Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study
Objective: The purpose of this study was to determine whether sagittal neck sitting posture subgroup membership in late adolescence was a risk factor for persistent neck pain (PNP) in young adults. Methods: There were 686 participants enrolled in the Raine Study at the 17- and 22-year follow-ups. At...
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| Format: | Journal Article |
| Language: | English |
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OXFORD UNIV PRESS INC
2021
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| Online Access: | http://purl.org/au-research/grants/nhmrc/353514 http://hdl.handle.net/20.500.11937/86392 |
| _version_ | 1848764820725170176 |
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| author | Richards, Karen Beales, Darren Smith, A.L. O'sullivan, P.B. Straker, Leon |
| author_facet | Richards, Karen Beales, Darren Smith, A.L. O'sullivan, P.B. Straker, Leon |
| author_sort | Richards, Karen |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: The purpose of this study was to determine whether sagittal neck sitting posture subgroup membership in late adolescence was a risk factor for persistent neck pain (PNP) in young adults. Methods: There were 686 participants enrolled in the Raine Study at the 17- and 22-year follow-ups. At 17 years of age, posture was measured by photographs, and 4 subgroups of sitting neck posture were determined by cluster analysis. Height and weight were measured, and exercise frequency, depression, and PNP were assessed by questionnaire. At 22 years of age, participants answered questions about neck pain and occupation type. Logistic regression examined if neck posture subgroups at 17 years of age were a risk factor for PNP at 22 years of age, taking into account other factors. Results: Female sex (odds ratio [OR] = 1.75, 95% CI = 1.16-2.65) and PNP at 17 years of age (OR = 3.78, 95% CI = 2.57-5.57) were associated with PNP at 22 years of age. In females, neck posture subgroup at 17 years of age was a risk factor for PNP at 22 years of age. Compared with the upright subgroup, both the slumped thorax/forward head subgroup groups and the intermediate subgroup had decreased odds for PNP at 22 years of age (OR = 0.24, 95% CI = 0.08-0.76; OR = 0.38, 95% CI = 0.15-0.99, respectively). No association was found in males. Conclusion: After taking into account PNP at 17 years, sitting neck posture at 17 was not a risk factor for PNP at 22 years of age in males, whereas in females, more relaxed postures (slumped thorax/forward head and Intermediate postures) were protective of neck pain compared with upright posture. Impact: Females in late adolescence who sat in slumped thorax/forward head or intermediate posture rather than upright sitting posture had a lower risk of PNP as a young adult. The practice of generic public health messages to sit up straight to prevent neck pain needs rethinking. |
| first_indexed | 2025-11-14T11:25:26Z |
| format | Journal Article |
| id | curtin-20.500.11937-86392 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T11:25:26Z |
| publishDate | 2021 |
| publisher | OXFORD UNIV PRESS INC |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-863922021-12-07T06:16:59Z Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study Richards, Karen Beales, Darren Smith, A.L. O'sullivan, P.B. Straker, Leon Science & Technology Life Sciences & Biomedicine Orthopedics Rehabilitation Posture Neck Pain Risk Factors Adolescent Young Adult Raine Study 2000-2010 TASK-FORCE LOW-BACK-PAIN SHOULDER PAIN HEAD POSTURE MUSCULOSKELETAL PAIN GENERAL-POPULATION PHYSICAL-ACTIVITY ASSOCIATION SPINE DETERMINANTS Objective: The purpose of this study was to determine whether sagittal neck sitting posture subgroup membership in late adolescence was a risk factor for persistent neck pain (PNP) in young adults. Methods: There were 686 participants enrolled in the Raine Study at the 17- and 22-year follow-ups. At 17 years of age, posture was measured by photographs, and 4 subgroups of sitting neck posture were determined by cluster analysis. Height and weight were measured, and exercise frequency, depression, and PNP were assessed by questionnaire. At 22 years of age, participants answered questions about neck pain and occupation type. Logistic regression examined if neck posture subgroups at 17 years of age were a risk factor for PNP at 22 years of age, taking into account other factors. Results: Female sex (odds ratio [OR] = 1.75, 95% CI = 1.16-2.65) and PNP at 17 years of age (OR = 3.78, 95% CI = 2.57-5.57) were associated with PNP at 22 years of age. In females, neck posture subgroup at 17 years of age was a risk factor for PNP at 22 years of age. Compared with the upright subgroup, both the slumped thorax/forward head subgroup groups and the intermediate subgroup had decreased odds for PNP at 22 years of age (OR = 0.24, 95% CI = 0.08-0.76; OR = 0.38, 95% CI = 0.15-0.99, respectively). No association was found in males. Conclusion: After taking into account PNP at 17 years, sitting neck posture at 17 was not a risk factor for PNP at 22 years of age in males, whereas in females, more relaxed postures (slumped thorax/forward head and Intermediate postures) were protective of neck pain compared with upright posture. Impact: Females in late adolescence who sat in slumped thorax/forward head or intermediate posture rather than upright sitting posture had a lower risk of PNP as a young adult. The practice of generic public health messages to sit up straight to prevent neck pain needs rethinking. 2021 Journal Article http://hdl.handle.net/20.500.11937/86392 10.1093/ptj/pzab007 English http://purl.org/au-research/grants/nhmrc/353514 http://purl.org/au-research/grants/nhmrc/323200 http://purl.org/au-research/grants/nhmrc/1027449 http://purl.org/au-research/grants/nhmrc/1044840 http://purl.org/au-research/grants/nhmrc/102185 OXFORD UNIV PRESS INC restricted |
| spellingShingle | Science & Technology Life Sciences & Biomedicine Orthopedics Rehabilitation Posture Neck Pain Risk Factors Adolescent Young Adult Raine Study 2000-2010 TASK-FORCE LOW-BACK-PAIN SHOULDER PAIN HEAD POSTURE MUSCULOSKELETAL PAIN GENERAL-POPULATION PHYSICAL-ACTIVITY ASSOCIATION SPINE DETERMINANTS Richards, Karen Beales, Darren Smith, A.L. O'sullivan, P.B. Straker, Leon Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study |
| title | Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study |
| title_full | Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study |
| title_fullStr | Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study |
| title_full_unstemmed | Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study |
| title_short | Is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study |
| title_sort | is neck posture subgroup in late adolescence a risk factor for persistent neck pain in young adults? a prospective study |
| topic | Science & Technology Life Sciences & Biomedicine Orthopedics Rehabilitation Posture Neck Pain Risk Factors Adolescent Young Adult Raine Study 2000-2010 TASK-FORCE LOW-BACK-PAIN SHOULDER PAIN HEAD POSTURE MUSCULOSKELETAL PAIN GENERAL-POPULATION PHYSICAL-ACTIVITY ASSOCIATION SPINE DETERMINANTS |
| url | http://purl.org/au-research/grants/nhmrc/353514 http://purl.org/au-research/grants/nhmrc/353514 http://purl.org/au-research/grants/nhmrc/353514 http://purl.org/au-research/grants/nhmrc/353514 http://purl.org/au-research/grants/nhmrc/353514 http://hdl.handle.net/20.500.11937/86392 |