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Original Article

JRCRS. 2016; 4(2): 59-64

Evaluation of the Forward Head Posture, its association with Neck Pain & Quality of life of Female DPT Students

Abrish Habib Abbasi, Mamoona Aslam, Tehseen Ashraf, Arshad Nawaz Malik.


Background: Craniovertebral angle is the landmark for assessment of head and neck postures. The angle is signicantly smaller in subjects with neck pain. The decrease in the values of Craniovertebral angle is associated with the greater incidence of forward head posture, and a
greater level of disability among the subjects with neck pain.

Objectives of Study: The purpose of the study was to measure and correlate Craniovertebral angle with the forward head posture in female university students and its association with level of disability.

Methodology: It was a Descriptive cross sectional study. Forward head posture was assessed in female DPT students of Riphah International University who complaint of mild to moderate neck pain, they were asked to ll in Neck Disability Index Questionnaire and SF-36 Questionnaire. Goniometer was used to measure appropriate Craniovertebral angle, after seeking consent from students their side-view pictures were taken. The study took 6 months duration for its completion.

Results: The results showed that 50% (n=32) students with complaint of neck pain had slight postural deformity having mild forward head posture (FHP) and fewer students, 3.1% ( n= 2) had severe postural deformity. Neck Disability Index, showed that majority of students 48.8% (n=31) were lying in moderate level of disability .SF-36 (Energy & Fatigue) depicted that majority of students were having loss of energy and some fatigue, which is (31-70%). There was a positive association between Craniovertebral angle (photogrammetric values) and quality of life, Energy & Fatigue level of the subjects with a p value of 0.052, while no association was found between photogrammetric values and Neck Disability Index, with p value 0.487 in students.

Conclusions: There is an association between the forward head posture and the prevalence of neck pain among students; also there quality of life is affected making them prone to develop severe postural problems in future.

Key words: Key words: Craniovertebral angle (CVA), Forward Head Posture (FHP), Neck pain

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