Neck Bournemouth Questionnaire Research Articles

Potential Role of Smartphone Addiction on Sleep Quality and Perceived Neck Pain Among Undergraduate Physiotherapy Students: A Multicentered Cross-Sectional Study

Purpose: This study aimed to analyze the possible associations between smartphone addiction, perceived neck pain, and sleep quality among undergraduate physiotherapy students. Material and methods: Students were asked to fill out the Smartphone Addiction Scale (SAS), the Neck Bournemouth Questionnaire (NBQ), and the Pittsburgh Sleep Quality Index (PSQI) on the Google Forms platform, accessed online via a QR code. Results: 355 physiotherapy students were included in this study. Considering the threshold value of 5 in PSQI which is accepted as an indicator of poor sleep, 285 out of 355 students (80.3%) showed higher scores (mean:9.73±2.68) than this threshold. A structural equation model showed that the NBQ had a significant effect on the SAS (B= .223; p=.031), and the SAS, in turn, had a significant effect on the PSQI (B=.021; p=.003). It was shown that 7% of the association between the NBQ and the PSQI was explained by the SAS acting as a mediator. Discussion: Smartphone addiction should be considered to prevent future potential musculoskeletal complaints as well as to preserve and improve the academic performance of students from the perspectives of the associations between sleep quality and perceived neck pain.

THE RELATIONSHIP BETWEEN OCCUPATIONAL HEALTH AND SAFETY CULTURE AND LOW BACK PAIN, NECK PAIN AND WORK LIMITATIONS IN HEALTHCARE PROFESSIONALS

Purpose: This study was carried out to investigate the relationship between occupational health and safety culture, low back pain, neck pain and work limitations in healthcare professionals. Methods: This descriptive cross-sectional study was conducted on 145 healthcare professionals working at Muş State Hospital between March 2022 and June 2022. The data was collected through Personal Information Form, Occupational Safety Culture Scale, Functional Low Back Pain Scale, Neck Bournemouth Questionnaire, and Work Limitations Questionnaire. Results: While a statistically positive correlation was found between the occupational safety culture scores of health workers and functional activities due to the reduction low back pain, a statistically negative correlation was determined between the occupational safety culture scores and neck pain and work limitation (p

Effect Sizes for Changes in Health and Well-Being Following Treatment With the One-To-Zero Technique in Individuals With Occipito-Atlantal Joint Dysfunction: A Repeated Measures Study

ObjectivesThe purpose of this study was to determine effect sizes (ES) for changes in self-reported measures of musculoskeletal pain and dysfunction resulting from the one-to-zero method using a repeated measures study design. MethodsTwenty participants presenting with articular dysfunction of the occipito-atlantal (C0-C1) complex were treated using the one-to-zero method, a high-velocity low-amplitude thrust administered between the C0-C1 complex before treating other restrictive segments in a cephalocaudal direction. The participants completed online questionnaires using Google Forms that assessed aspects of the biopsychosocial model of pain at baseline and within a week after treatment. The questionnaires included the following: (1) Demographic and Health Behavior Survey; (2) Neck Bournemouth Questionnaire (NBQ) or Neck Disability Index (NDI); (3) Beck Anxiety Index (BAI); (4) Insomnia Severity Index (ISI); and (5) 36-Item Short Form Health Survey (SF-36). Paired t test or Wilcoxon signed ranks test was performed, dependent on normality. Cohen's d values were calculated for each questionnaire score (0.20 indicative of small; ≥0.50 medium; and ≥0.80 large ES). ResultsThe NDI, NBQ, BAI, and ISI had a large ES (all d ≥ 0.80). In the SF-36, 4 subscales had a small to near-medium ES, 1 subscale had a medium to near-large ES, and the remaining 2 had a large ES (d ≥ 0.80). The physical and mental component summary had a large (d = 0.88) and small ES (d = 0.35), respectively. ConclusionThe effect sizes suggest the one-to-zero treatment induces change in various aspects of the biopsychosocial model.

Prevalence of Shoulder and Neck Pain Among Healthcare Workers in the Central Region of Saudi Arabia.

