Assessment of Head and Trunk Posture in Men with Cervicogenic Headache via Photogrammetry: A Pilot Study

Document Type : Original Articles


1 MSc Student, Student Research Committee (Treata), Department of Physical Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

2 Instructor, Department of Physical Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

3 MSc Student, Department of Physical Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

4 PhD Candidate, Department of Biostatistics and Epidemiology, Student Research Committee, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

5 Assistant Professor, Department of Physical Therapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran



Introduction: Cervicogenic headache (CGH) is a type of chronic and recurrent headache that originates from cervical musculoskeletal impairments. The muscular disorders observed in patients with CGH, relation between head and neck posture and cervical muscles dysfunction, and association between pelvic alignment and spinal curves highlight the importance of postural assessment in these patients. Therefore, the objective of this study was the assessment of spinal and pelvic posture in men with CGH via photogrammetry in static standing position by measuring different angles.Materials and Methods: In this case-control study, 10 men with CGH and 10 healthy men with matched age and body mass index (BMI) were recruited. A digital camera was used to take photographs from anterior, posterior, and lateral views (3 photographs from each viewpoint). The postural angles were measured using the AutoCAD software.Results: Among the measured postural angles, the mean of cervical inclination (C2-T2) (P = 0.022), head horizontal alignment (P = 0.001), scapula horizontal alignment (P < 0.001), anterior superior iliac spine horizontal alignment (P = 0.031), and posterior superior iliac spine horizontal alignment angles (P = 0.038) were significantly different between the two groups. The intra-rater reliability of the different angles was high and acceptable [Intraclass correlation coefficient (ICC) > 0.72].Conclusion: It seems that the upper cervical position of men with CGH differs from that of healthy subjects and C2 is more forward relative to the cervicothoracic spine. Therefore, the cervical inclination angle could be a suitable indicator of C2 position through photogrammetry.


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Volume 12, Issue 4 - Serial Number 4
September 2016
Pages 227-234
  • Receive Date: 05 February 2017
  • Revise Date: 15 April 2024
  • Accept Date: 22 May 2022