Impact of cervical pain, neck mobility, and body mass index on teachers’ postural control

Dias, Ana Carolina Marcotti; Ciquinato, Daiane Soares de Almeida; Marchiori, Luciana Lozza de Moraes; Andraus, Rodrigo Antonio Carvalho

doi:10.1590/1982-0216/20232514222

Ana Carolina Marcotti Dias

Conceptualization

Research collection

Article writing

Universidade Pitágoras/UNOPAR, Programa de Doutorado em Ciências da Reabilitação UEL/UNOPAR, Londrina, Paraná, Brasil.

https://orcid.org/0000-0001-7503-7850

Daiane Soares de Almeida Ciquinato

Research collection

Statistical analysis

Universidade Pitágoras/UNOPAR, Programa de Doutorado em Ciências da Reabilitação UEL/UNOPAR, Londrina, Paraná, Brasil.

https://orcid.org/0000-0002-3280-7218

Luciana Lozza de Moraes Marchiori

Conceptualization

Collection and study supervision

Laboratório Interdisciplinar de Intervenção em Promoção da Saúde (LIIPS/UNICESUMAR), Maringá, Paraná, Brasil.

https://orcid.org/0000-0002-9026-0468

Rodrigo Antonio Carvalho Andraus

Conceptualization

Collection and study supervision

Universidade Pitágoras/UNOPAR, Programa de Doutorado em Ciências da Reabilitação UEL/UNOPAR, Londrina, Paraná, Brasil.

https://orcid.org/0000-0002-3849-0872

Corresponding author: Ana Carolina Marcotti Dias, Programa de Doutorado em Ciência da Reabilitação da UNOPAR, Avenida Paris, 675, CEP: 86041-140 - Londrina, Paraná, Brasil, E-mail: acmarcotti@hotmail.com

Conflict of interests: Nonexistent.

Author contributions: ACMD: conceptualization, research collection, article writing; DSAC: research collection, statistical analysis; LLMM, RACA: conceptualization, collection and study supervision.

COP variables	Cervical pain (n = 19)	No cervical pain (n = 35)	p (Mann-Whitney test)
Bipedal stance
A-COP (cm²)	2.38 [1.64-1.33]^a	2.73 [1.22-4.68]	p = 0.553
VEL AP (cm/s)	0.33 [0.21-0.44]	0.40 [0.27-0.61]	p = 0.282
VEL ML (cm/s)	0.46 [0.36-0.67]	0.42 [0.26-0.61]	p = 0.404
D-TOTAL (cm)	20.76 [14.42-26.71]	20.30 [14.68-32.55]	p = 0.817
AMP-AP (cm)	0.96 [0.44-1.39]	0.90 [0.52-1.54]	p = 0.867
AMP-ML (cm)	1.10 [0.76-1.19]	0.92 [0.64-1.31]	p = 0.630
Semi-tandem stance
A-COP (cm²)	1.87 [1.04-3.91]	2.55 [0.69-5.15]	p = 0.572
VEL AP (cm/s)	0.10 [-0.09-0.20]	0.09 [0.22-0.26]	p = 0.846
VEL ML (cm/s)	0.45 [0.33-0.55]	0.38 [0.21-0.47]	p = 0.111
D-TOTAL (cm)	17.59 [10.79-23.06]	9.45 [2.90-14.63]	p = 0.008* r = 0.3
AMP-AP (cm)	0.82 [0.43-1.29]	0.79 [0.33-1.61]	p = 0.926
AMP-ML (cm)	0.38 [0.11-0.72]	0.35 [0.07-0.65]	p = 0.802

