{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T18:10:06Z","timestamp":1751047806729,"version":"3.41.0"},"reference-count":19,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec013\">\n<jats:title>Study Design<\/jats:title>\n<jats:p>A Prospective Validation Study.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec014\">\n<jats:title>Objectives<\/jats:title>\n<jats:p>To validate a novel, noninvasive method for estimating the spinal sagittal alignment during seated computer work, using the head angle (HA) and visual distance (VD) as primary parameters.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec015\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A 3D motion analysis system measured HA and VD in 21 healthy volunteers. The relationship between these parameters and spinal sagittal alignment, as determined by body surface markers, was investigated. To validate this method, radiographic measurements were taken in a separate group of 32 patients to confirm the link between body surface landmarks and actual spinal alignment. Additional variables, including gender, age, height, and weight, were incorporated into the model to improve accuracy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec016\">\n<jats:title>Results<\/jats:title>\n<jats:p>HA and VD showed significant correlations with spinal sagittal alignment, particularly for the cervical spine (C2-C7). Incorporating demographic factors further enhanced the predictive accuracy. Radiological validation confirmed that body surface marker-based measurements are closely aligned with standard radiographic indices widely used in spine surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec017\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>This study introduces a reliable and practical method for continuously monitoring spinal sagittal alignment in seated computer users. The approach demonstrates high accuracy, particularly for the cervical spine and holds promise for the development of posture-monitoring technologies to help prevent neck and back pain associated with prolonged computer use.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0326431","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T17:33:01Z","timestamp":1751045581000},"page":"e0326431","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["High-accuracy spinal alignment monitoring using the head angle and visual distance in computer 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