Effect of Forward Neck Posture on Ocular Accommodation.

Background: While many studies have shown an effect of accommodation on neck muscle activity, none have studied the causal effect of neck posture on accommodation. In addition, some Postural Restoration Institute (PRI) physical therapists believe that neck posture can influence subjective refraction...

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Published in:Optometry & Visual Performance Vol. 13; no. 4; pp. 261 - 271
Main Authors: Rane, Mitali, Stark, Lawrence R.
Format: pictorial research tables/charts Journal Article
Published: Optometric Extension Program Dec2025
Online Access:View this record in EBSCOhost
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      dt: Dec2025
      vid: 13
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Effect of Forward Neck Posture on Ocular Accommodation.
      aug:
        au:
          Rane, Mitali
          Stark, Lawrence R.
        affil: Southern California College of Optometry at Marshall B. Ketchum University • Fullerton, California
      sug:
        subj:
          Posture Physiology
          Ocular Physiology Evaluation
          Neck Physiology
          Causal Attribution
          Neck Muscles Physiology
          Human
          Male
          Female
          Adolescence
          Adult
          Linear Regression
          Analysis of Variance
          Correlation Coefficient
          Descriptive Statistics
          Data Analysis Software
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Background: While many studies have shown an effect of accommodation on neck muscle activity, none have studied the causal effect of neck posture on accommodation. In addition, some Postural Restoration Institute (PRI) physical therapists believe that neck posture can influence subjective refraction. Methods: Twenty-four young adult subjects (19-35 years) participated. Subjects adopted a neutral or forward neck posture while viewing a letter chart binocularly at 3 m during 2-minute sessions. Accommodation was recorded in the right and left eyes using a Grand Seiko WAM 5500 open-view autorefractor. Digital photographs of neck posture were taken before and after each trial to calculate the craniovertebral angle. Results: Any accommodative differences due to neck posture or between eyes were minimal and statistically non-significant. Analysis of craniovertebral angle demonstrated a significant difference between the neutral and forward postures, but no effect of before or after the trial, and no significant interaction of these two factors. Additionally, the accommodation change from neutral to forward head posture was not greater for those subjects who could bend their necks more than the others. Conclusions: There was no significant effect of a forward neck posture on accommodation in our study. The individual change in craniovertebral angle between postures did not predict the observed changes in accommodation. These data do not support the PRI hypothesis that neck posture could affect subjective refraction. However, future studies could consider a longer duration for neck posture, and they could document actual patient postures to determine whether these affect accommodation.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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