Introduction Musculoskeletal disorders (MSDs) have a tremendous impact on working people and are becoming a serious problem in the modern society. The healthcare system is regarded as having one of the most physically demanding jobs, and the risk of musculoskeletal injuries is high. Irrespective of their age, healthcare workers (HCWs) worldwide frequently experience shoulder and neck pain. In our study, we sought to understand what initiates shoulder and neck pain, such as stress or environmental factors, and what causes shoulder and neck discomfort among Saudi Arabian healthcare professionals. Methods A descriptive, cross-sectional study was conducted from 2022 to 2023, assessing shoulder and neck pain among healthcare workers in the central region of Saudi Arabia. An online survey was used, with 409 participants aged 20 or older. The questionnaire included socio-demographic data, Shoulder Pain and Disability Index (SPADI) questionnaire to measure shoulder pain and disability, neck Bournemouth questionnaire (NBQ) to assess neck pain, and quadruple visual analogue scale (QVAS) to measure the intensity of pain. Results Of the 409 HCWs, 56% were males, and 56.5% belonged to the age group of 20-30 years. The prevalence of high-intensity pain based on QVAS criteria was 29.3%. The mean percentage of neck pain (32.3%) was slightly higher than shoulder pain (31.8%). There was a significant association between the level of pain intensity in terms of the total score of NBQ, SPADI score, and its dimensions. It is interesting to know that HCWs with associated chronic diseases had higher scores in all three questionnaires (NBQ, SPADI, and QVAS). Conclusion High-intensity musculoskeletal pain was relatively high among HCWs. It was found that neck pain affected HCWs more than shoulder pain. Furthermore, an increased pain intensity in the shoulder and neck was more frequently seen in HCWs with chronic diseases. More studies are needed to determine the causes and risk factors for neck and shoulder pain to help improve the healthcare system and patient care.

Spanish Cross-Cultural Adaptation and Validation of Neck Bournemouth Questionnaire (NBQ) for Neck Pain Patients.

Neck pain is highly prevalent and one of the most common musculoskeletal conditions. Instruments that measure the factors involved in neck pain accurately are needed for clinical assessment. Patient-reported outcome measures (PROMs) are reliable, cost-effective, and specific tools for the assessment of musculoskeletal problems at different moments. The Neck Bournemouth Questionnaire (NBQ) assesses pain, function, disability, and psychological and social variables in patients with cervical pathologies. The aim of this study was to perform an adaptation and validation into Spanish of the NBQ (NBQ-Sp). A cross-sectional, observational study was carried out through translation, adaptation, and validation. A total of 129 patients with neck pain, of Spanish nationality, and over 18 years of age were included. The NBQ-Sp showed excellent internal consistency, with Cronbach's α of 0.897, test-retest reliability with interclass correlation coefficient (ICC) of 0.866, and standard error of measurement (SEM) and minimum detectable change (MDC) values were 1.302 and 3.038, respectively. A Kaiser-Meyer-Olkin value of 0.857 was obtained, and Bartlett's test yielded p < 0.001, finding one factor in the factor analysis. The NBQ-Sp has proven to be a valid and reliable tool for clinicians and researchers to measure neck pain in the Spanish population.

Translation and validation of the Urdu version of the neck pain and disability scale

Purpose To translate and cross-culturally adapt the neck pain and disability scale (NPDS) into Urdu language (NPDS-U), and to investigate the NPDS-U’s psychometric properties in patients with non-specific neck pain (NSNP). Methods The NPDS was translated and cross-culturally adapted into Urdu in accordance with the previously described guidelines. The study included 200 NSNP patients and 50 healthy participants. The NPDS-U, Urdu version of neck disability index (NDI-U), neck Bournemouth questionnaire (NBQ), and numerical pain rating scale (NPRS) were completed by all participants. After three weeks of physiotherapy, the patients completed all of the above-mentioned questionnaires, along with the global rating of change scale. Reliability, factor analysis, validity, and responsiveness were all tested. Results The NPDS-U demonstrated excellent test-retest reliability (ICC2,1=0.92) and high internal consistency (Cronbach’s alpha = 0.96). There were no floor or ceiling effects. A three-factor structure was extracted, which explained 70.42% of the total variance. The NPDS-U showed moderate to strong correlations with NPRS, NDI-U, and NBQ (r = 0.67–0.76, p < 0.001). A significant difference in the NPDS-U change scores between the stable and the improved groups (p < 0.001) confirmed its responsiveness. Conclusion The NPDS-U is a reliable, valid, and responsive scale for assessing neck pain and disability in Urdu-speaking patients with NSNP.

