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Initial Evaluation of the Operational Neck Pain Index.
Aerospace Medicine and Human Performance
|July 11, 2025
Summary
Military pilots frequently experience neck pain during flight. A new index characterizes pain location, severity, and type, aiding in developing predictive models for pilot neck pain.
Area of Science:
- Aerospace Medicine
- Musculoskeletal Disorders
- Human Factors Engineering
Background:
- Neck pain is a common issue for military pilots during flight operations.
- Characterizing specific pain details is crucial for developing predictive models of musculoskeletal neck pain.
Purpose of the Study:
- To develop and evaluate a novel index for characterizing pilot neck pain.
- To differentiate between musculogenic and neurogenic pain based on location and severity.
Main Methods:
- An anonymous, web-based questionnaire was developed with expert input.
- Military pilots reported pain characteristics, onset, duration, relief, and neck mobility.
- A weighted numerical response index was calculated from 117 completed questionnaires.
Main Results:
- Bilateral, moderate, posterior musculogenic and neurogenic pain was most prevalent.
- Neck pain typically began within 30 minutes of flight or was pre-existing.
- Pain relief was commonly achieved through rest, OTC medication, or physical therapy.
Conclusions:
- The Operational Neck Pain Index effectively differentiates pain types and locations.
- This index provides valuable data for biomechanical modeling of neck pain.
- The index shows potential for tracking pain and treatment progression in pilots.
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