GENÇLERDE BAŞ TİLTİ, OMURGA HAREKETLİLİĞİ VE OMURGA BOZUKLUKLARI ARASINDAKİ İLİŞKİ

Abstract

Genç erişkinlerde akıllı telefon baş tilti, servikal, torakal ve lumbal omurga mobilitesi ve rahatsızlıklar arasındaki ilişkiyi belirlemek amaçlandı. Çalışmaya kırk genç birey dahil edildi. Baş tilti evrensel gonyometre ile, omurga mobilitesi bubble inklinometre (Baseline Bubble Inclinometer, White Plains, NY) ile, boyun işlevselliği Core Sonuç Ölçüm İndeksi ile, sırt ağrısı Japon Ortopedi Derneği Sırt Ağrısı Değerlendirme Anketi ile, bel ağrısı Bournemouth Anketi ile, omurga fonksiyonu Omurga Fonksiyon İndeksi ile ve genel sağlık kalitesi Nottingham Sağlık Profili ile ölçüldü. Değişkenler arasındaki ilişki Pearson ve Spearman korelasyon katsayıları ile incelendi. Servikal sağ lateral fleksiyon ile Japon Ortopedi Derneği Sırt Ağrısı Değerlendirme Anketi'nin zihinsel sağlık komponenti arasında (r= -0.421) iyi bir korelasyon bulunmuştur; servikal sol rotasyon ile Core Sonuç Ölçüm İndeksi (r= -0.431) ve Nottingham Sağlık Profili'nin sosyal izolasyon komponenti (r= -0.493); torakal sağ rotasyon ile Nottingham Sağlık Profili'nin duygusal reaksiyonlar (r= -0.502), sosyal izolasyon (r= -0.426) ve bölüm bir (r= -0.408) komponentleri; ve lumbal sağ (r= 0.476) ve sol (r= 0.415) lateral fleksiyon ile Nottingham Sağlık Profili'nin duygusal reaksiyonlar komponenti arasında iyi düzeyde korelasyon bulunmuştur. Genç erişkinlerde spinal mobilite, spinal rahatsızlıklar ve yaşam kalitesi arasındaki ilişkiyi inceleyen bu çalışma, spinal mobilitenin psikososyal durumlarla daha iyi ilişkili olduğunu göstermiştir.

Keywords

• Servikal omurga
• baş tilti
• lumbar omurga
• omurga
• torasik omurga.

THE ASSOCIATION AMONG HEAD TILT, SPINE MOBILITY, AND SPINAL DISORDERS IN YOUTHS

Abstract

It was aimed to determine the relationship among smartphone head tilt, cervical, thoracic, and lumbar spine mobility, and disorders in young adults. Forty young individuals were included in the study. Head tilt with the universal goniometer, spine mobility with the bubble inclinometer (Baseline Bubble Inclinometer, White Plains, NY), neck impairment with Core Outcome Measures Index, back pain with Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, low back pain with Bournemouth Questionnaire, spinal function with Spine Functional Index, and general health quality with Nottingham Health Profile were measured. The relationship between the variables was examined with the Pearson and Spearman correlation coefficients. A good correlation was found between cervical right lateral flexion and the mental health component of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (r= -0.421); cervical left rotation with the Core Outcome Measures Index (r= -0.431) and social isolation component of the Nottingham Health Profile (r= -0.493); thoracic right rotation with the emotional reactions (r= -0.502), social isolation (r= -0.426), and section one (r= -0.408) components of the Nottingham Health Profile; and lumbar right (r= 0.476) and left (r= 0.415) lateral flexion with the emotional reactions component of the Nottingham Health Profile.This study, which examined the relationship between spinal mobility, spinal disorders, and quality of life in young adults, demonstrated that spinal mobility is better associated with psychosocial conditions.

Keywords

• Cervical spine
• head tilt
• lumbar spine
• spine
• thoracic spine.

