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


  • Miss Oana-Ruxandra Stincel West University of Timisoara
  • Mrs. Mihaela Oravitan West University Of Timisoara
  • Mrs. Corina Pantea West University of Timisoara
  • Mr. Bogdan Almajan-Guta West University of Timisoara
  • Mrs. Nicoleta Mirica West University of Timisoara
  • Mr. Alexandru Boncu West University of Timisoara
  • Mr. Claudiu Avram West University of Timisoara


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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Author Biographies

Miss Oana-Ruxandra Stincel , West University of Timisoara

Department of Physical Therapy and Special Motricity, Research Assistant, PT, PhD student

Mrs. Mihaela Oravitan, West University Of Timisoara

Department of Physical Therapy and Special Motricity, Professor PhD, MD

Mrs. Corina Pantea, West University of Timisoara

Department of Physical Therapy and Special Motricity, Associate Professor PhD, MD

Mr. Bogdan Almajan-Guta, West University of Timisoara

Department of Physical Therapy and Special Motricity, Associate Professor PhD, PT

Mrs. Nicoleta Mirica, West University of Timisoara

Department of Physical Therapy and Special Motricity, Lecturer PhD, MD, Vicedean - responsible for scientific research

Mr. Alexandru Boncu, West University of Timisoara

Department of Physical Education and Sports, Lecturer PhD

Mr. Claudiu Avram, West University of Timisoara

Department of Physical Therapy and Special Motricity, Professor PhD, MD


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

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

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

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

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

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

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

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

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

Worlikar AN, Shah MR. Incidence of forward head posture and associated problems in desktop users. Int J Heal Sci Res. 2019;9(2).

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

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

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

Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-415.

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

Kumari S, Kumar R, Sharma D. Text Neck Syndrome : The Pain of Modern Era. 2021;(November). Doi:10.52403/ijhsr.20211121

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.

Ware JE. The MOS 36-item short-form health survey ( SF-36 ). I . Conceptual framework and item selection. 2014;(June).

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

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

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

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.

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

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

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

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

Latif SHA, Kamel RM, Draz AH. Effect of Smartphone Extensive Usage and Gender on Cervical angle. Curr Sci Int. 2018;7(4):762-767.

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

Hansraj KK. Assessment of stresses in the cervical spine caused by posture and position of the head. Surg Technol Int. 2014;25:277-279.

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

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

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

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

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

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

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




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