Al Ameen Journal of Medical Sciences (Jan 2020)
Effect of Mechanical Neck pain with forward head posture on scapula position in primary School Teachers
Abstract
Objectives: To study scapular position in primary school teacher with neck pain and without neck pain. To compare scapular position in primary school teachers with and without neck pain Background: Teaching is a profession in which majority of women are employed and it is a demanding job. School teachers, in general, during the course of their work may be subjected to conditions that cause physical health problems and the frequently reported health complaints among teachers are shoulder pain (73.4%), neck pain (68.9%), headache (67.1%) and lower back pain (59.2%). Thus we can say teaching leads to physical and mental stress with an impact on functional performance and hence teaching can become a health hazard when it is carried out in an inappropriate way. Abnormal or altered scapular position is defined as an observable alteration in the position and motion of the scapula relative to the thoracic cage. Poor postural habits and neck pain are increasingly common among individuals who work predominately on computer and work with forward head posture for long hours. Methods and measures: A case control study with convenience sampling was done with 60 subjects. Each subject Scapular protraction measurements were taken with the participant standing with normal, relaxed posture. The measurements were performed at 3 different positions (at rest, hands on hip, and 900 glenohumeral abduction). All measurements were taken bilaterally. Also scapular upward rotation was measured with the help of baseline digital inclinometer at rest, 60 and 90 degree glenohumeral abduction. Results: The results showed that there is a significant difference in scapular position and in primary school teachers with neck pain. Conclusion: In the present study it was concluded that scapular position is altered which includes altered scapular protraction and upward rotation in primary school teachers who are suffering from neck pain in all three positions that is at rest, hands on hip, and 90 degree glenohumeral abduction and in scapular upward rotation.
