A Preliminary Diagnostic Model for Forward Head Posture among Adolescents Using Forward Neck Tilt Angle and Radiographic Sagittal Alignment Parameters

Despite numerous attempts to correct forward head posture (FHP), definitive evidence-based screening and diagnostic methods remain elusive. This study proposes a preliminary diagnostic methodology for FHP, utilizing a noninvasive body angle measurement system as a screening test for FHP and incorpor...

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Published in:	Diagnostics Vol. 14; no. 4; p. 394
Main Authors:	Moon, Young Jae, Ahn, Tae Young, Suh, Seung Woo, Park, Kun-Bo, Chang, Sam Yeol, Yoon, Do-Kun, Kim, Moo-Sub, Kim, Hyeonjoo, Jeon, Yong Dae, Yang, Jae Hyuk
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 11.02.2024
Subjects:	cervical spine forward head posture forward neck tilt angle Longitudinal studies Measuring instruments Medical screening Medicine (General) Musculoskeletal system Neck pain Posture R5-920 radiological parameters Smartphones Teenagers Youth South Korea United States > US radiological parameters forward head posture forward neck tilt angle cervical spine
ISSN:	2075-4418, 2075-4418
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Abstract	Despite numerous attempts to correct forward head posture (FHP), definitive evidence-based screening and diagnostic methods remain elusive. This study proposes a preliminary diagnostic methodology for FHP, utilizing a noninvasive body angle measurement system as a screening test for FHP and incorporating radiological parameters for sagittal alignment. We enrolled 145 adolescents for FHP screening. The forward neck tilt angle (FNTA), defined as the angle between the vertical line and the line connecting the participant’s acromion and tragus, was measured using the POM-Checker (a noninvasive depth sensor-based body angle measurement system). A whole-spine standing lateral radiograph was obtained, and eight sagittal alignment parameters were measured. Statistical analyses of the association between the FNTA and eight sagittal alignment parameters were conducted. We used 70% of the participant data to establish a preliminary diagnostic model for FHP based on FNTA and each sagittal alignment parameter. The accuracy of the model was evaluated using the remaining 30% of the participant data. All radiological parameters of sagittal alignment showed weak statistical significance with respect to FNTA (best case: r = 0.16, p = 0.0500; cranial tilt). The proposed preliminary diagnostic model for FHP demonstrated 95.35% agreement. Notably, the model using FNTA without radiological parameters accurately identified (100%) participants who required radiographic scanning for FHP diagnosis. Owing to the weak statistical significance of the association between radiological parameters and external body angle, both factors must be considered for accurate FHP diagnosis. When a clear and severe angle variation is observed in an external body angle check, medical professionals should perform radiographic scanning for an accurate FHP diagnosis. In conclusion, FNTA assessment of FNTA through the proposed preliminary diagnostic model is a significant screening factor for selecting participants who must undergo radiographic scanning so that a diagnosis of FHP can be obtained.
