๐—ก๐—ฒ๐—ฐ๐—ธ ๐—ฃ๐—ผ๐˜€๐˜๐˜‚๐—ฟ๐—ฒ - ๐—”๐—ด๐—ฎ๐—ถ๐—ป
Recently read over this study by Richards et al - ย Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study
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Itโ€™s awesome because:
1. I had not heard of the Raine Study. A cohort of 2868 participants have been tracked since 1989 from ~18 weeks of gestation.

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2. Allowed authors to track posture & questionnaire data from cohortโ€™s 17 year follow-up & 22 year follow-up to identify risk factors for the development of persistent neck pain (PNP)
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3. Multiple factors assessed: depression, activity levels, work physical demands, & subgroups of sitting posture.
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4. Presence of PNP at 17 years of age was checked & re-assessed at 22 years of age.
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Findings:
- By 22 years of age - 192 of 686 participants reported PNP (28%); significantly increased from 17 years of age with 152 of 686 (22%).
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- PNP at 17 years old strongly associated with PNP at 22 years. Four-fold increase in odds of PNP at 22 years if participants had experienced PNP at 17 years.
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- The posture subgroups were not significant for development of PNP for men but was for women. Interestingly the subgroup most related was upright posture and the least was slumped/forward head.
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Authors state:
โ€œTwo of the subgroups in this study were characterised by forward head posture. It has been previously hypothesised that biomechanical load created by the head being more forward of the centre of gravity may lead to a higher prevalence of NP in people [9/12]
with habitual forward head posture.

In contrast, our findings found there was no difference in the presence of neck pain between posture subgroups in men and that in women the lowest prevalence of NP was in the slumped thorax/forward head posture subgroup, while the [10/12]
subgroup with the highest prevalence of NP was the upright posture. This finding is also contrary to the beliefs held by health practitioners and in society that sitting up straight is optimal whilst forward head postures are not optimal and a cause of NP.โ€
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Thoughts? Tag someone who needs to see this.
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