Spesifik Olmayan Mekanik Boyun Ağrısı Olan Yetişkinler ve Sağlıklılarda Uyku Kalitesi, Vücut Farkındalık ve Boyun Özrünün Farkları: Kesitsel Bir Çalışma

Introduction: Non-specific mechanical neck pain (NMNP) may cause decrease of work quality, sleep disturbance, disability in adults. There is still a need for studies in the literature on sleep quality, body awareness and neck disability in adults with nonspecific mechanical neck pain. &#x0D; Aim: The study aimed to compare sleep quality, body awareness, and neck disability in adults with and without NMNP. Adults with non-specific mechanical neck pain (n=89) and age-matched asymptomatic controls (n=90) were included in this cross-sectional study. Body awareness, sleep quality, and neck disability were assessed using online questionnaires. Sleep quality was assessed using the Pittsburgh Sleep Quality Index, body awareness was assessed using the Body Awareness Questionnaire, and neck disability was evaluated with the Neck Bournemouth Questionnaire. &#x0D; Results: Overall, 179 adults (mean age: 24.14±22.42 years) were divided into two groups of those with and without nonspecific mechanic neck pain. Females comprised 70.2% (n=125) of the sample. Sleep quality was better and neck disability was lower in participants without NMNP (p

Investigation of the predictors of temporomandibular disorders in engineers across different variables: sociodemographic characteristics, neck pain and neck awareness

Purpose/Aim This study aimed to investigate the predictors of temporomandibular disorders (TMD) in desk-bound engineers. Materials and Methods The Fonseca Anamnestic Index (FAI), The Visual Analogue Scale (VAS), The Neck Pain and Disability Scale (NPDS), Neck Bournemouth Questionnaire (NBQ) and The Fremantle Neck Awareness Questionnaire-Turkish (FreNAQ-T) were used for TMD severity, pain, disability, neck awareness. Results The study was conducted with 208 desk-bound engineers. Mild-to-severe TMD was detected in 78.9% of the subjects. Intensity of pain at rest and during activity was higher in female engineers compared to male engineers (p = 0.002 and <0.01, respectively) and mean FAI, NBQ, NPDS and FreNAQ-T scores were also higher than that of male engineers (p = 0.005, 0.005, 0.006 and 0.016, respectively). FAI, VAS, NPDS, NBQ and FreNAQ-T were found to be correlated with each other (p < 0.05). A statistically significant contribution to the regression model was observed for the variables gender, daily duration of computer use, neck pain at rest, and NBQ (p = 0.043, p = 0.043, p = 0.031 and p = 0.003, respectively). NBQ was identified as the most influential variable in this model, followed by neck pain at rest. Conclusions Temporomandibular disorders are common among desk-bound engineers and are associated with neck pain, disability, and neck awareness. For this reason, it is important to take preventive and protective ergonomic approaches at the personal and institutional levels in desk-bound engineers.

Ev Hanımlarında Akıllı Telefon Kullanımının Boyun Ağrısına Etkisi

Objective: Neck pain is becoming an important health problem lately. One of the most important reasons for this is the increase in the use of smartphones with technological developments. The aim of our study is to examine the effect of smartphone use on neck pain in housewives.Materials and Methods: A total of 169 housewives, aged 25 and 50 (38.22 ± 7.24 years) living in Denizli and having neck pain, were included in the study. Housewives participating in the study were asked to answer a questionnaire consisting of demographic data form, Smartphone Addiction Scale (SAS), Neck Disability Index (NDI), Neck Bournemouth Questionnaire (NBQ).Results: It was found that 42% of the housewives have been using a smart phone for 6-10 years, and when the daily phone usage times were examined, it was determined that 53.3% of the housewives used a smart phone for 2-5 hours a day. While 96.4% of the participants stated that they experienced neck pain at least once in the last 12 months, 82.8% of them experienced neck pain after using a smartphone for a long time.Conclusions: The long usage period of smart phones, which have become indispensable in recent years, and the high addiction to smart phones cause neck disability and the severity of neck disability in housewives. We think that the effect of smartphone use on neck pain should be examined with different evaluations with more comprehensive studies in terms of public health.

