The investigation of relationship between allergic rhinitis with forward head posture and anxiety in children

Introduction: Forward head posture is a common postural issue across all age groups, often linked to the overuse of electronic devices such as computers, smartphones, and tablets, leading to poor posture in children. Allergic rhinitis is also prevalent in children, but its effects on musculoskeletal and psychological health are not well understood. Objective: This study aimed to explore the relationship between allergic rhinitis, forward head posture, and anxiety levels in Iranian children aged 7-12 years. Materials and Methods: Fifty children aged 7-12 were recruited from the Allergy-Infection Clinic at Bandar Abbas Children's Hospital. The participants were divided into two groups: 25 healthy children and 25 children diagnosed with allergic rhinitis. Anxiety levels were assessed using the Spence Anxiety Scale, while forward head posture was measured by analyzing photographs of the children’s body profiles using AutoCAD software. Results: Of the total participants, 24 children (46%) exhibited a forward head posture, defined as a craniovertebral angle of less than 48 degrees. Among these, 14 (56%) were in the allergic rhinitis group and 10 (40%) were in the healthy group. However, there was no statistically significant association between allergic rhinitis, forward head posture, and anxiety based on age, gender, or duration of nasal allergy. Conclusion: The study found no significant relationship between allergic rhinitis, forward head posture, and anxiety. The findings highlight the need for increased awareness of proper posture, particularly in relation to the use of electronic devices, and the importance of evaluating postural disorders in children.