Cross-sectional study of neck pain and cervical sagittal alignment in air force pilots

Bong Ju Moon, Kyong Ho Choi, Chul Yun, Yoon Ha

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

BACKGROUND: There is a high prevalence of neck pain in air force pilots; however, the causes are not clear and are considered workrelated. Kyphotic changes in the cervical spine have been known to cause neck pain. In this study, we investigated the association between neck pain and cervical kyphosis in air force pilots. METHODS: This is a cross-sectional study of 63 Republic of South Korea Air Force pilots. We examined the C2-7 absolute rotation angle (ARA) using the posterior tangent method and other radiologic parameters on whole spine lateral radiographs. We divided the participants into a neck pain group (N = 32) and no neck pain group (N = 31), and subsequently analyzed the difference in radiographic parameters and clinical data between the two groups. RESULTS: There were no significant differences found in age, body mass index, total flight time, or aerobic or anaerobic exercise between the neck pain and control groups. The fighter pilots had higher 1-yr prevalence of neck pain than nonfighter pilots (84.4% vs. 15.6%). The lower C2-7 ARA (OR = 0.91, 95% CI 0.846, 0.979) and fighter type aircrafts (OR = 3.93, 95% CI 1.104, 13.989) were associated with neck pain. CONCLUSIONS: Fighter pilots experienced neck pain more frequently than the nonfighter pilots. Those fighter pilots suffering from neck pain were shown to have more kyphotic changes in the cervical spine than control pilots through evaluation of whole spine lateral radiographs using the posterior tangent method. These key findings suggest that the forces involved in flying a fighter type aircraft may affect cervical alignment and neck pain.

Original languageEnglish
Pages (from-to)445-451
Number of pages7
JournalAerospace medicine and human performance
Volume86
Issue number5
DOIs
Publication statusPublished - 2015 May 1

Fingerprint

Neck Pain
Cross-Sectional Studies
Air
Spine
Republic of Korea
Aircraft
Pilots
Kyphosis
Body Mass Index
Exercise

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

@article{25b9707c611d4230926fab9496159f4f,
title = "Cross-sectional study of neck pain and cervical sagittal alignment in air force pilots",
abstract = "BACKGROUND: There is a high prevalence of neck pain in air force pilots; however, the causes are not clear and are considered workrelated. Kyphotic changes in the cervical spine have been known to cause neck pain. In this study, we investigated the association between neck pain and cervical kyphosis in air force pilots. METHODS: This is a cross-sectional study of 63 Republic of South Korea Air Force pilots. We examined the C2-7 absolute rotation angle (ARA) using the posterior tangent method and other radiologic parameters on whole spine lateral radiographs. We divided the participants into a neck pain group (N = 32) and no neck pain group (N = 31), and subsequently analyzed the difference in radiographic parameters and clinical data between the two groups. RESULTS: There were no significant differences found in age, body mass index, total flight time, or aerobic or anaerobic exercise between the neck pain and control groups. The fighter pilots had higher 1-yr prevalence of neck pain than nonfighter pilots (84.4{\%} vs. 15.6{\%}). The lower C2-7 ARA (OR = 0.91, 95{\%} CI 0.846, 0.979) and fighter type aircrafts (OR = 3.93, 95{\%} CI 1.104, 13.989) were associated with neck pain. CONCLUSIONS: Fighter pilots experienced neck pain more frequently than the nonfighter pilots. Those fighter pilots suffering from neck pain were shown to have more kyphotic changes in the cervical spine than control pilots through evaluation of whole spine lateral radiographs using the posterior tangent method. These key findings suggest that the forces involved in flying a fighter type aircraft may affect cervical alignment and neck pain.",
author = "Moon, {Bong Ju} and Choi, {Kyong Ho} and Chul Yun and Yoon Ha",
year = "2015",
month = "5",
day = "1",
doi = "10.3357/AMHP.4123.2015",
language = "English",
volume = "86",
pages = "445--451",
journal = "Aerospace medicine and human performance",
issn = "2375-6314",
publisher = "Aerospace Medical Association",
number = "5",

}

Cross-sectional study of neck pain and cervical sagittal alignment in air force pilots. / Moon, Bong Ju; Choi, Kyong Ho; Yun, Chul; Ha, Yoon.

