Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/25181
Title: Relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability
Authors: Lau, KT
Cheung, KY
Chan, KB
Chan, MH
Lo, KY
Chiu, TTW
Keywords: Craniovertebral angle
Neck pain disability
Neck pain severity
Upper thoracic angle
Issue Date: 2010
Publisher: Churchill Livingstone
Source: Manual therapy, 2010, v. 15, no. 5, p. 457-462 How to cite?
Journal: Manual therapy 
Abstract: This was a cross-sectional correlation study to explore the relationships between sagittal postures of thoracic and cervical spine, presence of neck pain, neck pain severity and disability. Moreover, the reliability of the photographic measurement of the sagittal posture of thoracic and cervical spine was investigated. Forty-five subjects without neck pain and forty-seven subjects with neck pain were recruited. Using a photographic method, the sagittal thoracic and cervical postures were measured by the upper thoracic and the craniovertebral (CV) angles respectively. The Numeric Pain Rating Scale (NPRS) and Chinese version Northwick Park Neck Pain Questionnaire (NPQ) were used to assess neck pain severity and disability. The upper thoracic angle was positively correlated (r s = 0.63, p < 0.01) while the CV angle was negatively correlated (r s = -0.56, p < 0.01) with the presence of neck pain. The upper thoracic angle was negatively correlated with the CV angles (r s = -0.62, p < 0.01) in subjects with neck pain. Similar to the CV angle, the upper thoracic angle was moderately correlated with the neck pain severity (r s = 0.43, p = 0.01) and disability (r s = 0.44, p = 0.02). The upper thoracic angle (OR = 1.37, p < 0.01) was a good predictor for presence of neck pain even better than that of the CV angle (OR = 0.86, p = 0.04).
URI: http://hdl.handle.net/10397/25181
ISSN: 1356-689X
EISSN: 1532-2769
DOI: 10.1016/j.math.2010.03.009
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