Clinical characteristics and diagnostic aspects of cervicogenic dizziness in patients with chronic dizziness: A cross-sectional study

Background and objectivesChronic dizziness can significantly affect quality of life, but identifying the underlying cause remains challenging. This study focuses on proprioceptive cervicogenic dizziness (CGD) and aims: (1) to compare clinical test results between patients with CGD, dizzy patients without CGD, and healthy controls; and (2) to evaluate the diagnostic value of the clinical tests for CGD in patients with chronic dizziness. MethodsSixty patients with chronic dizziness (18 with CGD and 42 without CGD), and 43 healthy controls underwent clinical tests evaluating neck function (mobility, proprioception, muscle function and disability), balance control, and the presence of visually induced dizziness. Data were analysed through one-way ANOVA, chi-square, independent samples t-test, and logistic regression analyses. ResultsPatients with CGD had significantly more neck pain-related disability (Neck Bournemouth questionnaire (NBQ), p = 0.006), but better static (Static Balance, p = 0.001) and dynamic balance (Tandem Gait, p = 0.049), compared to dizzy patients without CGD. Univariable analyses revealed that increased NBQ (OR 1.05 [1.01; 1.09], p = 0.017), Joint Position Error (JPE) after extension (OR 1.52 [1.00; 2.32], p = 0.050), and Tandem Gait scores (OR 1.09 [1.01; 1.18], p = 0.046) were individually associated with higher odds of having CGD. Their optimal cut-off level (based on the maximum Youden index) had high sensitivity but low specificity for CGD. The multivariable model, including NBQ and Tandem Gait, had fair discriminative ability (AUC = 0.74, 95% CI [0.61; 0.87]). ConclusionThe combined use of the NBQ and Tandem Gait tests had the highest discriminative ability to detect CGD in patients with chronic dizziness.

Effects of Covid-19 pandemic in Turkey: Physical activity, smartphone usage, musculoskeletal system

This study aims to evaluate relationship between physical activity level, smartphone usage, back and neck health during Covid-19 pandemic. Participants between ages of 18-65 were included in study. Smartphone usage was evaluated with Smartphone Addiction Scale-Short Version, physical activity levels with short form of International Physical Activity Questionnaire. Oswestry Disability Index and Neck Bournemouth Questionnaire was used to evaluate back and neck problems. A total of 251 people (179 women, 72 men, age: 28.11±9.49 years, min-max: 18-62 years) participated in study. 134 participants (53.38%) had low physical activity levels; 35 individuals (13.94%) had sufficient physical activity levels while 82 participants (32.66%) were not physically active. A weak positive correlation was found between neck pain and total score of smartphone addiction scale, daily smartphone usage time, daily smartphone check frequency, and first check time after waking up (r=0.199, r=0.149, r=0.132, respectively). A weak negative correlation was found between neck pain and first check time after waking up (r=-0.145). As a result of study, it was observed that physical activity levels were insufficient in majority of individuals who participated in survey. The relationships we expected between physical activity level, smartphone usage characteristics, low back and neck health could not be demonstrated, only weak relationships were found between some features of smartphone use and neck health. We believe that finding solutions to increase physical activity levels of individuals during pandemic period will have both protective effects on health and will prevent problems by affecting musculoskeletal system positively.

Translation, Cross-cultural Adaptation and Validation of the Neck Bournemouth Questionnaire: Persian Version

Introduction: The Neck Bournemouth Questionnaire (NBQ) is being used widely in various countries. This study evaluated the validity and reliability of the Persian version of NBQ. Methods: This methodological study investigated 170 patients with chronic neck pain (NP). The psychometric properties of NBQ were evaluated in two stages. First, the standard scale was translated based on Guillemin’s guidelines for cross-cultural adaption and face validity tested in a pilot group (N=25). Second, it was conducted on a sample of 170 diverse chronic pain patients. Construct validity was determined with convergent validity by short-form McGill pain questionnaire. Then, the reliability was confirmed using Cronbach’s alpha and the intraclass correlation coefficient. Results: The instrument demonstrated a good face validity and the participants made minor changes. A slight change was applied on content validity. In construct validity, Pearson’s correlation coefficient was 0.85, which was statistically significant and showed strong correlation. A Cronbach’s alpha of 0.87 was obtained. This confirmed the remarkable internal consistency and stability (0.92). Conclusion: The Persian version of NBQ showed a good internal consistency and reliability and it could be considered as a valuable tool for assessing patients with cervical pain in Iranian population.

Assessment of the responsiveness of four scales in geriatric patients with chronic neck pain.

