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Related Experiment Videos

Total head excursion and resting head posture: normal and patient comparisons.

W P Hanten1, S L Olson, J L Russell

  • 1School of Physical Therapy, Texas Woman's University, Houston 77030, USA.

Archives of Physical Medicine and Rehabilitation
|January 19, 2000
PubMed
Summary

Normal subjects exhibit greater anterior-posterior total head excursion (THE) than patients with neck pain. Men also show higher THE and resting head posture in standing (RHPstd) than women, indicating sex-based differences in head posture.

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Area of Science:

  • Biomechanics
  • Orthopedics
  • Physical Therapy

Background:

  • Cervical pain is a common ailment affecting many individuals.
  • Understanding head and neck posture is crucial for assessing and managing cervical conditions.
  • Previous research has explored various postural parameters, but direct comparisons between healthy individuals and patients with neck pain are needed.

Purpose of the Study:

  • To investigate significant differences in head posture between healthy individuals and patients with cervical pain.
  • To compare anterior-posterior total head excursion (THE), resting head posture in sitting (RHPsit), and resting head posture in standing (RHPstd) between groups.
  • To identify potential sex-based variations in these postural measurements.

Main Methods:

  • A cohort of 42 healthy subjects was matched by age and gender to 42 patients presenting with neck pain.

Related Experiment Videos

  • Measurements of THE, RHPsit, and RHPstd were systematically recorded for all participants.
  • Statistical analyses, including multivariate analysis of variance (MANOVA) and analyses of variance (ANOVA), were employed to compare the groups.

    • Main Results:

    • Healthy subjects demonstrated significantly greater THE compared to patients with neck pain (p<.05).
    • Men, across both patient and control groups, exhibited significantly higher scores for THE and RHPstd than women (p<.05).
    • No significant differences were found between groups for RHPsit.

    Conclusions:

    • Clinical evaluations for patients with cervical pain should prioritize assessments of cervical mobility over resting head posture.
    • Recognizing sex-based differences in head and neck posture is essential for accurate clinical interpretation and individualized patient care.
    • These findings suggest that standard postural assessments may need to account for gender-specific norms.