Prevalence of Rounded Shoulders and Its Association with Craniovertebral Angle among Freelancers

Authors

  • Zain Ali Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan https://orcid.org/0009-0002-1758-5837
  • Arbish Mansoor Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan https://orcid.org/0009-0007-2911-7770
  • Yoha Saher Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan https://orcid.org/0009-0003-7145-144X
  • Noor Fatima Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
  • Muhammad Waqar Younas Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan
  • Noreen Kiren Department of Rehabilitation Sciences, The University of Faisalabad, Faisalabad, Pakistan

DOI:

https://doi.org/10.55735/c8fchk16

Keywords:

Craniovertebral angle, Freelancers , Neck pain , Prolonged laptop usage, Rounded shoulders

Abstract

Background: In today's digital age, prolonged use of computers and laptops, especially among office workers and freelancers, has led to a rise in postural issues. Poor ergonomic habits can contribute to musculoskeletal imbalances, particularly affecting the neck and shoulders. Rounded shoulder posture and changes in craniovertebral angle are common among individuals with sedentary work routines. Understanding the prevalence and correlation of these conditions is essential for promoting workplace ergonomics and preventive health strategies. Objective: To find the prevalence of rounded shoulders and its association with craniovertebral angle among freelancers. Methodology: The cross-sectional study on the prevalence of rounded shoulders among freelancers and its association with craniovertebral angle on prolonged laptop use posture. This study included 323 participants who work in software houses as freelancers in Faisalabad. Using a convenience sampling technique, with the inclusion criteria of age between 18-50 years, both genders were included, and the estimated working hours were 8. The exclusion criteria were participants with any muscular deformity, paralysis, infection, or trauma from the last three months. Participants with rounded shoulders and a Craniovertebral angle were assessed. A universal goniometer was used to assess the craniovertebral angle, a vernier calliper for the assessment of rounded shoulders and a neck pain rating scale to check the neck pain and the neck disability index for the neck disability. Statistical analyzes was performed using SPSS version 26 with frequency distribution and chi-square test to analyse any correlation between rounded shoulder and craniovertebral angle and neck disability index. The significance level was set as p≤0.05. Results: A chi-square was conducted on 323 participants, and the results conclude that there is a significant correlation between rounded shoulders and craniovertebral angle. Using a computer and a laptop in poor posture for a long period causes an impact on the neck and shoulder ergonomics and neck and other symptoms. Conclusion: This study concluded that there is a significant association between rounded shoulders and craniovertebral angle, and using a laptop in poor posture for a long period of time can have a bad impact on neck and shoulder ergonomics.

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References

1. Arif A, Arif Z, Hanan A. Prevalence of Rounded Shoulder in Computer Users: A Cross-Sectional Study. Pak-Euro Journal of Medical and Life Sciences 2022; 5(2): 520 (vii)– (xiv). DOI: 10.31580/pjmls.v5i2.1203 DOI: https://doi.org/10.31580/pjmls.v5i2.2521

2. Mosaad DM, Abdel-aziem AA, Mohamed GI, Abd-Elaty EA, Mohammed KS. Effect of forward head and rounded shoulder posture on hand grip strength in asymptomatic young adults: a cross-sectional study. Bulletin of faculty of physical therapy 2020; 25(1): 1–8. DOI: 10.1186/s43161-020-00001-z DOI: https://doi.org/10.1186/s43161-020-00001-z

3. Guduru RKR, Domeika A, Domeikienė A. Effect of rounded and hunched shoulder postures on myotonometric measurements of upper body muscles in sedentary workers. Applied Sciences 2022; 12(7): 3333. DOI:10.3390/app12073333 DOI: https://doi.org/10.3390/app12073333

4. Rani B, Paul A, Chauhan A, Pradhan P, Dhillon MS. Is neck pain related to sagittal head and neck posture? A systematic review and meta-analysis. Indian Journal of Orthopaedics 2023; 57(3): 371–403. DOI: 10.1007/s43465-023-00820-x DOI: https://doi.org/10.1007/s43465-023-00820-x

5. Rudisill M. Evaluating the Relationship Between Posture and Muscle Strain in the Neck and Wrist: An EMG Analysis. 2023.

6. Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilising exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC musculoskeletal disorders 2019; 20: 1–8. DOI: 10.1186/s12891-019-2438-y DOI: https://doi.org/10.1186/s12891-019-2438-y

7. Sepehri S, Sheikhhoseini R, Piri H, Sayyadi P. The effect of various therapeutic exercises on forward head posture, rounded shoulder, and hyperkyphosis among people with upper crossed syndrome: a systematic review and meta-analysis. BMC musculoskeletal disorders 2024; 25(1): 105. DOI: 10.1186/s12891-024-07224-4 DOI: https://doi.org/10.1186/s12891-024-07224-4

8. Tasmeer R, Arslan SAU, Ahmad A, Amjad F. Effect Of Forward Head Posture with Neck Disability and Quality of Life in Freelancer: Effect of Forward Head Posture with Neck Disability and Quality of Life in Freelancers. Pakistan BioMedical Journal 2022: 288–92. DOI: 10.54393/pbmj.v5i5.472 DOI: https://doi.org/10.54393/pbmj.v5i5.472

9. Yang S, Boudier-Revéret M, Yi YG, Hong KY, Chang MC. Treatment of Chronic Neck Pain in Patients with Forward Head Posture: A Systematic Narrative Review. Healthcare; 2023: MDPI; 2023. p. 2604. DOI: 10.3390/healthcare11192604 DOI: https://doi.org/10.3390/healthcare11192604

10. Li F, Choi Y, Moon I, Yi C-h. Effect of Forward Head Posture on Erector Spinae Muscle Activity. Physical Therapy Korea 2024; 31(2): 159–66. DOI:10.12674/ptk.2024.31.2.159 DOI: https://doi.org/10.12674/ptk.2024.31.2.159

11. Mostafaee N, HasanNia F, Negahban H, Pirayeh N. Evaluating differences between participants with various forward head posture with and without postural neck pain using craniovertebral angle and forward shoulder angle. Journal of Manipulative and Physiological Therapeutics 2022; 45(3): 179–87. DOI: 10.1016/j.jmpt.2022.06.007 DOI: https://doi.org/10.1016/j.jmpt.2022.06.007

12. Sung Y-H. Suboccipital muscles, forward head posture, and cervicogenic dizziness. Medicina 2022; 58(12): 1791. DOI: 10.3390/medicina58121791 DOI: https://doi.org/10.3390/medicina58121791

13. Hassan SS, Ameen FH, Draz AH, Raouf NAA. Effect of two different manual therapy techniques for treatment of forward head posture: A comparative study. SPORT TK-Revista EuroAmericana de Ciencias del Deporte 2023; 12: 19–. DOI:10.6018/sportk.598981 DOI: https://doi.org/10.6018/sportk.598981

14. Kim H-J, Lee E. Efficacy of Forward Head Posture Treatment on Neck Function and Quality of Life. Physical Therapy Rehabilitation Science 2021; 10(3): 337–42. DOI: 10.14474/ptrs.2021.10.3.337 DOI: https://doi.org/10.14474/ptrs.2021.10.3.337

15. Shinde SS, Shah DN. Correlation of craniovertebral angle with neck pain in undergraduate students: a cross-sectional study. International Journal of Health Sciences and Research 2022; 12: 96–101. DOI: 10.52403/ijhsr.20220613 DOI: https://doi.org/10.52403/ijhsr.20220613

16. Battecha KH, Alayat MS, Mousa GS, et al. Correlation of head and shoulder posture with non-specific neck pain: A cross-sectional study. SPORT TK-Revista EuroAmericana de Ciencias del Deporte 2024; 13: 59. DOI: 10.6018/sportk.637981 DOI: https://doi.org/10.6018/sportk.637981

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Published

23-08-2025

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1.
Prevalence of Rounded Shoulders and Its Association with Craniovertebral Angle among Freelancers. HJPRS [Internet]. 2025 Aug. 23 [cited 2025 Sep. 17];5(2):264-70. Available from: https://thehealerjournal.com/index.php/templates/article/view/431

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