The distribution and the related factors of forward head posture among medical students

Year 2022, , 304 - 308, 29.06.2022

Elif Köse , Hüseyin Baylan , Hilal Karahan , Hasan Ekerbiçer

https://doi.org/10.18521/ktd.952182

Abstract

Objective: Forward head posture (FHP) is becoming common in medical students who study for long durations with wrong postures due to intensive curriculum. This study was conducted to determine the frequency of FHP and related factors in medical students.
Method: The first and second-year medical students filled out the questionnaire including sociodemographic characteristics, activity status, Smartphone Addiction Questionnaire, Beck Depression, Body Awareness, and Perceived Stress Scales after their verbal consent was obtained. FHP and craniovertebral angle values were measured.
Results: 47% of the students had highly severe (≥5 cm), 46.2% had severe FHP (2.5-5 cm), and 6.8% had mild FHP. The mean CVA (Costovertebral Angle) values were determined as 44.31 ± 4.31. The frequency of students whose CVA values are below 45° is 59.3% (140 people). The frequency of highly severe FHP was also found as high in the taller, in males, and in the students with high BMI. In the regression model examining the situations that increase the risk of severe FHP, it was found that depression increased the risk of FHP 2.5 times.
Conclusion: FHP was found to be very common (90%) in medical students. FHP was found to be more severe in students with high depression scores.

Keywords

Forward head posture, medical student, Beck depression score

Tıp öğrencileri arasında ileri kafa duruşunun dağılımı ve ilişkili olduğu faktörler

Abstract

Amaç: İleri kafa duruşu (Forward Head Posture-FHP), yoğun müfredat nedeniyle uzun süre yanlış duruşlarla çalışan tıp öğrencilerinde yaygınlaşıyor. Bu çalışma tıp öğrencilerinde FHP sıklığını ve ilişkili faktörleri belirlemek amacıyla yapılmıştır.
Metod: Birinci ve ikinci sınıf tıp öğrencileri, sosyodemografik özellikler, aktivite durumu, Akıllı Telefon Bağımlılığı Anketi, Beck Depresyon, Beden Farkındalığı ve Algılanan Stres Ölçeklerini içeren anketi sözlü onamları alındıktan sonra doldurdu. FHP ve kraniovertebral açı değerleri ölçüldü.
Bulgular: Öğrencilerin %47'sinde çok şiddetli (≥5 cm), %46,2'sinde şiddetli FHP (2,5-5 cm) ve %6,8'inde hafif FHP saptandı. Kraniyovertebral açı (Craniovertebral Angle-CVA) değerleri ortalama 44.31 ± 4.31 olarak tespit edildi. CVA değeri 45°'nin altında olan öğrencilerin oranı %59,3'tür (140 kişi). Uzun boylularda, erkeklerde ve BKİ'si yüksek olan öğrencilerde de oldukça şiddetli FHP sıklığı yüksek bulundu. Şiddetli FHP riskini arttıran durumların incelendiği regresyon modelinde depresyonun FHP riskini 2,5 kat arttırdığı saptanmıştır.
Sonuç: Tıp öğrencilerinde FHP’nin çok yaygın (%90) olduğu saptanmıştır. Depresyon skoru yüksek olan öğrencilerde FHP’nin daha şiddetli olduğu saptanmıştır.

Keywords

İleri Kafa Duruşu, Tıp Öğrencisi, Beck Depresyon Ölçeği, Akıllı Telefon, Bağımlılık Ölçeği

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