The purpose of this study was to evaluate the responsiveness of Copenhagen Neck Functional Disability Scale (CNFDS), Neck Disability Index (NDI), Neck Bournemouth Questionnaire (NBQ), Neck Pain and Disability Scale (NPDS) in geriatric patients with non-specific chronic neck pain. A total of 52 geriatric patients with non-specific chronic neck pain were included in the present study. All participants were included in a physical therapy and rehabilitation program for five sessions per week that lasted 3 weeks. All participants were evaluated before and after the treatment. Pain and disability were assessed with the Visual Analog Scale-pain (VAS-pain), VAS-disability, muscle spasm, CNFDS, NDI, NBQ, NPDS scales. Additionally, patient satisfaction scores were questioned both before and after the treatment. Following the 3-week physical therapy and rehabilitation program, significant improvements were detected in the VAS-pain, VAS-disability, muscle spasm, CNFDS, NDI, NBQ, and NPDS scores (p < 0.05). Responsiveness values were found to be as follows: CNFDS [effect size (ES) = 0.78; standardized response mean (SRM) = 0.90], NDI (ES = 0.66; SRM = 1.18), NBQ (ES = 0.82; SRM = 0.97) and NPDS (ES = 0.87; SRM = 0.98). Our study demonstrated that CNFDS, NDI, NBQ, and NPDS are responsive scales in determining treatment-related changes in geriatric patients with non-specific neck pain. These results also suggest that all of these four scales can be used in the assessment of treatment induced changes in geriatric patients with chronic neck pain.

Brazilian version of the Neck Bournemouth Questionnaire does not have a well-defined internal structure in patients with chronic neck pain

Objective: To investigate the structural validity of the Brazilian version of the Neck Bournemouth Questionnaire in patients with chronic neck pain. Design: Cross-sectional study. Setting: Community participants collected via online platform. Subjects: Participants with neck pain (minimal pain intensity of 3 points at rest on 11-point Numerical Rating Scale), both genders and aged ⩾18 years old. Main measure: The Numerical Rating Scale, Neck Disability Index, Pain-Related Catastrophizing Thoughts Scale, Tampa Scale of Kinesiophobia and the Neck Bournemouth Questionnaire were completed. Exploratory and confirmatory factor analyses were used to identify dimensionality and to compare different structures of the Neck Bournemouth Questionnaire. Results: We included 103 participants. The sample consisted mostly of adults (mean age = 33.64 years, standard deviation = 10.48 years), females (n = 82, 79.6%), lean, single and with higher education. The exploratory factor analysis with implementation of the parallel analysis identified the one-dimensional structure of the Neck Bournemouth Questionnaire, with a Kaiser-Meyer-Olkin value of 0.80 and Bartlett’s test significant (P < 0.05). We observed that all structures tested in this study presented a high amount of residues in confirmatory factor analysis, which were identified by the value of root mean square error of approximation > 0.08 and chi-square/degree of freedom > 3.00. Conclusion: The internal structure of the Brazilian version of the Neck Bournemouth Questionnaire is not clear and well-defined. It was not possible to identify the construct measured by the instrument in individuals with chronic neck pain.

Factors associated with headache and neck pain among telecommuters \u2013 a five days follow-up

BackgroundThe current sanitary crisis brought on by the COVID-19 recently forced a large proportion of workers to adopt telecommuting with limited time to plan transition. Given that several work-related risk factors are associated with headache and neck pain, it seems important to determine those associated with headache and neck pain in telecommuters.The main objective of this study was to identify which telecommuting and individual associated factors are related with headache and neck pain occurrence in telecommuters over a five days follow-up. The second objective was to evaluate the impact of wearing a headset on headache and neck pain intensity in telecommuters.MethodsOne hundred and sixty-two participants in telecommuting situation were recruited. Baseline assessment included sociodemographic data, headache and neck pain-related disability (6-item Headache Impact Test (HIT-6) and Neck Bournemouth Questionnaire (NBQ)), headache and neck pain frequency and intensity as well as questions about the wearing of a headset (headset wearing, headset type and headset wearing hours). A prospective data collection of headache, neck pain and headset wearing was conducted using daily e-mail over a 5-day follow-up. A stepwise multivariate regression model was performed to determine associated factors of headache or neck pain occurrence during the follow-up. A t-test was conducted to assess the impact of headset wearing on headache and neck pain intensity during the follow-up.ResultsRegarding headache, the stepwise multivariate regression model showed that the HIT-6 score was associated with future headache occurrence in telecommuters (OR (95% CI) = 1.094 (1.042–1.148); R2 = 0.094; p < 0.001). For neck pain, the stepwise multivariate regression showed that the NBQ score was related to future neck pain occurrence in telecommuters (OR (95% CI) = 1.182 (1.102–1.269); R2 = 0.182; p < 0.001). T-test showed no difference between participants that wore a headset and participant that did not wore a headset on mean headache (p = 0.94) and neck pain (p = 0.56) intensity during the five days follow-up.ConclusionAlthough several work-related risk factors are associated with headache and neck pain in workers, telecommuting did not present the same risks. Working set-up did not have a significant impact on headache and neck pain as headache-related disability was the only associated factor of future headache episodes and neck-pain related disability was the only associated factor of future neck pain episodes. Also, wearing a headset had no impact on headache and neck pain in telecommuters.

