Impact of Prolonged Desktop Usage on Neck Posture and Cervicogenic Headache Among Bankers

Abstract

Background Cervicogenic headache (CGH) is a prevalent musculoskeletal disorder characterized by headache originating from cervical structures, often associated with restricted neck range of motion (ROM), pain, and functional impairment. Bankers are particularly vulnerable due to prolonged static postures and suboptimal workstation ergonomics, yet the relationship between desktop use duration, neck posture, and CGH remains underexplored in this population. Objective: To determine the impact of prolonged desktop computer usage on neck posture, ROM, and cervicogenic headache among bankers. Methods: A cross-sectional observational study was conducted involving 329 bankers from multiple branches in Lahore, recruited through non-probability convenience sampling. Neck posture and cervical ROM were clinically assessed, while CGH was evaluated using the Neck Disability Index (NDI) and pain intensity via the Visual Analogue Scale (VAS). Data were analysed using descriptive statistics and chi-square tests, with p < 0.05 indicating significance. Results: Restricted cervical flexion (51.98%), extension (52.58%), lateral flexion (45.59%), and rotation (50.46%) were prevalent. Moderate-to-severe pain affected 65.9% of participants. Significant associations were found between longer desktop usage and restricted ROM (p = 0.045) and increased headache prevalence (OR = 1.64, 95% CI: 1.01–2.67). Conclusion: Prolonged desktop use is associated with impaired neck posture, reduced ROM, and increased CGH prevalence in bankers, underscoring the need for ergonomic interventions and preventive strategies.