Prevalence Of Cervicalgia And Hand Paresthesia Among Motorcycle Riders: A Cross-Sectional Study

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Dr. Khawla PT
Dr. Hira Ahmed PT
Dr. Shama Rani PT

Abstract

Background: Motorcycle riders are exposed to prolonged static posture, forward head positioning, repetitive handlebar gripping, braking and clutch activity, and road vibration, which may contribute to cervical pain and hand sensory symptoms. Evidence on the concurrent burden of cervicalgia and hand paresthesia among local motorcycle riders remains limited. Objective: To determine the prevalence of cervicalgia and hand paresthesia and assess their association among male motorcycle riders. Methods: This cross-sectional observational study included 385 male motorcycle riders aged 18–50 years recruited through convenience sampling from rider-accessible locations different cities of Pakistan. Demographic and riding-related data were collected using a self-administered questionnaire. Cervicalgia was assessed using the Northwick Park Neck Pain Questionnaire, and hand paresthesia was assessed using the Kamath and Stothard Carpal Tunnel Questionnaire. Data were analyzed using SPSS version 31. Frequencies, percentages, means, and standard deviations were calculated, and Pearson’s chi-square test was used to assess the association between cervicalgia and hand paresthesia. Results: The mean age of participants was 27.01 ± 8.05 years, and the mean riding duration was 9.05 ± 6.43 years. Cervicalgia was present in 377 participants (97.9%; 95% CI 96.0–98.9), while hand paresthesia was present in 326 participants (84.7%; 95% CI 80.7–87.9). Pearson’s chi-square test showed no statistically significant association between cervicalgia and hand paresthesia (χ² = 8.441, p = 0.077). Conclusion: Cervicalgia and hand paresthesia were highly prevalent among male motorcycle riders, but no statistically significant association was observed between the two conditions. Rider-focused ergonomic education, protective practices, rest breaks, posture correction, and early symptom screening may help reduce the burden of riding-related cervical and hand symptoms

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Dr. Khawla PT, Dr. Hira Ahmed PT, Dr. Shama Rani PT. Prevalence Of Cervicalgia And Hand Paresthesia Among Motorcycle Riders: A Cross-Sectional Study. JHWCR [Internet]. 2026 Jul. 13 [cited 2026 Jul. 15];4(13):1-10. Available from: https://jhwcr.com/index.php/jhwcr/article/view/1690

References

1. Shetty R, Siddapur T, Palekar T. Correlation between pain and disability in cervical and lumbar spine in two-wheeler riders. Acta Sci Orthop. 2022;5(10).

2. Rashad A, Kumar V, Luff N, Habib S, Munaaf MH, Kumar S, et al. Evaluate the effect of bike riding on posture. Int J Contemp Res Rev. 2018;9(01).

3. Torrado P, Marina M, Baudry S, Ríos M. Muscle fatigue when riding a motorcycle: a case study. Int J Environ Res Public Health. 2021;18(15):7738.

4. Bano S. Riding into pain: rhomboid muscle spasm and neck disability among occupational motorcyclists. Pak J Clin Res. 2025;2(1):13-9.

5. Karmegam K, Irniza R, Shamsul Bahri MT, Vivien H, Putri Anis S, Kulanthayan KC, et al. High-powered police motorcycle: muscle discomfort among Malaysian traffic police riders. Malays J Public Health Med. 2020;20(Special1):255-9.

6. Sirisena DC, Sim SH, Lim I, Rajaratnam V. Median and ulnar nerve injuries in cyclists: a narrative review. Biomedicine. 2021;11(4):1.

7. Jafri MR, Nisa ZU, Zaheer A, Khan Z, Perveen I, Zahid S, et al. Correlation between neck pain and disability among people wearing helmet. Pak J Phys Ther. 2020:25-9.

8. Mariyamah T, Handoko Y, Eliana M, Winata SD. The carpal tunnel syndrome and ergonomic risk factor profile in online motorcycle taxi drivers (ojol) in Jakarta. SHS Web Conf. 2024;189:01047.

9. Kwangsukstith S, Surawattanasakul V, Mahakkanukrauh C, Panumasvivat J, Sirikul W. Assessment of occupational hazards, health effects, and personal protective equipment usage among motorcycle food delivery riders in Thailand: a cross-sectional survey. J Occup Med Toxicol. 2025;20(1):13.

10. Page PS, Wei Z, Brooks NP. Motorcycle helmets and cervical spine injuries: a 5-year experience at a Level 1 trauma center. J Neurosurg Spine. 2018;28(6):607-11.

11. Ooi SS, Wong SV, Umar RR, Azhar AA, Yeap JS, Ahmad MM. Mechanisms of cervical spine injuries for non-fatal motorcycle road crash. Med J Malaysia. 2004;59(2):146-52.

12. Ahmad SM, Rauf W, Salam ZA, Zahra N. Evaluation of craniovertebral angle in bike riders using global postural system. Int J Biomed Res. 2024;3(2).

