Assessment of Forward Head Posture and Ergonomics in Young IT Professionals – Reasons to Worry?

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Oana-Ruxandra Stincel
Mihaela Oravitan
Corina Pantea
Bogdan Almajan-Guta
Nicoleta Mirica
Alexandru Boncu
Claudiu Avram


Neck disability, Craniovertebral angle, Musculoskeletal disorders, Workspace ergonomics, Software engineers, COVID-19 pandemic


Background: Prolonged computer use and poor ergonomics among IT professionals are considered risk factors for musculoskeletal disorders. This research aims to analyze the degree of forward head posture and workplace ergonomics in young IT professionals to assess the risk for a neck disability. Methods: A prospective study was carried out by assessing the sitting posture at work, neck disability in the cervical region, quality of life, physical activity, and ergonomics of the workspace in 73 young IT professionals (32.56±5.46 years). Results: The score for the cervical functional disability index (NDI) showed a mild neck disability (8.19±7.51). The craniovertebral angle has an average value of 32.01±11.46, corresponding to a light forward head posture, and it positively correlated with age and work experience and negatively correlated with ROSA (r=0.24, p<0.05). The NDI positively correlated with physical activity (r =00.32 p<0.05) and with ROSA (r= 0.24, p<0.05). Conclusions: In IT professionals, neck disability is associated with the lack of workspace ergonomics and the amount of physical activity. Forward head posture correlated with age, work experience, and poor workspace ergonomics. According to our findings, there are real concerns about the influence of head posture and workplace ergonomics on health among IT professionals. We consider that it is necessary to adopt preventive measures to address neck disability and improve workspace ergonomics.

