tragus of the ear, the eye, and the horizontal; and the angle between the inferior margins of the right and the left ear and the horizontal were calculated through the digitization of video images. Results: NP patients were found to have a significantly smaller angle between C7, the tragus, and the horizontal, resulting in a more forward head posture than pain-free participants (NP, mean +/- SD, 45.4 degrees +/- 6.8 degrees; pain-free, mean +/- SD, 48.6 degrees +/- 7.1 degrees; P<.05; confidence interval [CI] for the difference between groups, 0.9 degrees-6.3 degrees). Dividing the Population according to age into younger (<= 50y) and older (>50y) revealed an interaction, with a statistically significant difference in head posture for younger participants with NP compared with younger pain-free participants (NP, mean +/- SD, 46.1 degrees +/- 6.7 degrees; pain-free, mean +/- SD, 51.8 degrees +/- 5.9 degrees; P<.01; CI for the difference between groups, 1.8 degrees-9.7 degrees) but no difference for the older group (NP, mean +/- SD, 44.8 degrees +/- 7.1 degrees; pain-free, mean +/- SD, 45.1 degrees +/- 6.7 degrees; P>.05; CI for the difference between groups, -4.9 degrees-4.2 degrees). No other differences were found between patients and pain-free participants. Conclusions: Younger patients with chronic nontraumatic NP were shown to have a more forward head Posture in standing than matched pain-free participants. However, the difference, although statistically significant, was perhaps too small to be clinically meaningful.application/pdfengElsevierporHead Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free PersonsSilva, AnabelaPunt, TDSharples, PVilas-Boas, JPJohnson, MIHandlehttp://hdl.handle.net/10773/6918ISSNIsPartOf0003-9993DOIIsPartOf10.1016/j.apmr.2008.10.01810000-01-01T00:00:00Z2009-01-01T00:00:00Z2009http://purl.org/coar/access_right/c_16ecrestricted accessporhead postureporneck painporRehabilitation803443 byteshttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://ria.ua.pt/bitstream/10773/6918/1/ARCHIVES-PMR-D-08-00472%5b1%5d_accepted.pdfliteraturehttp://purl.org/coar/resource_type/c_6501journal article |
| spellingShingle | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons Silva, Anabela head posture neck pain Rehabilitation |
| status | SINGLETON |
| subject.fl_str_mv | head posture neck pain Rehabilitation |
| title | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| title_full | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| title_fullStr | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| title_full_unstemmed | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| title_short | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| title_sort | Head Posture and Neck Pain of Chronic Nontraumatic Origin: A Comparison Between Patients and Pain-Free Persons |
| topic | head posture neck pain Rehabilitation |
| topic_facet | head posture neck pain Rehabilitation |
| url | http://hdl.handle.net/10773/6918 |
| visible | 1 |