Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment
BackgroundNeck pain (NP) is a common musculoskeletal disorder among fighter pilots and has become a rising concern due to its detrimental impact on military combat effectiveness. The occurrence of NP is influenced by a variety of factors, but less attention has been paid to the association of NP wit...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1226930/full |
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| author | Fengyuan Yang Fengyuan Yang Zhong Wang Zhong Wang Hongxing Zhang Bowen Xie Bowen Xie Hui Zhao Lu Gan Tengfei Li Jing Zhang Zhiqiang Chen Zhiqiang Chen Tianqi Li Tianqi Li Xiaogang Huang Yufei Chen Junjie Du Junjie Du Junjie Du |
| author_facet | Fengyuan Yang Fengyuan Yang Zhong Wang Zhong Wang Hongxing Zhang Bowen Xie Bowen Xie Hui Zhao Lu Gan Tengfei Li Jing Zhang Zhiqiang Chen Zhiqiang Chen Tianqi Li Tianqi Li Xiaogang Huang Yufei Chen Junjie Du Junjie Du Junjie Du |
| author_sort | Fengyuan Yang |
| collection | DOAJ |
| description | BackgroundNeck pain (NP) is a common musculoskeletal disorder among fighter pilots and has become a rising concern due to its detrimental impact on military combat effectiveness. The occurrence of NP is influenced by a variety of factors, but less attention has been paid to the association of NP with demographic, occupational, and cervical sagittal characteristics in this group. This study aimed to investigate the prevalence and risk factors of NP in Chinese male fighter pilots using a questionnaire and cervical sagittal measurements.MethodsDemographic and flight-related data, as well as musculoskeletal pain information, were gathered from Chinese male fighter pilots via a self-report questionnaire. Cervical sagittal parameters were measured and subtypes were classified using standardized lateral cervical radiographs. Differences in various factors between the case and control groups were analyzed using t-tests or chi-square tests. Binary logistic regressions were conducted to explore potential risk factors contributing to NP. Predictors were presented as crude odds ratios (CORs) and adjusted odds ratios (AORs), along with their respective 95% confidence intervals (CIs).ResultsA total of 185 male fighter pilots were included in this cross-sectional study. Among them, 96 (51.9%) reported experiencing NP within the previous 12 months. The multivariate regression analysis revealed that continuous flight training (AOR: 4.695, 95% CI: 2.226–9.901, p < 0.001), shoulder pain (AOR: 11.891, 95% CI: 4.671–30.268, p < 0.001), and low back pain (AOR: 3.452, 95% CI: 1.600–7.446, p = 0.002) were significantly associated with NP.ConclusionThe high 12-month prevalence of NP among Chinese male fighter pilots confirms the existence of this growing problem. Continuous flight training, shoulder pain, and low back pain have significant negative effects on pilots’ neck health. Effective strategies are necessary to establish appropriate training schedules to reduce NP, and a more holistic perspective on musculoskeletal protection is needed. Given that spinal integrated balance and compensatory mechanisms may maintain individuals in a subclinical state, predicting the incidence of NP in fighter pilots based solely on sagittal characteristics in the cervical region may be inadequate. |
| first_indexed | 2024-03-11T14:33:08Z |
| format | Article |
| id | doaj.art-376cb976b35f4119a7be463cf38ef1df |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-11T14:33:08Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-376cb976b35f4119a7be463cf38ef1df2023-10-31T06:21:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-10-011110.3389/fpubh.2023.12269301226930Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignmentFengyuan Yang0Fengyuan Yang1Zhong Wang2Zhong Wang3Hongxing Zhang4Bowen Xie5Bowen Xie6Hui Zhao7Lu Gan8Tengfei Li9Jing Zhang10Zhiqiang Chen11Zhiqiang Chen12Tianqi Li13Tianqi Li14Xiaogang Huang15Yufei Chen16Junjie Du17Junjie Du18Junjie Du19Department of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaGraduate School of Medicine, China Medical University, Shenyang, ChinaDepartment of Spine Surgery, Central Hospital of Dalian University of Technology, Dalian, ChinaDivision of Spine Surgery, Department of Orthopedics, Daping Hospital of Army Medical University, Chongqing, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaAir Force Clinical College, The Fifth School of Clinical Medicine, Anhui Medical University, Hefei, ChinaInstitute for Traffic Medicine, Daping Hospital, Army Medical University, Chongqing, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaGraduate School of Medicine, China Medical University, Shenyang, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaGraduate School of Medicine, China Medical University, Shenyang, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaGraduate School of Medicine, China Medical University, Shenyang, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaDepartment of Orthopedics, Air Force Medical Center of the PLA, Beijing, ChinaGraduate School of Medicine, China Medical University, Shenyang, ChinaAir Force Clinical College, The Fifth School of Clinical Medicine, Anhui Medical University, Hefei, ChinaBackgroundNeck pain (NP) is a common musculoskeletal disorder among fighter pilots and has become a rising concern due to its detrimental impact on military combat effectiveness. The occurrence of NP is influenced by a variety of factors, but less attention has been paid to the association of NP with demographic, occupational, and cervical sagittal characteristics in this group. This study aimed to investigate the prevalence and risk factors of NP in Chinese male fighter pilots using a questionnaire and cervical sagittal measurements.MethodsDemographic and flight-related data, as well as musculoskeletal pain information, were gathered from Chinese male fighter pilots via a self-report questionnaire. Cervical sagittal parameters were measured and subtypes were classified using standardized lateral cervical radiographs. Differences in various factors between the case and control groups were analyzed using t-tests or chi-square tests. Binary logistic regressions were conducted to explore potential risk factors contributing to NP. Predictors were presented as crude odds ratios (CORs) and adjusted odds ratios (AORs), along with their respective 95% confidence intervals (CIs).ResultsA total of 185 male fighter pilots were included in this cross-sectional study. Among them, 96 (51.9%) reported experiencing NP within the previous 12 months. The multivariate regression analysis revealed that continuous flight training (AOR: 4.695, 95% CI: 2.226–9.901, p < 0.001), shoulder pain (AOR: 11.891, 95% CI: 4.671–30.268, p < 0.001), and low back pain (AOR: 3.452, 95% CI: 1.600–7.446, p = 0.002) were significantly associated with NP.ConclusionThe high 12-month prevalence of NP among Chinese male fighter pilots confirms the existence of this growing problem. Continuous flight training, shoulder pain, and low back pain have significant negative effects on pilots’ neck health. Effective strategies are necessary to establish appropriate training schedules to reduce NP, and a more holistic perspective on musculoskeletal protection is needed. Given that spinal integrated balance and compensatory mechanisms may maintain individuals in a subclinical state, predicting the incidence of NP in fighter pilots based solely on sagittal characteristics in the cervical region may be inadequate.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1226930/fullneck painneck injurysagittal balancespinal curvaturesmilitary pilotsrisk factors |
| spellingShingle | Fengyuan Yang Fengyuan Yang Zhong Wang Zhong Wang Hongxing Zhang Bowen Xie Bowen Xie Hui Zhao Lu Gan Tengfei Li Jing Zhang Zhiqiang Chen Zhiqiang Chen Tianqi Li Tianqi Li Xiaogang Huang Yufei Chen Junjie Du Junjie Du Junjie Du Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment Frontiers in Public Health neck pain neck injury sagittal balance spinal curvatures military pilots risk factors |
| title | Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment |
| title_full | Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment |
| title_fullStr | Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment |
| title_full_unstemmed | Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment |
| title_short | Prevalence and risk factors of occupational neck pain in Chinese male fighter pilots: a cross-sectional study based on questionnaire and cervical sagittal alignment |
| title_sort | prevalence and risk factors of occupational neck pain in chinese male fighter pilots a cross sectional study based on questionnaire and cervical sagittal alignment |
| topic | neck pain neck injury sagittal balance spinal curvatures military pilots risk factors |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1226930/full |
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