COP variables	Normal (n = 11)	Mild difficulty (n = 32)	Severe difficulty (n = 11)	p Kruskal-Wallis
Bipedal stance
A-COP (cm²)	2.32 [0.46-4.56]^a	2.86 [1.80-4.85]	2.33 [1.49-3.50]	p = 0.454
VEL AP (cm/s)	0.40 [0.30-0.69]	0.37 [0.23-0.60]	0.40 [1.13-0.52]	p = 0.887
VEL ML (cm/s)	0.39 [0.26-0.54]	0.45 [0.28-0.61]	0.53 [0.37-0.73]	p = 0.434
D-TOTAL (cm)	18.11 [14.88-26.83]	20.90 [14.61-29.80]	22.70 [11.84-35.14]	p = 0.952
AMP-AP (cm)	0.78 [0.22-1.33]	1.01 [0.55-1.60]	0.84 [0.32-1.26]	p = 0.440
AMP-ML (cm)	0.87 [0.47-1.38]	1.03 [0.70-1.33]	1.07 [0.70-1.15]	p = 0.756
Semi-tandem stance
A-COP (cm²)	1.97 [0.40-4.22]	1.91 [0.87-4.66]	2.58 [1.06-6.75]	p = 0.759
VEL AP (cm/s)	0.09 [0.04-0.32]	0.11 [0.09-0.19]	0.07 [0.03-0.27]	p = 0.753
VEL ML (cm/s)	0.35 [0.20-0.49]	0.41 [0.22-0.47]	0.50 [0.38-0.55]	p = 0.174
D-TOTAL (cm)	9.71 [3.09-17.92]	10.81 [3.90-16.74]	22.90 [12.40-27.77]	p = 0.037* E_r² = 0.12
AMP-AP (cm)	0.75 [0.05-1.57]	0.76 [0.38-1.52]	1.01 [0.33-1.65]	p = 0.840
AMP-ML (cm)	0.11 [0.09-0.60]	0.38 [0.08-0.69]	0.34 [0.12-1.55]	p = 0.572

COP variables	Normal			Mild			Severe
COP variables	No pain (n = 10)	Neck pain (n = 1)	p-value^†	No pain (n = 18)	Neck pain (n = 14)	p-value	No pain (n = 7)	Neck pain (n = 4)	p-value
Bipedal stance
A-COP (cm²)	1.73 [0.39-3.21]^a	6.13	p = 0.114	3.51 [2.31-5.45]	2.07 [1.54-3.15]	p = 0.037* r = 0.36	2.28 [0.34-3.74]	2.46 [1.96-4.20]	p = 0.521
VEL AP (cm/s)	0.35 [0.28-0.52]	0.69	p = 0.341	0.49 [0.20-0.65]	0.32 [0.24-0.44]	p = 0.270	0.44 [0.22-0.57]	0.31 [0.17-0.44]	p = 0.392
VEL ML (cm/s)	0.38 [0.25-0.45]	1.08	p = 0.182	0.44 [0.25-0.64]	0.45 [0.30-0.63]	p = 0.864	0.55 [0.11-0.76]	0.53 [0.41-0.72]	p = 0.837
D-TOTAL (cm)	17.83 [13.89-23.92]	48.26	p = 0.194	22.81 [13.33-34.57]	19.41 [16.55-24.08]	p = 0.382	24.11 [8.98-35.14]	18.00 [11.34-35.98]	p = 0.831
AMP-AP (cm)	0.76 [0.13-1.44]	1.21	p = 0.527	1.08 [0.59-1.69]	0.96 [0.45-1.48]	p = 0.635	0.89 [0.56-1.46]	0.66 [0.10-1.14]	p = 0.394
AMP-ML (cm)	0.75 [0.42-1.22]	1.95	p = 0.111	0.94 [0.72-1.40]	1.11 [0.61-1.22]	p = 0.608	0.94 [0.34-1.23]	1.07 [0.86-1.16]	p = 0.669
Semi-tandem stance
A-COP (cm²)	2.17 [0.27-4.81]	1.97	p = 1.000	2.37 [1.08-5.24]	1.64 [0.77-3.92]	p = 0.362	2.58 [0.50-8.05]	2.66 [1.40-9.46]	p = 0.831
VEL AP (cm/s)	0.37 [0.15-0.47]	0.80	p = 0.117	0.10 [0.04-0.22]	0.13 [0.09-0.20]	p = 0.955	0.17 [0.03-0.40]	0.11 [0.03-0.17]	p = 0.114
VEL ML (cm/s)	0.29 [0.19-0.44]	0.82	p = 0.112	0.39 [0.20-0.44]	0.43 [0.24-0.55]	p = 0.342	0.50 [0.28-0.61]	0.48 [0.41-0.56]	p = 0.914
D-TOTAL (cm)	7.09 [4.43-14.86]	66.92	p = 0.126	7.04 [2.90-12.56]	13.99 [8.84-17.72]	p = 0.058	14.11 [8.42-27.77]	23.59 [22.82-42.66]	p = 0.201
AMP-AP (cm)	0.61 [0.02-1.61]	1.41	p = 0.752	0.84 [0.32-1.67]	0.62 [0.39-1.23]	p = 0.582	1.02 [0.33-1.71]	1.01 [0.34-2.34]	p = 0.757
AMP-ML (cm)	0.28 [0.11-0.48]	0.72	p = 0.206	0.43 [0.27-0.68]	0.35 [0.25-0.75]	p = 0.676	0.52 [0.11-1.55]	0.33 [0.17-2.33]	p = 0.762

