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PAFMJ. 2016; 66(0): S22-S25


INTENSITY OF NECK PAIN SECONDARY TO EXCESSIVE FLEXION POSTURING, ITS ASSOCIATION WITH STUDY ACTIVITIES AND DURATION OF POSTURING AND IMPACT ON SLEEP IN STUDENTS OF WOMEN MEDICAL COLLEGE, ABBOTTABAD

Saeed Bin Ayaz, Riffat Malik, Atif Ahmed KhaN, Zaheer Ahmed Gill, Noreen Akhtar, Sumeera Matee.

Abstract
Objective: To determine the intensity of neck pain in neck flexion posture, prevalence of neck pain radiation to arms and interference with sleep and association of pain development with duration of abnormal posture and study activities in female students of Women Medical College (WMC), Abbottabad.
Study Design: A cross-sectional descriptive study.
Place and Duration of Study: Women Medical College, Abbottabad from October 2012 to March 2013.
Material and Methods: Using nonprobability convenience sampling, we included students (all females) of WMC suffering from neck pain due to neck flexion posture. Those with a history of rheumatoid arthritis; trauma, disease or surgery of the neck or shoulders were excluded. The intensity of neck pain was described in subjective terms of “unbearable”, “severe”, “moderate”, “mild” and “just discomfort”. All the subjects were inquired if they developed neck pain during study activities and after keeping the neck flexion posture for ≥ 2 hours or < 2 hours and if the pain radiated to the arms or interfered with sleep. SPSS version 20 was used to analyze the data.
Results: Out of 83 subjects with mean age (23 ± 1 year), 4 (4.8%) had unbearable, 14 (16.9%) had severe, 33 (39.8%) had moderate and 13 (15.7%) had mild neck pain. Nineteen (22.9%) graded their pain as just discomforting. In 48.2% (n=40), the neck pain radiated to the arms. Majority of the subjects 61.4% (n=51) developed neck pain after flexion posturing for ≥ 2 hours and during study activities 92.8% (n=77). The neck pain affected sleep in 56 (67.5%) individuals.
Conclusion: The neck pain in neck flexion posturing in female students of WMC is primarily of moderate intensity more common during study time and affected their sleep. The individuals maintained neck flexion posture for ≥ 2 hours are more prone to develop neck pain than those who maintained it for < 2 hours.

Key words: Neck flexion posture, Neck pain, Students.



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