References

1. Vijayakumar M, Mujumdar S, Dehadrai A. Assessment of co-morbid factors associated with text-neck syndrome among mobile phone users. IJSRST. 2018;4(9):38-46.
2. Fares J, Fares MY, Fares Y. Musculoskeletal neck pain in children and adolescents: risk factors and complications. Surg Neurol Int. 2017;8:72. doi:10.4103/sni.sni_445_16.
3. Syamala KR, Ailneni RC, Kim JH, Hwang J. Armrests and back support reduced biomechanical loading in the neck and upper extremities during mobile phone use. Appl Ergon. 2018;73:48-54. doi:10.1016/j.apergo.2018.06.003.
4. Kim JH, Kim JG, Do KS, Yim J. The effect of applying a head-weight device on cervical angle and pain of neck muscles. Phys Ther Rehabil Sci. 2016;5(2):101-105.doi:10.14474/ptrs.2016.5.2.101.
5. Han H, Lee S, Shin G. Naturalistic data collection of head posture during smartphone use. Ergonomics. 2019;62(3):444-448. doi:10.1080/00140139.2018.1544379.
6. Hansraj KK. Assessment of stresses in the cervical spine caused by posture and position of the head. Surg Technol Int. 2014;25(25):277-279.
7. Lee J, Seo K. The comparison of cervical repositioning errors according to smartphone addiction grades. J Phys Ther Sci. 2014;26(4):595-598.doi:10.1589/jpts.26.595.
8. Yang-Gon K, Min-Hyeok K, Ji-Won K, Jun-Hyeok J, Jae-Seop O. Influence of the duration of smartphone usage on flexion angles of the cervical and lumbar spine and on reposition error in the cervical spine. Phys Ther Korea. 2013;20(1):10-17. doi:10.12674/ptk.2013.20.1.010.

