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Questionnaire: OBJECTIVE: To Determine The Prevalence of Upper Cross Syndrome Among University Students

This document contains a questionnaire to determine the prevalence of upper cross syndrome among university students. It collects demographic information and asks questions about medical history, lifestyle habits, posture, pain levels, sleep habits, and computer/phone usage. The inclusive criteria target willing university students aged 19-25 who exhibit forward head, slouching, or other poor postures. Exclusive criteria exclude those outside the age range or with surgery/trauma in their history. The questionnaire will be conducted confidentially by four researchers.

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Shehzad Qureshi
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14 views4 pages

Questionnaire: OBJECTIVE: To Determine The Prevalence of Upper Cross Syndrome Among University Students

This document contains a questionnaire to determine the prevalence of upper cross syndrome among university students. It collects demographic information and asks questions about medical history, lifestyle habits, posture, pain levels, sleep habits, and computer/phone usage. The inclusive criteria target willing university students aged 19-25 who exhibit forward head, slouching, or other poor postures. Exclusive criteria exclude those outside the age range or with surgery/trauma in their history. The questionnaire will be conducted confidentially by four researchers.

Uploaded by

Shehzad Qureshi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Questionnaire

OBJECTIVE: To Determine The Prevalence Of Upper Cross Syndrome


Among University Students.

DEMOGRAPHICS:

Name :  Father Name :

Age :  Gender :

Occupation :  Contact No :

Email :

This detail regarding the Questionnaire will be kept confidential and participant information will not be disclosed.

Date :

Student’s Signature:

1. Any history of trauma?


Yes No

2. Any history ofsurgery?


Yes No If yes, kindlymention,

3. Any congenital deformity?


Yes No If yes, kindlymention,

4. What type of life style you spend?


Sendatory moderately active physically active
5. How long do you use gadgets (phone, computer)?
Kindly mention approximated duration,

6. How long do you study in a day?


Less than on hour 1-2 hrs. 3-4 hrs.

7. How much you drive daily?


Less than one hour 1-2 hrs. 3-4 hrs.
8. Are you aware about good posture?
a. Yes No

9. How will you categorize your posture?


Excellent very good good fair bad

10. What is your daily living posture?

i.
Forward head posture Slouch Upright posture Backward lean posture
posture

11. After how long of attaining an upright posture do you get fatigued?
10-15minutes 15-30 minutes 30-60 minutes More than 60minutes

12. Do you feel any pain after maintaining upright posture for long duration?
Yes no

13. If yes, mark the region/regions.


Shoulder pain Cervical pain Headache Pain in jaws
Tightness in chest Upper thoracic pain
14. Rate the intensity of pain?

15.Do you feel any restriction in your daily work due to pain?
Not at all slightly moderately severely

16.Do you use a pillow while sleeping?


Yes no if yes how much

17.What is the state of your pillow?


Hard soft moderate

18.What type of chair you use while studying or using computer or phone?
Back supported back and leg supported back, neck and leg
supported

19.At what level you use phone, computer or while studying?


Above the level of eye below the level of the eye
at the level of eye
INCLUSIVE CRITERIA:

 TARGET POPULATION 19-25


 WILLING , UNIVERSITY STUDENTS
 FORWARD HEAD,SLOUCH,PROTRACTED SHOULDER, TIGHTNESS IN NECK WERE
RECRULTED IN OUR STUDYO

EXCLUSIVE CRITERIA:

 POPULATION 19 > x >25


 NOT WILLING COLLEGE OR SCHOOL STUDENTS
 HISTORY OF ANY SURGERY , TRAUMA,CONGENITAL DEFORMITY

CONDUCTED BY:

MUHAMMAD ASIF

MUZDALFA QURESHI

SHAHREEN

ZAINAB IQBAL

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