AbstractList	Despite numerous attempts to correct forward head posture (FHP), definitive evidence-based screening and diagnostic methods remain elusive. This study proposes a preliminary diagnostic methodology for FHP, utilizing a noninvasive body angle measurement system as a screening test for FHP and incorporating radiological parameters for sagittal alignment. We enrolled 145 adolescents for FHP screening. The forward neck tilt angle (FNTA), defined as the angle between the vertical line and the line connecting the participant’s acromion and tragus, was measured using the POM-Checker (a noninvasive depth sensor-based body angle measurement system). A whole-spine standing lateral radiograph was obtained, and eight sagittal alignment parameters were measured. Statistical analyses of the association between the FNTA and eight sagittal alignment parameters were conducted. We used 70% of the participant data to establish a preliminary diagnostic model for FHP based on FNTA and each sagittal alignment parameter. The accuracy of the model was evaluated using the remaining 30% of the participant data. All radiological parameters of sagittal alignment showed weak statistical significance with respect to FNTA (best case: r = 0.16, p = 0.0500; cranial tilt). The proposed preliminary diagnostic model for FHP demonstrated 95.35% agreement. Notably, the model using FNTA without radiological parameters accurately identified (100%) participants who required radiographic scanning for FHP diagnosis. Owing to the weak statistical significance of the association between radiological parameters and external body angle, both factors must be considered for accurate FHP diagnosis. When a clear and severe angle variation is observed in an external body angle check, medical professionals should perform radiographic scanning for an accurate FHP diagnosis. In conclusion, FNTA assessment of FNTA through the proposed preliminary diagnostic model is a significant screening factor for selecting participants who must undergo radiographic scanning so that a diagnosis of FHP can be obtained. Despite numerous attempts to correct forward head posture (FHP), definitive evidence-based screening and diagnostic methods remain elusive. This study proposes a preliminary diagnostic methodology for FHP, utilizing a noninvasive body angle measurement system as a screening test for FHP and incorporating radiological parameters for sagittal alignment. We enrolled 145 adolescents for FHP screening. The forward neck tilt angle (FNTA), defined as the angle between the vertical line and the line connecting the participant's acromion and tragus, was measured using the POM-Checker (a noninvasive depth sensor-based body angle measurement system). A whole-spine standing lateral radiograph was obtained, and eight sagittal alignment parameters were measured. Statistical analyses of the association between the FNTA and eight sagittal alignment parameters were conducted. We used 70% of the participant data to establish a preliminary diagnostic model for FHP based on FNTA and each sagittal alignment parameter. The accuracy of the model was evaluated using the remaining 30% of the participant data. All radiological parameters of sagittal alignment showed weak statistical significance with respect to FNTA (best case: r = 0.16, = 0.0500; cranial tilt). The proposed preliminary diagnostic model for FHP demonstrated 95.35% agreement. Notably, the model using FNTA without radiological parameters accurately identified (100%) participants who required radiographic scanning for FHP diagnosis. Owing to the weak statistical significance of the association between radiological parameters and external body angle, both factors must be considered for accurate FHP diagnosis. When a clear and severe angle variation is observed in an external body angle check, medical professionals should perform radiographic scanning for an accurate FHP diagnosis. In conclusion, FNTA assessment of FNTA through the proposed preliminary diagnostic model is a significant screening factor for selecting participants who must undergo radiographic scanning so that a diagnosis of FHP can be obtained. Despite numerous attempts to correct forward head posture (FHP), definitive evidence-based screening and diagnostic methods remain elusive. This study proposes a preliminary diagnostic methodology for FHP, utilizing a noninvasive body angle measurement system as a screening test for