9. Han J, Jung J, Lee J, Kim E. Effects of vibration stimuli on the knee joint reposition error of elderly women. J Phys Ther Sci. 2013;25(1):93-95.
10. Megna M, Gisonni P, Napolitano M, et al. The effect of smartphone addiction on hand joints in psoriatic patients: an ultrasound‐based study. J Eur Acad Dermatology Venereol. 2018;32(1):73-78. doi:10.1111/jdv.14380.
11. Erol E. Smartphone Addiction, Sleep Quality and Musculoskeletal Disorders in University Students. Balıkesir Sağlık Bilim Derg. 2024;13(3):589-594. doi:10.53424/balikesirsbd.1460631.
12. Smedbråten K, Grotle M, Jahre H, et al. Lifestyle behaviour in adolescence and musculoskeletal pain 11 years later: The Trøndelag Health Study. Eur J Pain. 2022;26(9):1910-1922. doi:10.1002/ejp.2012.
13. Mongkonkansai J, Veerasakul S, Tamrin SBM, Madardam U. Predictors of musculoskeletal pain among primary school students using smartphones in Nakhon Si Thammarat, Thailand. Int J Environ Res Public Health. 2022;19(17):10530. doi:10.3390/ijerph191710530.
14. Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.
15. Liao DY. Design of a secure, biofeedback, head-and-neck posture correction system. First International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). IEEE. 2016:119-124. doi: 10.1109/CHASE.2016.31.
16. Arıkan H, Sertel M, Baş B. Evaluation of the Musculuskeletal Systems and Kinesiophobia of the Individuals with Temporomandibular Disorders. EJMO. 2019;3(2):132-138. doi:10.14744/ejmo.2019.22613.
17. Cleland JA, Fritz JM, Whitman JM, Palmer JA. The reliability and construct validity of the Neck Disability Index and patient specific functional scale in patients with cervical radiculopathy. Spine (Phila Pa 1976). 2006;31(5):598-602. doi:10.1097/01.brs.0000201241.90914.22.
18. Fernández-de-las-Peñas C, Cleland J, Dommerholt J. Manual Therapy for Musculoskeletal Pain Syndromes: An Evidence-and Clinical-Informed Approach. UK, Elsevier Health Sciences; 2015.
19. Prayerna B, SuBBiah K, Asser PAL, MiLaneSe S. Effectiveness of mulligan’s sustained natural apophyseal glide (SNAG) over first rib in reducing pain and improving cervical rotation in individuals with mechanical neck dysfunction. J Clin Diagnostic Res. 2019;13(3):21-24.doi:10.7860/JCDR/2019/39626.12733.
20. Hwang D, Lee JH, Moon S, Park SW, Woo J, Kim C. The reliability of the nonradiologic measures of thoracic spine rotation in healthy adults. Phys Ther Rehabil Sci. 2017;6(2):65-70. doi:10.14474/ptrs.2017.6.2.65.
21. Sadeghi R, Mosallanezhad Z, Nodehi-Moghadam A, Nourbakhsh MR, Biglarian A, Ezati K. The reliability of bubble inclinometer and tape measure in determining lumbar spine range of motion in healthy individuals and patients. PTJ. 2015;5(3):137-144. doi:10.15412/J.PTJ.07050303.
22. Karabicak GO, Hazar Kanik Z, Gunaydin G, Pala OO, Citaker S. Reliability and validity of the Turkish version of the Core Outcome Measures Index for the neck pain. Eur Spine J. 2020;29:186-193. doi:10.1007/s00586-019-06169-w.
23. Gunaydin G, Kanik ZH, Karabicak GO, et al. Cross-cultural adaptation, reliability and validity of the Turkish version of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire. J Orthop Sci. 2016;21(3):295-298. doi:10.1016/j.jos.2016.01.006.
24. Gunaydin G, Citaker S, Meray J, Cobanoglu G, Gunaydin OE, Kanik ZH. Reliability, validity, and cross-cultural adaptation of the Turkish version of the Bournemouth questionnaire. Spine (Phila Pa 1976). 2016;41(21):E1292-E1297. doi:10.1097/BRS.0000000000001599.
25. Tonga E, Gabel CP, Karayazgan S, Cuesta-Vargas AI. Cross-cultural adaptation, reliability and validity of the Turkish version of the spine functional index. Health Qual Life Outcomes. 2015;13:1-9. doi:10.1186/s12955-015-0219-3.
26. Hunt SM, McKenna SP, McEwen J, Williams J, Papp E. The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med Part A Med Psychol Med Sociol. 1981;15(3):221-229. doi:10.1016/0271-7123(81)90005-5.
27. Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-38.doi:10.1097/00004356-200023010-00004.
28. Feise RJ, Menke JM. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine (Phila Pa 1976). 2001;26(1):78-87. doi:10.1097/00007632-200101010-00015.
29. David D, Giannini C, Chiarelli F, Mohn A. Text neck syndrome in children and adolescents. Int J Environ Res Public Health. 2021;18(4):1565. doi:10.3390/ijerph18041565.
30. Zhuang L, Wang L, Xu D, Wang Z, Liang R. Association between excessive smartphone use and cervical disc degeneration in young patients suffering from chronic neck pain. J Orthop Sci. 2021;26(1):110-115. doi:10.1016/j.jos.2020.02.009.
31. Çevik S, Kaplan A, Katar S. Correlation of cervical spinal degeneration with rise in smartphone usage time in young adults. Niger J Clin Pract. 2020;23(12):1748-1752.doi:10.4103/njcp.njcp_605_19.
32. Neupane S, Ali U, Mathew A. Text neck syndrome-systematic review. Imp J Interdiscip Res. 2017;3(7):141-148.
33. Fercho J, Krakowiak M, Yuser R, et al. Kinematic analysis of the forward head posture associated with smartphone use. Symmetry (Basel). 2023;15(3):667. doi:10.3390/sym15030667.
34. Gallego-Izquierdo T, Arroba-Díaz E, García-Ascoz G, Val-Cano M del A, Pecos-Martin D, Cano-de-la-Cuerda R. Psychometric proprieties of a mobile application to measure the craniovertebral angle a validation and reliability study. Int J Environ Res Public Health. 2020;17(18):6521. doi:10.3390/ijerph17186521.
35. Neumann DA. Kinesiology of the Musculoskeletal System. Third edition. St. Louis, Missouri: Elsevier; 2017:319-477.
36. Tanveer F, Shahid S, Hafeez MM. Effect of Forward Head Posture on Neck Disability and Level of Stress Among Undergraduate Students. Isra Med J. 2018;10(2):78-80.
37. Abbasi AH, Aslam M, Ashraf T, Malik AN. Evaluation of the Forward Head Posture, its association with Neck Pain & Quality of life of Female DPT Students.J Riphah Coll Rehabil Sci. 2016;4(2):59-64.
38. Heneghan NR, Baker G, Thomas K, Falla D, Rushton A. What is the effect of prolonged sitting and physical activity on thoracic spine mobility? An observational study of young adults in a UK university setting. BMJ Open. 2018;8(5):e019371. doi:10.1136/bmjopen-2017-019371.
39. Pérez-de la Cruz S. Influence and Relationship of Pain on Lumbar Biomechanics in a Young Adult Population with Non-Specific Low Back Pain. Sports. 2024;12(7):190. doi:10.3390/sports12070190.