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Erschienen in:
17.10.2015 | Original Article
Evaluation of forward head posture in sitting and standing positions
Erschienen in: European Spine Journal | Ausgabe 11/2016
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Purpose
Head postural assessment is part of the orthopaedic physical
examination process and could help to identify faulty head postures. One of the
most common faulty postures of the craniocervical region is the forward head
posture (FHP). There are several methods to evaluate FHP but it is not clear which
method is more precise. The aim of this study was to compare the craniovertebral
angle (CVA) between a FHP and a healthy group in sitting and standing
positions.
Methods
Twenty-five subjects with FHP (22.9 ± 2 years) and 25 normal
subjects (21.9 ± 5 years) participated in this case–control study. Photography of
the sagittal view was done in standing and relaxed sitting postures to determine
the amount of the FHP.
Results
The results of independent t test
showed a significant difference in the CVA between the FHP and healthy groups
(P < 0.001). The result of paired
t test showed a significant difference
between CVA in standing and sitting postures for both groups (P < 0.001). Furthermore, the BMI had a significant
negative correlation with CVA in standing position (P < 0.01).
Conclusions
Our results indicated that the CVA was increased in the sitting
posture compared to the standing posture and introduced the standing posture as a
more sensitive posture to evaluate the FHP.