Neck muscle endurance and head posture: A comparison between adolescents with and without neck pain
Abstract
Objective The main aims of this study were to compare the neck flexor and extensor endurance and forward head posture between adolescents with and without neck pain. The secondary aims were to explore potential associations between muscles endurance, head posture and neck pain characteristics and to assess intra-rater reliability of the measurements used. Methods Adolescents with neck pain (n = 35) and age-matched asymptomatic adolescents (n = 35) had their forward head posture, neck flexor endurance and neck extensor endurance measured using clinical tests. Intra-rater reliability was also assessed. Results Forward head posture and neck flexor and extensor endurance tests showed moderate to almost perfect intra-rater reliability (ICC between 0.58 and 0.88). Adolescents with neck pain showed significantly less forward head posture (neck pain = 46.62 ± 4.92; asymptomatic = 44.18°± 3.64°, p > 0.05) and less neck flexor (neck pain = 24.50 ± 23.03s; asymptomatic = 35.89 ± 21.53s, p > 0.05) and extensor endurance (neck pain = 12.6.64 ± 77.94s; asymptomatic = 168.66 ± 74.77s, p > 0.05) than asymptomatic adolescents. Conclusions Results suggest that changes in posture and neck muscle endurance are a feature of adolescents with neck pain.
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In adolescents, there was no significant correlation between CVA and neck pain intensity (r = 0.12, p > 0.05).
“Oliveira and Silva [28] measured the relationship between neck pain intensity and CVA in adolescent, and the results showed no significant correlation (r = 0.12, p > 0.05).”
From The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis (2019) · cites this paper as [28]
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- Authors
- Oliveira, A. C., & Silva, A. G.
- Affiliations
- Centre for Health Technology and Services Research (PT)
- Corresponding author
- Silva, Anabela G.
- ORCID
- Silva, Anabela G.
- Venue
- Manual Therapy
- Publisher
- Elsevier BV
- Published
- 2016-04
- Volume
- 22
- Pages
- 62-67
- ISSN
- 1356-689X (ISSN-L)
- OpenAlex
- W2176495153
- Cited by
- 85
- References
- 39
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 12 · 2023: 8 · 2022: 11 · 2021: 6 · 2020: 11 · 2019: 12 · 2018: 9 · 2017: 6 · 2016: 2
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Manual Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Social Psychology › Ergonomics and Musculoskeletal Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Keywords
- neck pain, adolescents, neck muscle endurance, forward head posture, neck posture, intra-rater reliability
- MeSH terms
- Adolescent, Female, Head, Humans, Isometric Contraction, Male, Neck Muscles, Physical Endurance, Portugal, Posture, Reproducibility of Results, Neck Pain
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