FHP and incorporating radiological parameters for sagittal alignment. We enrolled 145 adolescents for FHP screening. The forward neck tilt angle (FNTA), defined as the angle between the vertical line and the line connecting the participant's acromion and tragus, was measured using the POM-Checker (a noninvasive depth sensor-based body angle measurement system). A whole-spine standing lateral radiograph was obtained, and eight sagittal alignment parameters were measured. Statistical analyses of the association between the FNTA and eight sagittal alignment parameters were conducted. We used 70% of the participant data to establish a preliminary diagnostic model for FHP based on FNTA and each sagittal alignment parameter. The accuracy of the model was evaluated using the remaining 30% of the participant data. All radiological parameters of sagittal alignment showed weak statistical significance with respect to FNTA (best case: r = 0.16, p = 0.0500; cranial tilt). The proposed preliminary diagnostic model for FHP demonstrated 95.35% agreement. Notably, the model using FNTA without radiological parameters accurately identified (100%) participants who required radiographic scanning for FHP diagnosis. Owing to the weak statistical significance of the association between radiological parameters and external body angle, both factors must be considered for accurate FHP diagnosis. When a clear and severe angle variation is observed in an external body angle check, medical professionals should perform radiographic scanning for an accurate FHP diagnosis. In conclusion, FNTA assessment of FNTA through the proposed preliminary diagnostic model is a significant screening factor for selecting participants who must undergo radiographic scanning so that a diagnosis of FHP can be obtained.Despite numerous attempts to correct forward head posture (FHP), definitive evidence-based screening and diagnostic methods remain elusive. This study proposes a preliminary diagnostic methodology for FHP, utilizing a noninvasive body angle measurement system as a screening test for FHP and incorporating radiological parameters for sagittal alignment. We enrolled 145 adolescents for FHP screening. The forward neck tilt angle (FNTA), defined as the angle between the vertical line and the line connecting the participant's acromion and tragus, was measured using the POM-Checker (a noninvasive depth sensor-based body angle measurement system). A whole-spine standing lateral radiograph was obtained, and eight sagittal alignment parameters were measured. Statistical analyses of the association between the FNTA and eight sagittal alignment parameters were conducted. We used 70% of the participant data to establish a preliminary diagnostic model for FHP based on FNTA and each sagittal alignment parameter. The accuracy of the model was evaluated using the remaining 30% of the participant data. All radiological parameters of sagittal alignment showed weak statistical significance with respect to FNTA (best case: r = 0.16, p = 0.0500; cranial tilt). The proposed preliminary diagnostic model for FHP demonstrated 95.35% agreement. Notably, the model using FNTA without radiological parameters accurately identified (100%) participants who required radiographic scanning for FHP diagnosis. Owing to the weak statistical significance of the association between radiological parameters and external body angle, both factors must be considered for accurate FHP diagnosis. When a clear and severe angle variation is observed in an external body angle check, medical professionals should perform radiographic scanning for an accurate FHP diagnosis. In conclusion, FNTA assessment of FNTA through the proposed preliminary diagnostic model is a significant screening factor for selecting participants who must undergo radiographic scanning so that a diagnosis of FHP can be obtained.
Audience	Academic
Author	Sam Yeol Chang Seung Woo Suh Do-Kun Yoon Young Jae Moon Hyeonjoo Kim Jae Hyuk Yang Tae Young Ahn Moo-Sub Kim Yong Dae Jeon Kun-Bo Park
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Cites_doi	10.1080/08869634.2019.1665227 10.1111/apa.15714 10.1097/BRS.0b013e3182408053 10.1097/01.brs.0000149074.21550.32 10.1016/j.math.2015.10.002 10.1080/09593985.2022.2044420 10.1097/MD.0000000000011082 10.1111/joor.12661 10.1080/00140139.2014.967311 10.31616/asj.2019.0165 10.1007/s00586-013-3150-5 10.1007/s00586-009-1095-5 10.1177/0269215512447085 10.31616/asj.2019.0069 10.1016/j.apergo.2017.10.018 10.1007/s12178-019-09594-y 10.1097/01.BRS.0000132312.78469.7B 10.1016/j.apergo.2019.103028 10.1016/j.gaitpost.2021.02.018 10.1016/j.jmpt.2018.02.002 10.2147/JPR.S144814 10.1007/s00586-018-5462-y 10.1097/BRS.0000000000002160 10.4103/jfmpc.jfmpc_95_20 10.1016/j.apergo.2016.06.012 10.1097/01.brs.0000160840.51621.6b 10.2522/ptj.20150660
