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Cited by 75Musculoskeletal pain and rehabilitationErgonomics and Musculoskeletal DisordersCervical and Thoracic Myelopathy

Measurement of craniovertebral angle with Electronic Head Posture Instrument: Criterion validity

Lau, Herman Mun Cheung, Chiu, Thomas Tai Wing, Lam, Tai-Hing·2010·The Journal of Rehabilitation Research and Development
DOI 10.1682/jrrd.2010.01.0001
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Abstract

This study evaluated the criterion-related validity of the Electronic Head Posture Instrument (EHPI) in measuring the craniovertebral (CV) angle by correlating the measurements of CV angle with anterior head translation (AHT) in lateral cervical radiographs. It also investigated the correlation of AHT and CV angle with the Chinese version of the Northwick Park Questionnaire (NPQ) and Numeric Pain Rating Scale (NPRS). Thirty patients with diagnosis of mechanical neck pain for at least 3 months without referred symptoms were recruited in an outpatient physiotherapy clinic. The results showed that AHT measured with X-ray correlated negatively with CV angle measured with EHPI (r = -0.71, p < 0.001). CV angle also correlated negatively with NPQ (r = -0.67, p < 0.001) and NPRS (r = -0.70, p < 0.001), while AHT positively correlated with NPQ (r = 0.390, p = 0.033) and NPRS (r = 0.49, p = 0.006). We found a negative correlation between CV angle measured with the EHPI and AHT measured with the X-ray lateral film as well as with NPQ and NPRS in patients with chronic mechanical neck pain. EHPI is a valid tool in clinically assessing and evaluating cervical posture of patients with chronic mechanical neck pain.

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Crossref · 10.1682/jrrd.2010.01.0001

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  • In a combined sample of adults and older adults, Lau et al. found a significant negative correlation between CVA and neck pain intensity (r = -0.7) and disability (r = -0.67), p < 0.001.

    “Lau et al. [39] measured this relation in a combined sample of adults and older adults and found a significant negative correlation between CVA and neck pain intensity and disability (r = -0.7 and r = -0.67;p < 0.001), respectively”

    From The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis (2019) · cites this paper as [39]

  • In a combined sample of adults and older adults, there was a positive correlation between anterior head translation and pain intensity (r = 0.49, p = 0.006) and disability (r = 0.39, p = 0.033).

    “and a positive correlation between anterior head translation (AHT) and pain intensity (r = 0.49; p = 0.006) as well as disability (r = 0.39; p = 0.033).”

    From The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis (2019) · cites this paper as [39]

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Authors
Lau, H. M. C., Chiu, T. T. W., & Lam, T.-H.
Affiliations
  • Hong Kong Polytechnic University (HK)
  • University of Hong Kong (HK)
Venue
The Journal of Rehabilitation Research and Development
Publisher
Journal of Rehabilitation Research & Development
Published
2010
Volume
47
Issue
9
Pages
911
ISSN
  • 0742-3241 (ISSN-L)
  • 0748-7711
DOI
10.1682/jrrd.2010.01.0001
OpenAlex
W2139578121
Cited by
75
References
38
Citations by year
2026: 3 · 2025: 3 · 2024: 4 · 2023: 10 · 2022: 8 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 8 · 2016: 5 · 2015: 9 · 2014: 2 · 2013: 2
FWCI
0.70
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Rehabilitation Research and Development (publishedVersion)
  • PubMed (publishedVersion)
  • The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
  • PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Social Sciences › Psychology › Social Psychology › Ergonomics and Musculoskeletal Disorders
  • Health Sciences › Medicine › Surgery › Cervical and Thoracic Myelopathy
Keywords
craniovertebral angle, criterion validity, cervical posture, mechanical neck pain, numerical pain rating scale, lateral cervical radiographs, physiotherapy assessment
MeSH terms
Adult, Anthropometry, Cervical Vertebrae, Diagnosis, Computer-Assisted, Female, Humans, Male, Middle Aged, Pain Measurement, Posture, Surveys and Questionnaires, Radiography, Severity of Illness Index, Skull, X-Rays, Reproducibility of Results, Age Distribution, Sex Distribution, Neck Pain

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