Analysis of The Global Posture of College Students With Chronic Neck Pain

Background: Chronic neck pain (CNP) is common, but methods that focus on the cervical spine have not met the patients' medical expectations. Objective: To investigate the global postural difference between students with CNP and healthy people. Design: Cross-sectional study. Methods: : Twenty-seven healthy college students without neck pain and 31 students with CNP were recruited and allocated into a control group and a CNP group. Differences in standing postural indicators between the two groups were compared. Results: : Compared to the control group, the leg length discrepancy and the right rearfoot angle were larger and the anterior lower limb alignment angle was smaller. In the sagittal plane, the left sagittal lower limb alignment and right cervical alignment angles were larger, while the left and right sagittal body alignment angles in the CNP group were smaller. The odds ratio calculation for the trunk forward lean, right foot valgus, and knee flexion on both sides indicated that these are risk factors for CNP, while knee varus is not a risk factor for CNP. The remaining abnormal postures were shown not to be associated with CNP. Limitation: This study did not conduct in-depth research on the physiological state of the muscles, joints, and other structures, and we did not apply these theories to practice. Conclusions: : Abnormal posture in students with CNP is mainly concentrated in the sagittal plane. Trunk forward lean, foot valgus, and knee flexion on both sides are risk factors for CNP.