Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers

Purpose: This study aimed to assess upper-body postural angles and neck pain among car drivers and motorcycle drivers separately, and to compare these outcomes between the two groups. Methods: This cross-sectional study comprised a total of 200 participants, with an equal distribution between car dr...

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Main Authors: Aafreen Aafreen, Abdur Raheem Khan, Ashfaque Khan, Ausaf Ahmad, Monira I. Aldhahi, Weam Okab Alsalem, Mohammed M Alshehri, Almutasim Billa Moafa, Ahmed Ghazwani, Mohammad Abu Shaphe
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Transportation Research Interdisciplinary Perspectives
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590198225002131
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author Aafreen Aafreen
Abdur Raheem Khan
Ashfaque Khan
Ausaf Ahmad
Monira I. Aldhahi
Weam Okab Alsalem
Mohammed M Alshehri
Almutasim Billa Moafa
Ahmed Ghazwani
Mohammad Abu Shaphe
author_facet Aafreen Aafreen
Abdur Raheem Khan
Ashfaque Khan
Ausaf Ahmad
Monira I. Aldhahi
Weam Okab Alsalem
Mohammed M Alshehri
Almutasim Billa Moafa
Ahmed Ghazwani
Mohammad Abu Shaphe
author_sort Aafreen Aafreen
collection DOAJ
description Purpose: This study aimed to assess upper-body postural angles and neck pain among car drivers and motorcycle drivers separately, and to compare these outcomes between the two groups. Methods: This cross-sectional study comprised a total of 200 participants, with an equal distribution between car drivers (n = 100) and motorcycle drivers (n = 100). To evaluate upper-body postural alignment, measurements of the craniovertebral angle, sagittal head tilt, coronal head tilt, and thoracic flexion angle were obtained.The severity of neck pain was measured using a visual analog scale. The data were analysed to compare the upper-body postural angle and neck pain between driver groups. Result: The study found that car drivers had significantly higher mean craniovertebral angle (CVA) of 52.6 degree (°) compared to 47.2° in motorcycle drivers (p = 0.0001), a lower sagittal head tilt of 10.2° versus 12.3° (p = 0.0001), and a lower thoracic flexion of 26.4° versus 30.7 (p = 0.023). However, motorcycle drivers reported a significantly higher mean neck pain score of 6.1, compared to 5.5 in car drivers (p = 0.0001). Thus, the prevalence of neck pain was higher in motorcycle driver (54 %) compared to 36 % in car drivers. Conclusion: This study found that both car and motorcycle drivers had distinct upper-body postural angles and neck pain levels. When comparing the two groups, motorcycle drivers showed greater deviations in craniovertebral and thoracic flexion angles and a higher prevalence of neck pain than car drivers. These results highlight the need for targeted interventions to address neck health in both populations.
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issn 2590-1982
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spelling doaj-art-ba9aeb40f4854312a31bfb8ae756cd282025-08-22T04:57:55ZengElsevierTransportation Research Interdisciplinary Perspectives2590-19822025-07-013210153410.1016/j.trip.2025.101534Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle driversAafreen Aafreen0Abdur Raheem Khan1Ashfaque Khan2Ausaf Ahmad3Monira I. Aldhahi4Weam Okab Alsalem5Mohammed M Alshehri6Almutasim Billa Moafa7Ahmed Ghazwani8Mohammad Abu Shaphe9Department of Physiotherapy, Integral University, Lucknow, IndiaDepartment of Physiotherapy, Integral University, Lucknow, India; Corresponding author.Department of Physiotherapy, Integral University, Lucknow, IndiaDepartment of Community Medicine, Kalyan Singh Government Medical College, Bulandshahr, IndiaDepartment of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi ArabiaDepartment of Physical Therapy, Diriyah Hospital, Ministry of Health, Riyadh, Saudi ArabiaDepartment of Physical Therapy, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi ArabiaCompany of United Rehabilitation Experts, Jazan, Saudi ArabiaDepartment of Physical Therapy, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi ArabiaMohammad Abu Shaphe, Department of Physical Therapy, College of Nursing and Health Sciences, Jazan University, Jazan, Saudi ArabiaPurpose: This study aimed to assess upper-body postural angles and neck pain among car drivers and motorcycle drivers separately, and to compare these outcomes between the two groups. Methods: This cross-sectional study comprised a total of 200 participants, with an equal distribution between car drivers (n = 100) and motorcycle drivers (n = 100). To evaluate upper-body postural alignment, measurements of the craniovertebral angle, sagittal head tilt, coronal head tilt, and thoracic flexion angle were obtained.The severity of neck pain was measured using a visual analog scale. The data were analysed to compare the upper-body postural angle and neck pain between driver groups. Result: The study found that car drivers had significantly higher mean craniovertebral angle (CVA) of 52.6 degree (°) compared to 47.2° in motorcycle drivers (p = 0.0001), a lower sagittal head tilt of 10.2° versus 12.3° (p = 0.0001), and a lower thoracic flexion of 26.4° versus 30.7 (p = 0.023). However, motorcycle drivers reported a significantly higher mean neck pain score of 6.1, compared to 5.5 in car drivers (p = 0.0001). Thus, the prevalence of neck pain was higher in motorcycle driver (54 %) compared to 36 % in car drivers. Conclusion: This study found that both car and motorcycle drivers had distinct upper-body postural angles and neck pain levels. When comparing the two groups, motorcycle drivers showed greater deviations in craniovertebral and thoracic flexion angles and a higher prevalence of neck pain than car drivers. These results highlight the need for targeted interventions to address neck health in both populations.http://www.sciencedirect.com/science/article/pii/S2590198225002131Neck painUpper body postureCar driversMotorcycle driversPostural angles
spellingShingle Aafreen Aafreen
Abdur Raheem Khan
Ashfaque Khan
Ausaf Ahmad
Monira I. Aldhahi
Weam Okab Alsalem
Mohammed M Alshehri
Almutasim Billa Moafa
Ahmed Ghazwani
Mohammad Abu Shaphe
Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers
Transportation Research Interdisciplinary Perspectives
Neck pain
Upper body posture
Car drivers
Motorcycle drivers
Postural angles
title Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers
title_full Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers
title_fullStr Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers
title_full_unstemmed Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers
title_short Comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers
title_sort comparative analysis of upper body postural angles and their association with neck pain in car and motorcycle drivers
topic Neck pain
Upper body posture
Car drivers
Motorcycle drivers
Postural angles
url http://www.sciencedirect.com/science/article/pii/S2590198225002131
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