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References	Dang (ref_10) 2005; 30 Li (ref_23) 2017; 10 Chu (ref_29) 2020; 9 Alijani (ref_12) 2020; 14 Berthonnaud (ref_27) 2004; 29 Joy (ref_16) 2021; 39 Toh (ref_2) 2020; 85 Gustafsson (ref_3) 2017; 58 Oliveira (ref_15) 2016; 22 Kaplan (ref_24) 2021; 13 Hey (ref_21) 2017; 42 Dolphens (ref_8) 2012; 37 Diab (ref_19) 2012; 26 Kothgassner (ref_1) 2021; 110 Lee (ref_5) 2015; 58 Idjerouidene (ref_26) 2014; 23 Chu (ref_9) 2018; 97 Cil (ref_20) 2005; 30 Okada (ref_7) 2009; 18 Ling (ref_22) 2018; 27 Mahmoud (ref_13) 2019; 12 Xie (ref_25) 2018; 68 Sheikhhoseini (ref_18) 2018; 41 Richards (ref_14) 2016; 96 Betsch (ref_4) 2021; 85 Hansraj (ref_6) 2014; 25 Bueno (ref_17) 2018; 45 Levy (ref_28) 2023; 39 Marques (ref_11) 2020; 14
References_xml	– volume: 39 start-page: 391 year: 2021 ident: ref_16 article-title: Assessment of craniocervical posture in TMJ disorders using lateral radiographic view: A cross-sectional study publication-title: Cranio doi: 10.1080/08869634.2019.1665227 – volume: 110 start-page: 1417 year: 2021 ident: ref_1 article-title: The impact of problematic smartphone use on children’s and adolescents’ quality of life: A systematic review publication-title: Acta Paediatr. doi: 10.1111/apa.15714 – volume: 37 start-page: 1657 year: 2012 ident: ref_8 article-title: Sagittal standing posture and its association with spinal pain: A school-based epidemiological study of 1196 Flemish adolescents before age at peak height velocity publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3182408053 – volume: 30 start-page: 93 year: 2005 ident: ref_20 article-title: The evolution of sagittal segmental alignment of the spine during childhood publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.brs.0000149074.21550.32 – volume: 22 start-page: 62 year: 2016 ident: ref_15 article-title: Neck muscle endurance and head posture: A comparison between adolescents with and without neck pain publication-title: Man. Ther. doi: 10.1016/j.math.2015.10.002 – volume: 39 start-page: 1736 year: 2023 ident: ref_28 article-title: The association between forward head posture and non-specific neck pain: A cross-sectional study publication-title: Physiother. Theory Pract. doi: 10.1080/09593985.2022.2044420 – volume: 13 start-page: e12949 year: 2021 ident: ref_24 article-title: Relationship Between Degeneration or Sagittal Balance with Modic Changes in the Cervical Spine publication-title: Cureus – volume: 97 start-page: e11082 year: 2018 ident: ref_9 article-title: Validity and reliability of POM-Checker in measuring shoulder range of motion: Protocol for a single center comparative study publication-title: Medicine (Baltim) doi: 10.1097/MD.0000000000011082 – volume: 45 start-page: 720 year: 2018 ident: ref_17 article-title: Gender differences in temporomandibular disorders in adult populational studies: A systematic review and meta-analysis publication-title: J. Oral. Rehabil. doi: 10.1111/joor.12661 – volume: 58 start-page: 220 year: 2015 ident: ref_5 article-title: Head flexion angle while using a smartphone publication-title: Ergonomics doi: 10.1080/00140139.2014.967311 – volume: 25 start-page: 277 year: 2014 ident: ref_6 article-title: Assessment of stresses in the cervical spine caused by posture and position of the head publication-title: Surg. Technol. Int. – volume: 14 start-page: 287 year: 2020 ident: ref_12 article-title: The sagittal balance of the cervical spine: Radiographic analysis of interdependence between the occipitocervical and spinopelvic alignment publication-title: Asian Spine J. doi: 10.31616/asj.2019.0165 – volume: 23 start-page: 1442 year: 2014 ident: ref_26 article-title: Cervical spine alignment in the pediatric population: A radiographic normative study of 150 asymptomatic patients publication-title: Eur. Spine J. doi: 10.1007/s00586-013-3150-5 – volume: 18 start-page: 1644 year: 2009 ident: ref_7 article-title: Does the sagittal alignment of the cervical spine have an impact on disk degeneration? Minimum 10-year follow-up of asymptomatic volunteers