Postural neck pain: an investigation of habitual sitting posture, perception of ‘good’ posture and cervicothoracic kinaesthesia.

Edmondston SJ, Chan HY, Ngai GC, Warren ML, Williams JM, Glennon S, Netto K

The objective of this study was to compare the habitual sitting posture (HSP), perception of good posture and postural repositioning error (PRE) of the cervico-thoracic (CT) spine in individuals with postural neck pain, with a matched group of asymptomatic subjects. In twenty-one subjects PRE was measured over six trials where the subject attempted to replicate their self-selected 'good' posture. There was no difference between the groups in the HSP but significant differences were identified in the perception of 'good' posture. However, there was no significant difference in posture repositioning error between groups for any of the posture measures. The findings suggest that individuals with postural neck pain may have a different perception of 'good' posture, but no significant difference in HSP or kinaesthetic sensibility compared with matched asymptomatic subjects.

Should we when treating patients with postural neck pain to consider the re-education of their perception of good posture of the cervico-thoracic spine?

Manual Therapy. 2007, 12(4), 363-71

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