Cervical Health Parameters in Car Drivers: Assessing the Influence of Driving on Neck Pain, Mobility, Proprioception and Craniovertebral Angle – A Cross-Sectional Study

Adel Alshahrani,1 Hussain Saleh H Ghulam,1 Raee S Alqhtani,1 Yousef Hamad Hassan Al Sharyah,1 Hashim Ahmed,1 Aafreen Aafreen,2 Abdur Raheem Khan,2 Ashfaque Khan,2 Ausaf Ahmad3 1Department of Medical Rehabilitation Sciences-Physiotherapy Program, College of Applied Medical Sciences, Najran University, Najran, 55461, Saudi Arabia; 2Department of Physiotherapy, Integral University, Lucknow, India; 3Department of Community Medicine, IIMSR, Integral University, Lucknow, IndiaCorrespondence: Abdur Raheem Khan, Department of Physiotherapy, Integral University, Lucknow, India, Tel +9616739965, Email abdul.fortis@gmail.comPurpose: Prolonged sitting during driving is linked to neck pain, uncomfortable body positions, and repetitive motions. Recognizing these challenges, this study aimed to investigate Cervical Health Parameters in Car Drivers.Methods: The sample consisted of 160 car drivers between 25 and 45 years. This subject was then divided into two groups based on neck pain. Participants met the required criteria, such as being between 25– 45 years of age, maintaining a BMI of 18– 24, and driving for at least 2 hours each day for at least 3– 5 years. To evaluate the results, we employed a clinometer and compass app on a smartphone to measure the Cervical Range of Motion (CROM). We used Surgimap software to estimate the Craniovertebral Angle (CVA), and a (Cervical range of motion) CROM device was used for proprioception assessment.Results: The result shows the participants in neck pain group displayed lower Cervical Range of Motion (CROM) values than without neck Pain Group. Similarly, the Craniovertebral Angle (CVA) was smaller in the neck Pain Group (mean difference of − 6.3°), indicating a more forward head posture. Neck pain resulted in a mean difference of − 4.5° in proprioception accuracy. This indicates that neck pain affects CROM, CVA, and proprioception in car drivers.Conclusion: Car driving significantly impacts cervical parameters in individuals with neck pain, reducing cervical range of motion, altered craniovertebral angle, and diminished proprioceptive accuracy. These findings emphasize the need for ergonomic interventions and proprioceptive training tailored for drivers. Future research should broaden demographic parameters and consider potential confounders to provide a holistic understanding of the relationship between car driving and neck health.Keywords: car driving, cervical range of motion, craniovertebral angle, proprioception, neck pain