Craniovertebral AngleNCT04712682
Factors Affecting Neck Posture in Academicians With Non-specific Neck Pain
An observational study of Craniovertebral Angle and Neck Pain, run by Atılım University at 1 site in Turkey (Türkiye).
Trial summary
There is evidence showing that musculoskeletal problems in the cervical and thoracic region are common among academicians and with it, compared to other musculoskeletal pain the pattern and physical risk factors for neck pain was at the highest percentage. Read more about this study
- Who is it for?
- Ages 22 to 65 years
- Conditions the study is for
- Craniovertebral Angle, Neck Pain, Work-Related Condition
- What is being tested?
- Assessment of neck posture.
- How many people
- 50 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 13 Jan 2020to 22 Jul 2020
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 22 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Fifty volunteer individual from academic staff diagnosed with nonspecific chronic neck-pain patients agedbetween 22 and 65 years
Who may be able to join
- suffering from chronic neck pain greater than 3 months' duration, participated in the study.
Who cannot join
- diagnosis of cervical radiculopathy or myelopathy and history of cervical and thoracic spine fracture or surgery.
Trial locations and contacts
1 site in 1 country.
About this study
There is evidence showing that musculoskeletal problems in the cervical and thoracic region are common among academicians and with it, compared to other musculoskeletal pain the pattern and physical risk factors for neck pain was at the highest percentage.
One of the most common postural disorders in the neck and shoulder girdle occurs when the position of the head is displaced to forward relation to the point of support, which is called forward head posture (FHP).
Read more
The aim of the present study is to investigate factors affecting neck posture in academicians with non-specific neck pain.
Investigators investigated whether there is a correlation between craniovertebral angle (CVA) and joint position sense, deep cervical muscle strength and endurance in academicians with chronic non-specific neck pain.
Read the detailed description
Chronic non-specific neck pain is one of the most important common musculoskeletal problem which has considerable impact on personal and financial costs. Because of physical work factors, neck pain is significantly associated with holding the neck in a prolonged forward posture and performing repetitive movements.
Proper posture is defined as a musculoskeletal balance which involves a minimal amount of stress and strain on the body. Postural assessment is one of the most important parts of the physical examination process. Although correct posture is desired, many people do not exhibit good posture.
Forward head posture(FHP) is the most common cervical postural fault in the sagittal plane that is found with different severity levels in almost all populations.
One of the most common postural disorders in the neck and shoulder girdle occurs when the position of the head is displaced to forward relation to the point of support, which is called forward head posture (FHP). The craniovertebral angle (CVA) is a widely used method for the objective measurement of FHP severity. A smaller CVA indicated a greater FHP and a CVA less than 48-50 is defined as FHP .
It has been reported that approximately 61.3% of adults who work using a computer and have neck pain have an anterior tilt posture of the head. This postural disorder is caused by various factors like sleeping with the head too high, prolonged computer use, weak back muscles, etc. In recent years, the widespread use of computers in offices has caused people to use their personal computers too much in their daily life. These changes can cause a bad posture and accompanying neck pain.
Long-term work in front of a computer requires a static posture of the upper body. To maintain the static posture, the neck, shoulder and upper extremity muscles are overloaded and consequently injured. Uncomfortable posture, especially depending on the viewing angle of the screen and the position of the chair and table, can shorten soft tissues and cause muscle tension, weakness and muscle fatigue. Some researchers reported that the muscle tension and stress that occurs in shortened structures, this condition can cause pain and this can develop a vicious cycle of muscle tension-pain-increased tension-increased pain.
From the point of view of biomechanics, FHP causes changes in the muscle tendon unit length of the cervical extensors and flexors and the atlanto-occipital joint.
The tendency to stay seated for long periods of time is increasing as is the percentage of the population that use a personal computer or smart phone.
This can cause changes in the alignment of the spine, leading to improper posture, such as a rounded shoulder or forward head posture (FHP) . The CVA is a widely used method for the objective measurement of FHP.
The cervical vertebra plays role in proprioceptive sensory input. The proprioceptive perception of the cervical vertebra carry information to correct malalignment and has an important role in postural control. It also reacts sensitively for proper movement of the head by acting in coordination with the sensory feedback from the vestibular system.
FHP can produce problems such as increasing stress on the posterior cervical elements, restriction in range of cervical motion, muscular activity level and impair cervical proprioception.
Academicians may have to be standing position for a long time, use a computer in a static posture, and work in a stressful mood caused by academic progress anxieties.