COP Variables	No dysfunction (n = 5)	Mild dysfunction (n = 31)			Moderate dysfunction (n = 13)			Severe dysfunction, level 3 (n = 5)
COP Variables	No pain (n = 5)	No pain (n = 19)	With pain (n = 12)	p-value^†	No pain (n = 8)	With pain (n = 5)	p-value	No pain (n = 3)	With pain (n = 2)	p-value
Bipedal stance
A-COP (cm²)	1.14 [0.01-3.63]^a	2.76 [1.80-5.04]	2.29 [1.64-4.68]	0.646	3.09 [0.49-5.38]	2.55 [2.01-3.82]	0.876	3.35 [2.28-5.72]	1.15 [0.36-1.37]	0.200
VEL AP (cm/s)	040 [0.35-0.63]	0.35 [0.16-0.63]	0.36 [0.26-0.49]	0.984	0.38 [0.29-0.57]	0.21 [-0.06-0.38]	0.268	0.55 [0.51-0.59]	0.43 [0.31-0.33]	0.200
VEL ML (cm/s)	0.43 [0.32-0.62]	0.41 [0.22-0.60]	0.48 [0.34-0.65]	0.326	0.43 [0.27-0.67]	0.60 [0.08-0.73]	0.530	0.57 [0.30-0.90]	0.41 [0.27-0.34]	0.800
D-TOTAL (cm)	18.82 [17.83-33.92]	19.33 [10.92-33.41]	19.56 [17.31-27.04]	0.734	21.52 [11.10-28.63]	12.10 [1.06-31.61]	0.755	30.19 [16.59-34.60]	22.33 [15.57-17.92]	0.800
AMP-AP (cm)	0.74 [0.55-1.31]	0.79 [0.47-1.43]	1.02 [0.66-1.58]	0.412	1.41 [0.69-1.77]	0.96 [0.40-1.30]	0.268	1.55 [0.73-1.74]	0.07 [-0.08-0.18]	0.200
AMP-ML (cm)	0.86 [0.01-3.63]	0.91 [0.65-1.30]	1.15 [0.77-1.40]	0.411	0.76 [0.54-1.12]	1.07 [0.20-1.09]	1.000	1.36 [1.14-1.53]	0.86 [0.40-0.89]	0.400
Semi-tandem stance
A-COP (cm²)	2.63 [-0.13-6.77]	2.01 [0.40-4.90]	1.89 [0.96-3.95]	1.000	4.22 [0.73-5.54]	1.87 [1.10-7.38]	0.755	2.69 [1.32-16.76]	1.29 [0.35-1.58]	0.400
VEL AP (cm/s)	-0.02 [-0.34-0.39]	0.08 [-0.10-0.12]	0.13 [-0.06-0.25]	0.269	0.12 [0.06-0.49]	-0.03 [-0.39-1.14]	0.106	0.25 [0.15-0.36]	0.13 [0.04-0.15]	0.400
VEL ML (cm/s)	0.35 [0.22-0.63]	0.34 [0.18-0.43]	0.51 [0.34-0.64]	0.028* r = 0.4	0.43 [0.30-0.50]	0.41 [0.14-0.48]	0.432	0.51 [0.32-0.55]	0.50 [0.31-0.43]	1.000
D-TOTAL (cm)	4.48 [-11.18-23.82]	4.89 [2.07-11.83]	17.25 [17.83-20.73]	0.002* r = 0.5	12.27 [8.79-28.48]	23.06 [2.58-36.48]	0.530	14.59 [3.52-26.79]	17.24 [8.80-17.05]	1.000
AMP-AP (cm)	0.47 [-0.54-1.72]	0.75 [0.37-1.60]	0.74 [0.36-1.27]	0.889	1.30 [0.35-1.72]	1.17 [0.30-2.98]	0.876	1.24 [1.19-2.94]	0.65 [0.33-0.63]	0.800
AMP-ML (cm)	0.44 [-0.01-1.29]	0.11 [-0.20-0.56]	0.46 [0.16-0.83]	0.205	0.50 [0.04-1.47]	0.25 [-0.13-1.69]	0.753	0.42 [0.27-1.82]	-0.09 [-0.25-0.11]	0.200