The Turkish version of the Neck Bournemouth Questionnaire in patients with chronic neck pain: a cultural adaptation, reliability, and validity study.

IntroductionThe cultural adaptation of a self-report measurement in different languages is important for developing common strategies for evaluation and treatment. The Neck Bournemouth Questionnaire (NBQ), which was developed to evaluate patients with neck pain, was adapted from the Bournemouth Questionnaire in accordance with the International Classification of Functioning, Disability and Health (ICF) categories. The aim of this study was to conduct the Turkish cultural adaptation, validity and reliability study of the NBQ.Material and methodsThe study included 119 patients (93 females, 26 males; mean age: 37.2 ±11.8 years) with chronic nonspecific neck pain. The NBQ, Neck Disability Index (NDI) and Nottingham Health Profile (NHP) questionnaires were administered to all the subjects. Test-retest reliability (intraclass correlation coefficient) and the internal consistency (Cronbach’s α) were the methods used for the reliability study. The relationship between NBQ, NDI and NHP was investigated for concurrent validity. Exploratory and confirmatory factor analysis was used for construct validity.ResultsThe Neck Bournemouth Questionnaire showed good internal consistency (α = 0.87). The test-retest reliability coefficient was 0.913 (95% CI: 0.875–0.940). The correlations between NBQ and NDI and NHP were significant (p < 0.05). The questionnaire was found to have one factor and the explained variance was 59.084% as a result of factor analysis.ConclusionsThe Neck Bournemouth Questionnaire is a valid and reliable scale for patients with chronic neck pain in the Turkish population.

How does smartphone usage affect the severity of neck pain, neck-pain related disability, and cervical lordosis? A pilot study

Objective: Long-term and repetitive use of smartphones may cause musculoskeletal symptoms such as neck pain. This pilot study aimed to examine the effect of smartphone usage on neck pain, disability, and cervical lordosis.&#x0D; Material and Methods: Seventy-eight patients were enrolled in this cross-sectional pilot study. The level of smartphone use was evaluated with the Smartphone addiction scale-short version (SAS-SV). Neck Bournemouth Questionnaire (NBQ), Neck Disability Index (NDI), and 100 mm Visual Analog Scale (VAS) were used to assess pain and disability. Cervical lordosis angle was measured using the Cobb method.&#x0D; Results: A positive significant correlation with low correlation coefficient (r= 0.277, p=0.014; r: 0.295, p=0.009) was determined between SAS-SV and NBQ, and NDI. However, no correlation was found between SAS-SV and cervical lordosis angle (p&gt;0.05). When applying simple linear regression modeling to predict neck pain severity, the SAS-SV total score alone explained 7.7% of the variance of the NBQ and 9.0% of the variance of the NDI total score.&#x0D; Conclusion: We concluded that it would be beneficial to question the frequency and position of smartphone use, to recommend to use it less, and to avoid prolongation in neck flexion for patients with chronic neck pain.

The quality of life, neck and shoulder area dysfunction and upper body posture among people with and without moderate myopia

Background: The current study aimed to examine the quality of life, dysfunction in the neck area and upper body posture among people with moderate myopia and to analyse the relationship between myopia and upper body posture. Material and methods: ‪Participants were 11 people with moderate myopia (MG) and 11 people without myopia (CG). The general quality of life was evaluated with the 36-Item Short Form Health Survey (SF-36), neck area pain with the Visual Analogue Scale (VAS) and discomfort with the Neck Bournemouth Questionnaire (NBQ). The National Eye Institute Visual Functioning Questionnaire (NEI-VFQ25) was used to measure vision-targeted health. Upper body was evaluated with the New York Posture Rating Chart. Correlation analysis examined the relationship between head position and vision. Results: ‪The general quality of life and upper body posture characteristics did not differ significantly in MG as compared to CG. A significant difference in NBQ (p &lt; 0.05), NEI-VFQ25 (p &lt; 0.05) and VAS (p &lt; 0.01) was established between MG and CG. A significant relationship (r=-.691) between increasing severity of myopia and head position was found. Conclusions: The study findings highlight the complaints of people with moderate myopia compared to people without myopia concerning both their quality of life and musculoskeletal problems.

Comparison the Effects of Physical Therapy on Chronic Pain in Active or Sedentary Military Personnel.

Background:Chronic pain (CP) is a debilitating condition in which pain persists for months or years beyond the expected duration seen in normal healing processes. Because of the social and economic burden of CP in military personnel, it is important to ascertain pain-related physical, mental and psychological conditions to improve pain management.Objective:The aim of the study was to evaluate the effectiveness of the physical therapy in active military personnel (AMP) with CP through self-reported questionnaires.Methods:Sixty male AMP outpatients suffering from CP were included and divided into two groups according to their exercise levels in daily life (30 patients exercised regularly, while the remaining 30 had a sedentary lifestyle). All participants completed the following forms and questionnaires: Oswestry Disability Index (ODI), Visual Analogue Scale (VAS) for pain, Neck Disability Index (NDI), Neck Bournemouth Questionnaire (NBQ), International Physical Activity Questionnaire (IPAQ), Hospital Anxiety-Depression Index (HADS), 36-item Short Form Survey (SF-36), Automatic Thoughts Questionnaire (ATQ), and Pain Belief Questionnaire (PBQ). Patients were given 10 sessions of a standardized physical therapy program, including hot pack applications, TENS, ultrasound therapy and also home-based physical exercise.Results:The median age of patients was 22 (min-max: 20-42) years. The HADS and PBQ-psychological scores were high and ATQ scores were low in both groups. After the treatment, ODI and VAS scores decreased in both groups; however, the group comprised of patients that exercised regularly at baseline also demonstrated a significant decrease in NBQ and NDI values.Conclusion:We showed that three components of pain (physical, cognitive and emotional) are indeed effective on pain intensity and levels of disability. Our study showed that scales related with pain could improve by physical therapy in AMP, and that patients who normally exercised benefitted from physical therapy at a relatively higher degree. Chronic pain needs to be managed in the context of the patient’s biological, psychological, social and also occupational characteristics; thus, individualized, patient-specific and multi-factorial treatments should be considered whenever possible.

Prospective Cohort Study of Patients With Neck Pain in a Manual Therapy Setting: Design and Baseline Measures

ObjectivesThe purpose of this study was to describe the design and baseline measurements of a prospective multicenter cohort study in patients with neck pain treated by Dutch manual therapists. Objectives of the study were to determine which patients seek help from a manual therapist, to describe usual care manual therapy in patients with neck pain, to examine the occurrence of nonserious adverse events after treatment, to describe predictors of adverse events, and to determine whether the occurrence of nonserious adverse events affect outcome after manual therapy care. MethodsDuring a 3-month inclusion period, consecutive patients aged between 18 and 80 years presenting with neck pain in manual therapy practices in The Netherlands were included in the study. Baseline questionnaires included the Numeric Rating Scale, Neck Disability Index (NDI), Neck Bournemouth Questionnaire, Fear Avoidance Beliefs Questionnaire (FABQ), and Patient Expectancy List. Within the treatment episode, manual therapist clinical reasoning and applied interventions were registered and patients reported on adverse events. At the end of the treatment episode and at 12-month follow-up, pain intensity (Numeric Rating Scale), functional outcomes (NDI, Neck Bournemouth Questionnaire), personal factors (FABQ), and global perceived effect were measured. ResultsDuring the 3-month inclusion period, 263 participating manual therapists collected data on 1193 patients with neck pain. Most patients (69.4%) were female. The mean age was 44.7 (±13.7) years. The NDI showed overall mild disability (mean score 26%). Mean scores in pain intensity were moderate (4.8), and there was low risk of prolonged disability owing to personal factors (FABQ). ConclusionThis study provides information on baseline characteristics of patients visiting manual therapists for neck pain. In The Netherlands, patients seeking care of manual therapists are comparable to patients in other countries regarding demographics and neck pain characteristics.