13. Suleman M, Omer A, Karim S, Iqbal Z, Sardar MZ, Aamar A. Prevalence of carpal tunnel syndrome in motorbike mechanics. Found Univ J Rehabil Sci. 2025;5(1):11-7.

14. Putri M, Mustari Y. Relationship between position and work duration with suspect carpal tunnel syndrome in Maxim online motorcycle taxi at Makassar. Nusantara Med Sci J. 2023:15-26.

15. Afridi ZK, Khan A, Masood F, Rasool D, Hashmi MA. Prevalence of musculoskeletal discomfort with associated disability among adult male motorcyclist. Bull Fac Phys Ther. 2024;29(1):24.

16. Hassan A, Hanif S, Ahmed I, Zaidi F, Aslam A, Kayani A, et al. Neck pain among occupational bike riders wearing helmet in twin cities: a cross-sectional survey. Therapist. 2023:15-20.

17. Abbed KM, Coumans JV. Cervical radiculopathy: pathophysiology, presentation, and clinical evaluation. Neurosurgery. 2007;60(1 Suppl 1):S28-34.

18. Joshi A, Patel K, Mohamed A, Oak S, Zhang MH, Hsiung H, et al. Carpal tunnel syndrome: pathophysiology and comprehensive guidelines for clinical evaluation and treatment. Cureus. 2022;14(7).

19. Genova A, Dix O, Saefan A, Thakur M, Hassan A, Arguello MT. Carpal tunnel syndrome: a review of literature. Cureus. 2020;12(3).

20. Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJ, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26.

21. Helmers KM, Irwin KE. Physical therapy as conservative management for cervical pain and headaches in an adolescent with neurofibromatosis type 1: a case study. J Neurol Phys Ther. 2009;33(4):212-23.

22. Aafreen A, Khan AR, Khan A, Ahmad A, Shaphe MA, Alzahrani A, et al. Decoding the impact of driving postures: comparing neck pain, mobility, proprioception in car and bike drivers with and without forward head posture. J Transp Health. 2023;33:101719.

23. Tate AD, Tomlinson CA, Francis DO, Wishik ED, Lowery AS, Watkins MO, et al. Physical therapy for muscle tension dysphonia with cervicalgia. Ear Nose Throat J. 2024;103(8):509-17.

24. Aafreen A, Khan AR, Khan A, Maurya NK, Ahmad A. Prevalence of neck pain in car and motorcycle drivers: a comprehensive review of primary, secondary, and tertiary care. J Clin Diagn Res. 2023;17(7).

25. Lacey RJ, Lewis M, Sim J. The relationship between hand paraesthesia and occupational factors: results from a population study. Rheumatology. 2005;44(10):1287-93.

26. Brismée JM, Phelps V, Sizer P. Differential diagnosis and treatment of chronic neck and upper trapezius pain and upper extremity paresthesia: a case study involving the management of an elevated first rib and uncovertebral joint dysfunction. J Man Manip Ther. 2005;13(2):79-90.

27. Zeigelboim BS, Fonseca VR, Mesti JC, Gorski LP, Faryniuk JH, Marques JM. Neurotological findings at a health unit for adults with cervicalgia. Int Arch Otorhinolaryngol. 2016;20(2):109-13.

28. Baruah P, Samuel J. Evaluation of neck pain and posture of cervical spine among helmet users riding motor bike. Cardiometry. 2023;(26):430-6.

29. Tembhurne S. Prevalence of riding related musculoskeletal disorders and disability among motorcyclists in Pune region: a cross-sectional study. Galore Int J Appl Sci Humanit. 2025;9(2):59-68.

30. Ahmed S, Islam MJ, Jakaria GM, Haque ME, Uddin J, Fariha T, et al. Prevalence and predictors of biker’s hand syndrome among the professional bike riders in Bangladesh: a cross-sectional study. PLoS One. 2025;20(9):e0332228.

31. Makkiyah FA, Natashia K, Kristanti M, Purwaningastuti DA. Associated factors with neck pain among productive adult motorcyclists in metropolitan university settings: a cross-sectional study. J Korean Neurosurg Soc. 2024;68(4):425-35.

32. Van den Oord MH, Frings-Dresen MH, Sluiter JK. Optimal helmet use and adjustments with respect to neck load: the experience of military helicopter aircrew. Int J Ind Ergon. 2012;42(1):73-9.

33. Mirbod SM, Yoshida H, Jamali M, Masamura K, Inaba R, Iwata H. Assessment of hand-arm vibration exposure among traffic police motorcyclists. Int Arch Occup Environ Health. 1997;70(1):22-8.

34. Sabeti-Aschraf M, Serek M, Pachtner T, Auner K, Machinek M, Geisler M, et al. The enduro motorcyclist's wrist and other overuse injuries in competitive enduro motorcyclists: a prospective study. Scand J Med Sci Sports. 2008;18(5):582-90.

35. Chawathe VS, Mhambre AS, Gaur AK, Pusnake VJ, Sharma R, Wangdi NI. Prevalence of pain in medical representatives using two-wheeler for daily commute. J Musculoskelet Ultrasound Pain Med. 2017;3(2):61-5.