From: Physical risk factors for adolescent neck and mid back pain: a systematic review
Outcome variable | Changes in adolescents with NSP | No changes in adolescents with NSP | |
---|---|---|---|
Sitting posture | Cervicothoracic angle | Slightly decreased in adolescents with NSP, if not adjusted for gender [28] Decreased in adolescents with prolonged NSP, if not adjusted for gender [27] | Â |
Craniocervical angle | Â | Straker et al., 2008 [28] | |
Straker et al., 2009 [27] | |||
Head flexion | Â | Straker et al., 2008 [28] | |
Straker et al., 2009 [27] | |||
Lumbar angle | More lordotic/smaller lumbar angle in adolescents with prolonged NSP after controlling for gender [27] | Straker et al., 2008 [28] | |
Neck flexion | Â | Straker et al., 2008 [28] | |
Straker et al., 2009 [27] | |||
Pelvic tilt | Increased anterior pelvic tilt in adolescents with prolonged NSP after controlling for gender [27] | Straker et al., 2008 [28] | |
Trunk angle | Decreased in adolescents with prolonged NSP, if not adjusted for gender [27] Slightly decreased in adolescents with NSP, if not adjusted for gender [28] | Â | |
Standing posture | Body lean angle | Sway back posture = large trunk lean angle and body lean angle in boys with neck pain [24] | Dolphens et al., 2012 [23] |
Dolphens et al., 2014 [25] | |||
Craniovertebral angle | Anteroposition of the head = smaller craniovertebral angle in boys with neck pain; more lifetime doctor visits in girls with anteroposition of the head [23] |  | |
Pelvic displacement angle | Â | Dolphens et al., 2012 [23] | |
Dolphens et al., 2013 [24] | |||
Dolphens et al., 2014 [25] | |||
Trunk lean angle | Increased trunk lean angle = increased posterior trunk tilt in boys with neck pain [23] Sway back posture = large trunk lean angle and body lean angle in boys with neck pain [24] | Dolphens et al., 2014 [25] | |
Trunk | Functional stability (Matthiass test) | Â | Wirth et al., 2013 [29] |
Asymmetry (forward bending test) | Â | Wirth et al., 2013 [29] | |
Spinal mobility (fingertip-floor distance) | Â | Wirth et al., 2013 [29] | |
Endurance (sustained back extension test, abdominal curls) | Boys: lower odds for NSP when back muscle endurance reduced; girls: U-shape between NSP and back muscle endurance, higher odds for NSP when abdominal muscle endurance increased [26] | Â | |
Upper limb | Upper limb power (seated basketball throw) | Boys: higher odds for NSP when upper limb power increased; girls: lower odds for NSP when upper limb power increased [26] | Â |
Grip strength | Â | Perry et al., 2008 [26] | |
Shoulder flexibility (shoulder stretch) | Girls: lower odds for NSP when shoulder flexibility decreased [26] | Â | |
Other | Coordination (single leg stance) | Â | Wirth et al., 2013 [29] |
Motor competence (neurodevelopmental index) | Â | Perry et al., 2008 [26] | |
Lower limb power (standing long jump) | Boys and girls: higher odds for NSP when lower limb power increased [26] | Â |