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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Vydáno v:Diagnostics Ročník 14; číslo 4; s. 394
Hlavní autoři: 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
Médium: Journal Article
Jazyk:angličtina
Vydáno: Switzerland MDPI AG 11.02.2024
Témata:
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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Shrnutí: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.
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ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics14040394