Accordingly, in a study the academicians reported the upper back and neck regions, as most common musculoskeletal problems.
Researchers found that in academicians compared to other musculoskeletal pain the pattern and physical risk factors for neck pain was at the highest percentage.
To our knowledge, there is no study evaluating factors affecting neck posture in academicians with non-specific neck pain.
The aim of our study is to examine the relationship between neck posture and neck pain and the factors affecting neck posture among academicians.
- Conditions
- Craniovertebral Angle, Neck Pain, Work-Related Condition
- Being tested
- Assessment of neck posture.
- Keywords
- craniovertebral angle, Neck Pain, Work-Related Condition
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Assessment of neck posture.Other
pain, pain threshold, CVA angle, muscle strenght test, joint position sense test
What is being measured
The primary outcome is the main question the study is designed to answer.
Factors Affecting Neck Posture
to investigate if there is a correlation between craniovertebral angle and joint position sense, deep cervical muscle strength and endurance in academicians with chronic non-specific neck pain
Measured: 6months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jan 2021
- Study start13 Jan 2020
- Primary completion18 Jun 2020
- Study completion22 Jul 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (17)Papers the sponsor has linked to this study.
- Other trials for Craniovertebral AngleStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Cross-sectional
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- Atılım University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, NAİME ULUG, Atılım University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04712682
- Sponsor's protocol ID
- 59394181-604.01.01-752
- Status last verified
- Jan 2021
- First submitted
- 19 Oct 2020
- Last updated
- 15 Jan 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):783-92. doi: 10.1016/j.berh.2011.01.019.
PubMed 21665126Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007 May;16(5):679-86. doi: 10.1007/s00586-006-0269-7. Epub 2006 Dec 8.
PubMed 17160393Haughie LJ, Fiebert IM, Roach KE (1995) Relationship of forward head posture and cervical backward bending to neck pain. J Manual Manip Ther 3(3):91-97
Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008 May;13(2):148-54. doi: 10.1016/j.math.2006.11.002. Epub 2007 Mar 23.
PubMed 17368075Patwardhan AG, Havey RM, Khayatzadeh S, Muriuki MG, Voronov LI, Carandang G, Nguyen NL, Ghanayem AJ, Schuit D, Patel AA, Smith ZA, Sears W. Postural Consequences of Cervical Sagittal Imbalance: A Novel Laboratory Model. Spine (Phila Pa 1976). 2015 Jun 1;40(11):783-92. doi: 10.1097/BRS.0000000000000877.
PubMed 25768685Nejati P, Lotfian S, Moezy A, Nejati M. The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health. 2015;28(2):295-303. doi: 10.13075/ijomeh.1896.00352.
PubMed 26182924Khayatzadeh S, Kalmanson OA, Schuit D, Havey RM, Voronov LI, Ghanayem AJ, Patwardhan AG. Cervical Spine Muscle-Tendon Unit Length Differences Between Neutral and Forward Head Postures: Biomechanical Study Using Human Cadaveric Specimens. Phys Ther. 2017 Jul 1;97(7):756-766. doi: 10.1093/ptj/pzx040.
PubMed 28444241Sauter SL, Schleifer LM, Knutson SJ. Work posture, workstation design, and musculoskeletal discomfort in a VDT data entry task. Hum Factors. 1991 Apr;33(2):151-67. doi: 10.1177/001872089103300203.
PubMed 1860702Eltayeb S, Staal JB, Hassan A, de Bie RA. Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil. 2009 Dec;19(4):315-22. doi: 10.1007/s10926-009-9196-x.
PubMed 19685174Larsson B, Sogaard K, Rosendal L. Work related neck-shoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Pract Res Clin Rheumatol. 2007 Jun;21(3):447-63. doi: 10.1016/j.berh.2007.02.015.
PubMed 17602993Kang JH, Park RY, Lee SJ, Kim JY, Yoon SR, Jung KI. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012 Feb;36(1):98-104. doi: 10.5535/arm.2012.36.1.98. Epub 2012 Feb 29.
PubMed 22506241Shaghayegh Fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016 Nov;25(11):3577-3582. doi: 10.1007/s00586-015-4254-x. Epub 2015 Oct 17.
PubMed 26476717Johnson MB, Van Emmerik R EA. Effect of head orientation on postural control during upright stance and forward lean. Motor Control. 2012 Jan;16(1):81-93. doi: 10.1123/mcj.16.1.81.