publication-title: Eur. Spine J. doi: 10.1007/s00586-009-1095-5 – volume: 26 start-page: 1123 year: 2012 ident: ref_19 article-title: The role of forward head correction in management of adolescent idiopathic scoliotic patients: A randomized controlled trial publication-title: Clin. Rehabil. doi: 10.1177/0269215512447085 – volume: 14 start-page: 169 year: 2020 ident: ref_11 article-title: Accuracy and reliability of X-ray measurements in the cervical spine publication-title: Asian Spine J. doi: 10.31616/asj.2019.0069 – volume: 68 start-page: 160 year: 2018 ident: ref_25 article-title: Spinal kinematics during smartphone texting—A comparison between young adults with and without chronic neck-shoulder pain publication-title: Appl. Ergon. doi: 10.1016/j.apergo.2017.10.018 – volume: 12 start-page: 562 year: 2019 ident: ref_13 article-title: The relationship between forward head posture and neck pain: A systematic review and meta-analysis publication-title: Curr. Rev. Musculoskelet. Med. doi: 10.1007/s12178-019-09594-y – volume: 29 start-page: 1642 year: 2004 ident: ref_27 article-title: Sagittal alignment of the spine and pelvis during growth publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.BRS.0000132312.78469.7B – volume: 85 start-page: 103028 year: 2020 ident: ref_2 article-title: A prospective longitudinal study of mobile touch screen device use and musculoskeletal symptoms and visual health in adolescents publication-title: Appl. Ergon. doi: 10.1016/j.apergo.2019.103028 – volume: 85 start-page: 298 year: 2021 ident: ref_4 article-title: The influence of smartphone use on spinal posture—A laboratory study publication-title: Gait Posture doi: 10.1016/j.gaitpost.2021.02.018 – volume: 41 start-page: 530 year: 2018 ident: ref_18 article-title: Effectiveness of therapeutic exercise on forward head posture: A systematic review and meta-analysis publication-title: J. Manip. Physiol. Ther. doi: 10.1016/j.jmpt.2018.02.002 – volume: 10 start-page: 2041 year: 2017 ident: ref_23 article-title: Modic changes of the cervical spine: T1 slope and its impact on axial neck pain publication-title: J. Pain Res. doi: 10.2147/JPR.S144814 – volume: 27 start-page: 8 year: 2018 ident: ref_22 article-title: Which parameters are relevant in sagittal balance analysis of the cervical spine? A literature review publication-title: Eur. Spine J. doi: 10.1007/s00586-018-5462-y – volume: 42 start-page: 1614 year: 2017 ident: ref_21 article-title: Cervical alignment variations in different postures and predictors of normal cervical kyphosis: A new understanding publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0000000000002160 – volume: 9 start-page: 2517 year: 2020 ident: ref_29 article-title: Plausible impact of forward head posture on upper cervical spine stability publication-title: J. Family Med. Prim. Care doi: 10.4103/jfmpc.jfmpc_95_20 – volume: 58 start-page: 208 year: 2017 ident: ref_3 article-title: Texting on mobile phones and musculoskeletal disorders in young adults: A five-year cohort study publication-title: Appl. Ergon. doi: 10.1016/j.apergo.2016.06.012 – volume: 30 start-page: 1064 year: 2005 ident: ref_10 article-title: Intra-observer reproducibility and interobserver reliability of the radiographic parameters in the Spinal Deformity Study Group’s AIS Radiographic Measurement Manual publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.brs.0000160840.51621.6b – volume: 96 start-page: 1576 year: 2016 ident: ref_14 article-title: Neck posture clusters and their association with biopsychosocial factors and neck pain in Australian adolescents publication-title: Phys. Ther. doi: 10.2522/ptj.20150660
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Snippet	Despite numerous attempts to correct forward head posture (FHP), definitive evidence-based screening and diagnostic methods remain elusive. This study proposes...
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StartPage	394
SubjectTerms	cervical spine forward head posture forward neck tilt angle Longitudinal studies Measuring instruments Medical screening Medicine (General) Musculoskeletal system Neck pain Posture R5-920 radiological parameters Smartphones Teenagers Youth
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Title	A Preliminary Diagnostic Model for Forward Head Posture among Adolescents Using Forward Neck Tilt Angle and Radiographic Sagittal Alignment Parameters
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