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1. Daneshmandi H, Choobineh A, Ghaem H, Karimi M. Adverse Effects of Prolonged Sitting Behavior on the General Health of Office Workers. J Lifestyle Med. 2017;7(2):69-75. Doi:10.15280/jlm.2017.7.2.69
2. Stîncel O-R, Niţă A, Oraviţan M. The impact of home office setup due to COVID-19 pandemic on IT professionals′ physical health: a systematic review. Timisoara Phys Educ Rehabil J. 2021;14(26):7-16. Doi:10.2478/tperj-2021-0001
3. Mohammadipour F, Pourranjbar M, Naderi S, Rafie F. Work-related Musculoskeletal Disorders in Iranian Office Workers : Prevalence and Risk Factors. 2018;11(4):328-333. Doi:10.25122/jml-2018-0054
4. Luger T, Maher CG, Rieger MA, Steinhilber B. Work-break schedules for preventing musculoskeletal symptoms and disorders in healthy workers. Cochrane database Syst Rev. 2019; 7(7): CD012886. Doi:10.1002/14651858.CD012886.pub2
5. Lee HS, Chung HK, Park SW. Correlation between trunk posture and neck reposition sense among subjects with forward head neck postures. Biomed Res Int. 2015;2015. Doi:10.1155/2015/689610
6. Molaeifar S, Yazdani F, Yoosefinejad AK, Karimi MT. Correlation between craniovertebral angle in the sagittal plane and angles and indices measured in the frontal plane at the moment of inducing forward head posture. Work. 2021;68(4):1221-1227. Doi:10.3233/WOR-213451
7. Panchal S, Viramgami AP, Pingle S. Prevalence and Determinants of Musculoskeletal Disorders among Information Technology Sector Employees of Ahmedabad, Gujarat. J Compr Heal. 2020;8(2):1-6.,ip,url,cpid&custid=s4640792&db=aph&AN=146186851&site=ehost-live
8. Redivo VS, Olivier B. Time to re-think our strategy with musculoskeletal disorders and workstation ergonomics. South African J Physiother. 2021;77(1):1-10. Doi:10.4102/sajp.v77i1.1490
9. Szczygieł E, Fudacz N, Golec J, Golec E. The impact of the position of the head on the functioning of the human body: a systematic review. Int J Occup Med Environ Health. 2020;33(5):559-568. Doi:10.13075/ijomeh.1896.01585
10. Worlikar AN, Shah MR. Incidence of forward head posture and associated problems in desktop users. Int J Heal Sci Res. 2019;9(2).
11. Boland DM, Neufeld E V., Ruddell J, Dolezal BA, Cooper CB. Inter- and intra-rater agreement of static posture analysis using a mobile application. J Phys Ther Sci. 2016;28(12):3398-3402. Doi:10.1589/jpts.28.3398
12. Szucs KA, Brown EVD. Rater reliability and construct validity of a mobile application for posture analysis. J Phys Ther Sci. 2018;30(1):31-36. Doi:10.1589/jpts.30.31
13. Sonne M, Andrews DM. The Rapid Office Strain Assessment (ROSA): Validity of online worker self-assessments and the relationship to worker discomfort. Occup Ergon. 2011;10(3):83-101. Doi:10.3233/OER-2012-0194
14. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-415.
15. Vernon H. THE NECK DISABILITY INDEX: STATE-OF-THE-ART, 1991-2008. Published online 2008:491-502. Doi:10.1016/j.jmpt.2008.08.006
16. Kumari S, Kumar R, Sharma D. Text Neck Syndrome : The Pain of Modern Era. 2021;(November). Doi:10.52403/ijhsr.20211121
17. Ware JEJ, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-483.
18. Ware JE. The MOS 36-item short-form health survey ( SF-36 ). I . Conceptual framework and item selection. 2014;(June).
19. Boerger T, Alsouhibani A, Mowforth O, et al. Health-related quality of life ( SF-36 ) in back pain: a population-based study, Campinas, São Paulo State, Brazil. 2021;37(2):1-12. Doi:10.1590/0102-311X00206019
20. Cote R, Vietas C, Kolakowski M, Lombardo K, Prete J, Dashottar A. Inter and Intra-Rater Reliability of Measuring Photometric Craniovertebral Angle Using a Cloud-Based Video Communication Platform. Int J Telerehabilitation. 2021;13(1):1-9. Doi:10.5195/ijt.2021.6346
21. Shaghayegh fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016;25(11):3577-3582. Doi:10.1007/s00586-015-4254-x
22. 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.
23. Lamba D, Upadhyay RK. Accumulative repetitive strain injury among business process outsourcing employees : A survey study ACCUMULATIVE REPETITIVE STRAIN INJURY AMONG BUSINESS PROCESS OUTSOURCING EMPLOYEES : A SURVEY STUDY. 2018;(August). Doi:10.22159/ajpcr.2017.v10i11.19423
24. Aegerter AM, Deforth M, Johnston V, Sjøgaard G, Volken T. No evidence for an effect of working from home on neck pain and neck disability among Swiss office workers : Short ‑ term impact of COVID ‑ 19. Published online 2021:1699-1707. Doi:10.1007/s00586-021-06829-w
25. Kim EK, Kim JS. Correlation between rounded shoulder posture, neck disability indices, and degree of forward head posture. J Phys Ther Sci. 2016;28(10):2929-2932. Doi:10.1589/jpts.28.2929
26. Elwardany SH, El-Sayed WH, Ali MF. Reliability of Kinovea Computer Program in Measuring Cervical Range of Motion in Sagittal Plane. OALib. 2015;02(09):1-10. Doi:10.4236/oalib.1101916
27. Latif SHA, Kamel RM, Draz AH. Effect of Smartphone Extensive Usage and Gender on Cervical angle. Curr Sci Int. 2018;7(4):762-767.
28. Sun A, Yeo HG, Kim TU, Hyun JK, Kim JY. Radiologic assessment of forward head posture and its relation to myofascial pain syndrome. Ann Rehabil Med. 2014;38(6):821-826. Doi:10.5535/arm.2014.38.6.821
29. Hansraj KK. Assessment of stresses in the cervical spine caused by posture and position of the head. Surg Technol Int. 2014;25:277-279.
30. Nejati P, Lotfian S, Moezy A, Nejati M. The study of correlation between forward head posture and neck pain in Iranian office workers. Int J Occup Med Environ Health. 2015;28(2). Doi:10.13075/ijomeh.1896.00352
31. Pontes A, Mariana S, Avila A, et al. The Short ‑ Form Neck Disability index has adequate measurement properties in chronic neck pain patients. Eur Spine J. 2021;30(12):3593-3599. Doi:10.1007/s00586-021-07019-4
32. Bobos P, Macdermid JC, Walton DM, Gross A, Santaguida PL. Patient-reported outcome measures used for neck disorders: An overview of systematic reviews. J Orthop Sports Phys Ther. 2018;48(10):775-788. Doi:10.2519/jospt.2018.8131
33. Lindegård A, Wahlström J, Hagberg M, Vilhelmsson R, Toomingas A, Wigaeus Tornqvist E. Perceived exertion, comfort and working technique in professional computer users and associations with the incidence of neck and upper extremity symptoms. BMC Musculoskelet Disord. 2012;13:1-8. Doi:10.1186/1471-2474-13-38
34. Jun D, Johnston V, McPhail SM, O’Leary S. A Longitudinal Evaluation of Risk Factors and Interactions for the Development of Nonspecific Neck Pain in Office Workers in Two Cultures. Hum Factors. 2020;(1):1-21. Doi:10.1177/0018720820904231
35. Sonne M, Villalta DL, Andrews DM. Development and evaluation of an office ergonomic risk checklist: ROSA - Rapid office strain assessment. Appl Ergon. 2012;43(1):98-108. Doi:10.1016/j.apergo.2011.03.008
36. Barkhordarzadeh S, Choobineh A, Razeghi M, Cousins R, Mokarami H. Effects of an ergonomic intervention program based on the PRECEDE – PROCEED model for reducing work ‑ related health problems and exposure risks among emergency medical dispatchers. Int Arch Occup Environ Health. Published online 2022. Doi:10.1007/s00420-022-01846-8