PubMed 22402222Ghamkhar L, Kahlaee AH. Is forward head posture relevant to cervical muscles performance and neck pain? A case-control study. Braz J Phys Ther. 2019 Jul-Aug;23(4):346-354. doi: 10.1016/j.bjpt.2018.08.007. Epub 2018 Aug 22.
PubMed 3014512915. Basakçı ÇB, Telli AB, Bas ̧gan E, Gökçe B. Analyzing muscu- loskeletal system discomfort, work interference and risk fac- tors of office workers with computer users. Journal of Mar- mara University Institute of Health Sciences. 2013; 3(4): 208- 214.
Study at a glance
From the registry record, last updated by the sponsor on 15 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Factors Affecting Neck Posture in Academicians With Non-specific Neck Pain
- ClinicalTrials.gov ID
- NCT04712682
- Acronym / sponsor ID
- 59394181-604.01.01-752
- Conditions
- Craniovertebral Angle, Neck Pain, Work-Related Condition
- Keywords
- craniovertebral angle, Neck Pain, Work-Related Condition
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- Atılım UniversityUniversity, hospital or other
- Study start
- 13 Jan 2020 (actual)
- Primary completion
- 18 Jun 2020 (actual)
- Study completion
- 22 Jul 2020 (actual)
- First posted
- 15 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
There is evidence showing that musculoskeletal problems in the cervical and thoracic region are common among academicians and with it, compared to other musculoskeletal pain the pattern and physical risk factors for neck pain was at the highest percentage.
One of the most common postural disorders in the neck and shoulder girdle occurs when the position of the head is displaced to forward relation to the point of support, which is called forward head posture (FHP).
The aim of the present study is to investigate factors affecting neck posture in academicians with non-specific neck pain.
Investigators investigated whether there is a correlation between craniovertebral angle (CVA) and joint position sense, deep cervical muscle strength and endurance in academicians with chronic non-specific neck pain.
Detailed description
Chronic non-specific neck pain is one of the most important common musculoskeletal problem which has considerable impact on personal and financial costs. Because of physical work factors, neck pain is significantly associated with holding the neck in a prolonged forward posture and performing repetitive movements.
Proper posture is defined as a musculoskeletal balance which involves a minimal amount of stress and strain on the body. Postural assessment is one of the most important parts of the physical examination process. Although correct posture is desired, many people do not exhibit good posture.
Forward head posture(FHP) is the most common cervical postural fault in the sagittal plane that is found with different severity levels in almost all populations.
One of the most common postural disorders in the neck and shoulder girdle occurs when the position of the head is displaced to forward relation to the point of support, which is called forward head posture (FHP). The craniovertebral angle (CVA) is a widely used method for the objective measurement of FHP severity. A smaller CVA indicated a greater FHP and a CVA less than 48-50 is defined as FHP .
It has been reported that approximately 61.3% of adults who work using a computer and have neck pain have an anterior tilt posture of the head. This postural disorder is caused by various factors like sleeping with the head too high, prolonged computer use, weak back muscles, etc. In recent years, the widespread use of computers in offices has caused people to use their personal computers too much in their daily life. These changes can cause a bad posture and accompanying neck pain.
Long-term work in front of a computer requires a static posture of the upper body. To maintain the static posture, the neck, shoulder and upper extremity muscles are overloaded and consequently injured. Uncomfortable posture, especially depending on the viewing angle of the screen and the position of the chair and table, can shorten soft tissues and cause muscle tension, weakness and muscle fatigue. Some researchers reported that the muscle tension and stress that occurs in shortened structures, this condition can cause pain and this can develop a vicious cycle of muscle tension-pain-increased tension-increased pain.
From the point of view of biomechanics, FHP causes changes in the muscle tendon unit length of the cervical extensors and flexors and the atlanto-occipital joint.
The tendency to stay seated for long periods of time is increasing as is the percentage of the population that use a personal computer or smart phone.
This can cause changes in the alignment of the spine, leading to improper posture, such as a rounded shoulder or forward head posture (FHP) . The CVA is a widely used method for the objective measurement of FHP.
The cervical vertebra plays role in proprioceptive sensory input. The proprioceptive perception of the cervical vertebra carry information to correct malalignment and has an important role in postural control. It also reacts sensitively for proper movement of the head by acting in coordination with the sensory feedback from the vestibular system.
