The Relationship Between Posture, Sense of Position, Musculoskeletal Discomfort and Anxiety

The Relationship Between Posture, Sense of Position, Musculoskeletal Discomfort and Anxiety in Asymptomatic Individuals: A Cross-Sectional Study

It is known that posture is affected by various factors such as somatosensation, visual perception and cognition. In addition, it is also thought to affect conditions such as stress and anxiety through receptors. The aim of this study was to investigate the relationship between postural changes such as thoracic kyphosis, musculoskeletal problems, trunk position sense and anxiety in young individuals who were asymptomatic in terms of musculoskeletal problems.

Study Overview

• Status: Completed
• Conditions: Anxiety; Proprioception; Musculoskeletal System; Kyphosis Postural Thoracic
• Intervention / Treatment: Other: No intervention

• Study Type: Observational
• Enrollment (Actual): 67

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey
    • Ankara Yıldırım Beyazıt University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Young people who are asymptomatic in terms of musculoskeletal problems

Description

Inclusion Criteria:

• 18 years and older
• Volunteered to participate in the study
• No systemic or neurological disease

Exclusion Criteria:

• Severe visual and hearing problems
• Orthopedic injury or surgery in the last 6 months

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Group 1; The only group of this cross-sectional observational study consists of individuals over the age of 18. There were no orthopedic and neurological chronic diseases included. Individuals with severe visual and hearing problems and individuals who had undergone surgery within the last 6 months were excluded.	Other: No intervention; No intervention was applied to the group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Throcic Kyphosis	The thoracic kyphosis angle was evaluated with a dual digital inclinometer (Acumar, Lafeyette, USA). Repetitive cervical flexion, extension and lateral flexion movements were asked from the subjects before the measurement. They were also asked to perform back rotation of the shoulders and to take a deep breath in and out. Subsequently, they were asked to stand in a normal position in which they were comfortable and the measurement was performed. The inclinometer was placed on the T1-2 and T12-L1 vertebrae. The value on the inclinometer screen was noted as the degree of kyphosis. A kyphosis angle of 20-40 degrees is considered normal. Values above 45 degrees are considered as hyperkyphosis.	Baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Trunk Position Sense	Trunk position sense was evaluated with a dual digital inclinometer (Acumar, Lafeyette, USA) during 30 degrees of trunk flexion. For the measurement, the subjects were asked to stand in a standing and comfortable position. The inclinometer was placed on the T1 and S1 vertebrae. Individuals were asked to perform 30 degrees of trunk flexion with their eyes closed. The measurement was taught by performing 2 trials. Then, the individuals were asked to find the target angle that was taught. The angle that the individuals thought was the target angle was recorded. The difference between the recorded angle and the target angle was written as absolute value. The process was repeated three times and averaged. There is no specific reference value for trunk flexion position sensation.	Baseline
Musculoskeletal Discomfort	Musculoskeletal disorders of the individuals were assessed with the Cornell Musculoskeletal Disorder Scale. The scale consists of three categories assessing the frequency, severity and work intervention of musculoskeletal discomfort in 20 different body parts within a week. The answers given in the frequency section are scored between 0-1.5-3.5-5-10. In the severity of musculoskeletal discomfort and the work disability caused by the musculoskeletal system disorder sections the answers are scored between 1-3. The scores for each body part are multiplied and then summed to obtain a total score from the three sections. The total score is the sum of all section scores. A lower score indicates less musculoskeletal discomfort.	Baseline
Anxiety	Anxiety of the individuals was assessed with the Generalised Anxiety Disorder-7 scale. The scale evaluates the experiences in the last 2 weeks. The Generalised Anxiety Disorder-7 scale is a four-point Likert-type scale based on self-report. The total score is obtained by adding the score of the answer given to each item. The higher the total score obtained from the scale, the higher the level of anxiety.	Baseline

Collaborators and Investigators

• Sponsor: Ankara Yildirim Beyazıt University

Study record dates

Study Major Dates

• Study Start (Actual): June 30, 2022
• Primary Completion (Actual): November 30, 2022
• Study Completion (Actual): December 30, 2022

Study Registration Dates

• First Submitted: April 7, 2024
• First Submitted That Met QC Criteria: April 7, 2024
• First Posted (Actual): April 11, 2024

Study Record Updates

• Last Update Posted (Actual): April 11, 2024
• Last Update Submitted That Met QC Criteria: April 7, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Musculoskeletal Diseases; Spinal Diseases; Bone Diseases; Spinal Curvatures; Anxiety Disorders; Kyphosis
• Other Study ID Numbers: 2022-874/08

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No