COP Variables	Well-nourished (n = 28)	Overweight (n = 16)	Obese (n = 10)	p Kruskal-Wallis
Bipedal stance
A-COP (cm²)	2.83 [1.83-5.13]^a	2.42 [1.25-3.33]	1.82 [0.13-2.73]	p = 0.062
VEL AP (cm/s)	0.40 [0.31-0.59]	0.31 [0.12-0.44]	0.38 [0.07-0.67]	p = 0.335
VEL ML (cm/s)	0.42 [0.30-0.57]	0.51 [0.39-0.67]	0.50 [0.43-0.85]	p = 0.491
D-TOTAL (cm)	18.82 [15.21-30.19]	21.05 [12.10-27.15]	20.76 [12.84-35.44]	p = 0.819
AMP-AP (cm)	1.33 [0.79-1.68]	0.73 [0.44-1.03]	0.25 [-058.-0.93]	p = 0.003* E_r² = 0.02
AMP-ML (cm)	1.13 [0.83-1.42]	0.79 [0.64-1.12]	0.86 [0.15-1.10]	p = 0.030* E_r² = 0.01
Semi-tandem stance
A-COP (cm²)	2.12 [1.32-4.90]	1.84 [0.73-6.61]	1.17 [0.77-2.58]	p = 0.156
VEL AP (cm/s)	0.11 [0.01-0.19]	0.19 [0.10-0.37]	0.16 [0.07-0.22]	p = 0.595
VEL ML (cm/s)	0.42 [0.32-0.49]	1.28 [1.11-1.58]	1.07 [1.04-1.28]	p = 0.879
D-TOTAL (cm)	10.83 [4.14-17.64]	13.63 [5.50-24.12]	9.96 [1.90-28.75]	p = 0.730
AMP-AP (cm)	0.89 [0.47-1.60]	0.82 [0.43-1.72]	0.35 [0.12-1.02]	p = 0.138
AMP-ML (cm)	0.44 [0.14-0.72]	0.16 [0.09-0.60]	0.77 [0.51-1.17]	p = 0.268

COP Variables	R²	Predictor	B (95% CI)	β	F	t	p-value
Bipedal stance
A-COP	0.07	No	-	-	0.47	-	0.845
VEL AP	0.06	No	-	-	0.42	-	0.879
VEL ML	0.04	No	-	-	0.71		0.656
D-TOTAL	0.02	No	-	-	0.13	-	0.995
AMP-AP	0.35	BMI	0.13 (0.04 -0.22)	0.762	10.14	3.05	0.004*
		Obesity	-2.63 (-3.74 -1.15)	-0.601		-4.77	0.001*
		Overweight	-1.03 (-1.63 -0.43	-0.802		-3.47	0.001*
AMP-ML	0.08	Obesity	-0.50 (-0.92 -0.07	-0.323	5.69	-2.38	0.021*
Semi-tandem
A-COP	0.19	Obesity	-4.67 (-7.43 -1.91	-0.541	7.18	-3.40	0.001*
A-COP	0.19	Severe mobility	3.39 (0.74 -6.04)	0.340	7.18	2.57	0.013*
VEL AP	0.04	No	-	-	0.71	-	0.661
VEL ML	0.04	No	-	-	0.67	-	0.696
D-TOTAL	0.18	Cervical pain	9.91 (2.38 -17.45)	0.338	6.70	2.64	0.011*
D-TOTAL	0.18	Severe mobility	10.82 (1.75 - 19.89)	0.307	6.70	2.40	0.020*
AMP-AP	0.09	Obesity	-0.82 (-1.47 -0.17	-0.357	3.75	-2.54	0.014*
AMP-ML	0.03	No	-	-	0.81	-	0.578

[1] Corresponding author: Ana Carolina Marcotti Dias, Programa de Doutorado em Ciência da Reabilitação da UNOPAR, Avenida Paris, 675, CEP: 86041-140 - Londrina, Paraná, Brasil, E-mail: acmarcotti@hotmail.com

Brasil

Brasil

Impact of cervical pain, neck mobility, and body mass index on teachers’ postural control

ABSTRACT

Purpose:

Methods:

Results:

Conclusion: