Evaluation of cervical lordosis among Turkish white-collar workers

Authors : İdris Avcı
Pages : 78-82
Doi:10.35514/mtd.2025.135
View : 41 | Download : 97
Publication Date : 2025-12-31
Article Type : Research Paper
Abstract :Aim: This study aimed to evaluate cervical lordosis among Turkish white-collar workers across different occupational groups and to investigate associations with neck pain, radicular symptoms, and daily screen time. Materials and Methods: A cross-sectional study was conducted between September 2024 and March 2025 in Istanbul, Turkey. A total of 268 white-collar employees from banking, advertising, and general office sectors were recruited through workplace-based outreach. Participants completed questionnaires on demographics, occupation, and screen time, and reported presence of neck or radicular pain. Standardized lateral cervical radiographs were obtained, and C2–C7 Cobb angles were measured by blinded spine surgeons. Statistical analyses included Kruskal–Wallis, chi-square, and Spearman correlation tests. Results: The mean Cobb angle was lowest in bank employees (17.0° ± 12.6°), compared to advertising (23.5° ± 14.0°) and general office workers (26.2° ± 12.7°) (p < 0.0001). Severe hypolordosis (<10°) was strongly associated with neck pain (χ² = 146.9, p < 0.0001). Radicular pain occurred in 10 participants, primarily with Cobb <20°. Screen time negatively correlated with Cobb angle (ρ = –0.20, p < 0.001) and positively with neck pain (ρ = 0.16, p = 0.009). Discussion: Occupation type and prolonged screen use significantly influenced cervical sagittal alignment. Bank employees, with more sedentary and rigid postures, exhibited the most reduced lordosis. Hypolordosis was closely linked to self-reported neck pain, consistent with biomechanical theories of increased posterior strain. Conclusion: Cervical lordosis is significantly reduced in Turkish white-collar workers, especially bankers, and correlates with higher prevalence of neck pain and prolonged screen time. Preventive ergonomic strategies are warranted.
Keywords : servikal lordoz, beyaz yakalı çalışanlar, boyun ağrısı, ergonomi, ekran süresi

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