Correlation Between Forward Head Posture and neck pain in IT Professionals by using Postural Screen Mobile App

Forward Head Posture and neck pain in IT Professionals


  • Iqra Tariq University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Hira Riaz University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Maryam Anwar
  • Ashfaq Ahmed University Institute of Physical Therapy, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan



Craniovertebral Angle, Head Posture, Neck Pain, Postural Screen, Mobile


Neck pain is a type of pain that starts inside the neck and can radiate down to one or both arms. Neck discomfort can be caused by a variety of disorders or illnesses affecting any of the neck structures, nerve fibers, bones, joints, connective or contractile tissue. Forward head position is described as the skull being bent forward over the atlas by more than one inch. Objective: To assess the correlation of neck pain with forward head posture in IT Professionals by using the postural screen mobile app (sit screen). Methods: It was a cross-sectional survey. The sample size was 150.  The study was conducted at TkXel Software Company and UMT IT department and UOL IT department in Lahore. Males of age 20-60 were included in the study. The tool used was the Posture Screen Mobile app iPhone 7plus and neck disability pain index questionnaire. Results: The cross-tabulation of NPAD SCORE and CV angle resulted in negative co-relation with r=-0.680 p<0.05 i.e., the smaller CV angle showed the worst FHP along with greater NPAD SCRORE showed the worst becomes neck pain. Cross-tabulation of working hours and CV angle result in negative co-relation with r= -0.450, p<0.05 i.e., worst FHP with working hours greater than 6 hours. Cross-tabulation of working hours and NPAD SCORE result in positive co-relation with r= 0.477, p<0.05 i.e., the greater the NPAD SCRORE the worst becomes neck pain with working hours greater than 6 hours. All calculations showed that FHP and neck pain are positively correlated with each other as working hours increased, with the result being statistically significant. Conclusions: Our findings have revealed that IT employees had a defective posture and improper posture was more severe while working more than 6 hours per/day. The ratio of moderate pain with FHP was found in the majority of IT professionals


Alex P and Michael M. Neck pain. American Association of Neurological Surgeons. 2021.

Arthritis V. Neck pain. Versus Arthritis. 2018.

Lopez Dr. Forward head posture Spine & Health Center of New Jersey. 2019.

Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM and Silva AG. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Curr Rev Musculoskelet Med. 2019;12(4):562-577. doi: 10.1007/s12178-019-09594-y.

Nejati P, Lotfian S, Moezy A and 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):295-303. doi: 10.13075/ijomeh.1896.00352.

Lee KJ, Han HY, Cheon SH, Park SH and Yong MS. The effect of forward head posture on muscle activity during neck protraction and retraction. J Phys Ther Sci. 2015;27(3):977-9. doi: 10.1589/jpts.27.977.

Erick PN and Smith DR. Low back pain among school teachers in Botswana, prevalence and risk factors. BMC Musculoskelet Disord. 2014;15:359. doi: 10.1186/1471-2474-15-359.

Shin YJ, Kim WH and Kim SG. Correlations among visual analogue scale, neck disability index, shoulder joint range of motion, and muscle strength in young women with forward head posture. J Exerc Rehabil. 2017;13(4):413-417. doi: 10.12965/jer.1734956.478.

Gavin Morrison P. Forward Head Posture’s Effect on Neck Muscles. SPINE-Health. 2018.

Boland DM, Neufeld EV, Ruddell J, Dolezal BA and 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.

Rippe JM. Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. Am J Lifestyle Med. 2018;12(6):499-512. doi: 10.1177/1559827618785554.

Cagnie B, Danneels L, Van Tiggelen D, De Loose V and Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007;16(5):679-86. doi: 10.1007/s00586-006-0269-7.

Côté P, Cassidy JD and Carroll L. The factors associated with neck pain and its related disability in the Saskatchewan population. Spine. 2000;25(9):1109-17.

Briggs A, Straker L and Greig A. Upper quadrant postural changes of school children in response to interaction with different information technologies. Ergonomics. 2004;47(7):790-819. doi: 10.1080/00140130410001663569.

Ariëns GA, Bongers PM, Douwes M, Miedema MC, Hoogendoorn WE and van der Wal G et al. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occup Environ Med. 2001;58(3):200-7. doi: 10.1136/oem.58.3.200.

Yang H, Hitchcock E, Haldeman S, Swanson N, Lu ML and Choi B et al. Workplace psychosocial and organizational factors for neck pain in workers in the United States. Am J Ind Med. 2016;59(7):549-60. doi: 10.1002/ajim.22602.

Yang H, Haldeman S, Nakata A, Choi B, Delp L and Baker D. Work-related risk factors for neck pain in the US working population. Spine. 2015;40(3):184-92. doi: 10.1097/BRS.0000000000000700.

Shete KM, Suryawanshi P and Gandhi N. Management of low back pain in computer users: A multidisciplinary approach. J Craniovertebr Junction Spine. 2012;3(1):7-10. doi: 10.4103/0974-8237.110117.

Yip CH, Chiu TT and Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008;13(2):148-54. doi: 10.1016/j.math.2006.11.002.

Paksaichol A, Lawsirirat C and Janwantanakul P. Contribution of biopsychosocial risk factors to nonspecific neck pain in office workers: a path analysis model. Journal of Occupational Health. 2014:14-0124.




How to Cite

Tariq, I. . ., Riaz , H. ., Anwar , M. ., & Ahmed, A. . (2022). Correlation Between Forward Head Posture and neck pain in IT Professionals by using Postural Screen Mobile App: Forward Head Posture and neck pain in IT Professionals. Pakistan BioMedical Journal, 5(4), 190–194.



Original Article