FHP can produce problems such as increasing stress on the posterior cervical elements, restriction in range of cervical motion, muscular activity level and impair cervical proprioception.
Academicians may have to be standing position for a long time, use a computer in a static posture, and work in a stressful mood caused by academic progress anxieties.
Accordingly, in a study the academicians reported the upper back and neck regions, as most common musculoskeletal problems.
Researchers found that in academicians compared to other musculoskeletal pain the pattern and physical risk factors for neck pain was at the highest percentage.
To our knowledge, there is no study evaluating factors affecting neck posture in academicians with non-specific neck pain.
The aim of our study is to examine the relationship between neck posture and neck pain and the factors affecting neck posture among academicians.
Study design
- Observational model
- Case only
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 22 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Fifty volunteer individual from academic staff diagnosed with nonspecific chronic neck-pain patients agedbetween 22 and 65 years
Key inclusion criteria (1 listed)
- suffering from chronic neck pain greater than 3 months' duration, participated in the study.
Key exclusion criteria (1 listed)
- diagnosis of cervical radiculopathy or myelopathy and history of cervical and thoracic spine fracture or surgery.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Assessment of neck posture.pain, pain threshold, CVA angle, muscle strenght test, joint position sense test | Other | – |
Primary outcome
Factors Affecting Neck Posture
Time frame: 6months
to investigate if there is a correlation between craniovertebral angle and joint position sense, deep cervical muscle strength and endurance in academicians with chronic non-specific neck pain
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jan 2021.
- Background: PubMed 21665126Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):783-92. doi: 10.1016/j.berh.2011.01.019.
- Background: PubMed 17160393Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007 May;16(5):679-86. doi: 10.1007/s00586-006-0269-7. Epub 2006 Dec 8.
- BackgroundHaughie LJ, Fiebert IM, Roach KE (1995) Relationship of forward head posture and cervical backward bending to neck pain. J Manual Manip Ther 3(3):91-97
- Background: PubMed 17368075Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008 May;13(2):148-54. doi: 10.1016/j.math.2006.11.002. Epub 2007 Mar 23.
- Background: PubMed 25768685Patwardhan AG, Havey RM, Khayatzadeh S, Muriuki MG, Voronov LI, Carandang G, Nguyen NL, Ghanayem AJ, Schuit D, Patel AA, Smith ZA, Sears W. Postural Consequences of Cervical Sagittal Imbalance: A Novel Laboratory Model. Spine (Phila Pa 1976). 2015 Jun 1;40(11):783-92. doi: 10.1097/BRS.0000000000000877.
- Background: PubMed 26182924Nejati P, Lotfian S, Moezy A, Nejati M. The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health. 2015;28(2):295-303. doi: 10.13075/ijomeh.1896.00352.
- Background: PubMed 28444241Khayatzadeh S, Kalmanson OA, Schuit D, Havey RM, Voronov LI, Ghanayem AJ, Patwardhan AG. Cervical Spine Muscle-Tendon Unit Length Differences Between Neutral and Forward Head Postures: Biomechanical Study Using Human Cadaveric Specimens. Phys Ther. 2017 Jul 1;97(7):756-766. doi: 10.1093/ptj/pzx040.
- Background: PubMed 1860702Sauter SL, Schleifer LM, Knutson SJ. Work posture, workstation design, and musculoskeletal discomfort in a VDT data entry task. Hum Factors. 1991 Apr;33(2):151-67. doi: 10.1177/001872089103300203.
- Background: PubMed 19685174Eltayeb S, Staal JB, Hassan A, de Bie RA. Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil. 2009 Dec;19(4):315-22. doi: 10.1007/s10926-009-9196-x.
- Background: PubMed 17602993Larsson B, Sogaard K, Rosendal L. Work related neck-shoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Pract Res Clin Rheumatol. 2007 Jun;21(3):447-63. doi: 10.1016/j.berh.2007.02.015.
- Background: PubMed 22506241Kang JH, Park RY, Lee SJ, Kim JY, Yoon SR, Jung KI. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med. 2012 Feb;36(1):98-104. doi: 10.5535/arm.2012.36.1.98. Epub 2012 Feb 29.
- Background: PubMed 26476717Shaghayegh Fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016 Nov;25(11):3577-3582. doi: 10.1007/s00586-015-4254-x. Epub 2015 Oct 17.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Craniovertebral Angle and Neck Pain, run by Atılım University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Factors Affecting Neck Posture (time frame: 6months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04712682, which also lists 17 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2021.