In: Aerospace medicine and human performance, Vol. 86, No. 5, 01.05.2015, p. 445-451.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cross-sectional study of neck pain and cervical sagittal alignment in air force pilots

AU - Moon, Bong Ju

AU - Choi, Kyong Ho

AU - Yun, Chul

AU - Ha, Yoon

PY - 2015/5/1

Y1 - 2015/5/1

N2 - BACKGROUND: There is a high prevalence of neck pain in air force pilots; however, the causes are not clear and are considered workrelated. Kyphotic changes in the cervical spine have been known to cause neck pain. In this study, we investigated the association between neck pain and cervical kyphosis in air force pilots. METHODS: This is a cross-sectional study of 63 Republic of South Korea Air Force pilots. We examined the C2-7 absolute rotation angle (ARA) using the posterior tangent method and other radiologic parameters on whole spine lateral radiographs. We divided the participants into a neck pain group (N = 32) and no neck pain group (N = 31), and subsequently analyzed the difference in radiographic parameters and clinical data between the two groups. RESULTS: There were no significant differences found in age, body mass index, total flight time, or aerobic or anaerobic exercise between the neck pain and control groups. The fighter pilots had higher 1-yr prevalence of neck pain than nonfighter pilots (84.4% vs. 15.6%). The lower C2-7 ARA (OR = 0.91, 95% CI 0.846, 0.979) and fighter type aircrafts (OR = 3.93, 95% CI 1.104, 13.989) were associated with neck pain. CONCLUSIONS: Fighter pilots experienced neck pain more frequently than the nonfighter pilots. Those fighter pilots suffering from neck pain were shown to have more kyphotic changes in the cervical spine than control pilots through evaluation of whole spine lateral radiographs using the posterior tangent method. These key findings suggest that the forces involved in flying a fighter type aircraft may affect cervical alignment and neck pain.

AB - BACKGROUND: There is a high prevalence of neck pain in air force pilots; however, the causes are not clear and are considered workrelated. Kyphotic changes in the cervical spine have been known to cause neck pain. In this study, we investigated the association between neck pain and cervical kyphosis in air force pilots. METHODS: This is a cross-sectional study of 63 Republic of South Korea Air Force pilots. We examined the C2-7 absolute rotation angle (ARA) using the posterior tangent method and other radiologic parameters on whole spine lateral radiographs. We divided the participants into a neck pain group (N = 32) and no neck pain group (N = 31), and subsequently analyzed the difference in radiographic parameters and clinical data between the two groups. RESULTS: There were no significant differences found in age, body mass index, total flight time, or aerobic or anaerobic exercise between the neck pain and control groups. The fighter pilots had higher 1-yr prevalence of neck pain than nonfighter pilots (84.4% vs. 15.6%). The lower C2-7 ARA (OR = 0.91, 95% CI 0.846, 0.979) and fighter type aircrafts (OR = 3.93, 95% CI 1.104, 13.989) were associated with neck pain. CONCLUSIONS: Fighter pilots experienced neck pain more frequently than the nonfighter pilots. Those fighter pilots suffering from neck pain were shown to have more kyphotic changes in the cervical spine than control pilots through evaluation of whole spine lateral radiographs using the posterior tangent method. These key findings suggest that the forces involved in flying a fighter type aircraft may affect cervical alignment and neck pain.

UR - http://www.scopus.com/inward/record.url?scp=84930813054&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84930813054&partnerID=8YFLogxK

U2 - 10.3357/AMHP.4123.2015

DO - 10.3357/AMHP.4123.2015

M3 - Article

VL - 86

SP - 445

EP - 451

JO - Aerospace medicine and human performance

JF - Aerospace medicine and human performance

SN - 2375-6314

IS - 5

ER -