University of Duhok
College of Engineering
Biomedical Department – 3rd stage
Biomechanics
         Biomechanics of Head and Neck
 Prepared by                                         Supervisor
 Man Sabah Yaseen                                   Dr. Rayan Basheer
                                    (2023 – 2024)
                                   Table of Contents
    Introduction 3
    Anatomy of Head and Neck 4
    Biomechanical Considerations     5
    Head to Neck Lever 8
    The Effects of Head Weight on The Body and Neck   10
    How to Reduce Effects on The Neck and Body? 12
    Conclusion   13
    References   14
Introduction
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   The biomechanics of the head and neck is the study of how the various
   structures and tissues in this region function under mechanical forces. It
   involves understanding the anatomy and motion of the head and neck, as well
   as how external forces and internal muscle actions affect these areas. This
   field has applications in injury analysis, clinical medicine, the design of
   prosthetic devices, ergonomics, and sports performance. By studying the
   biomechanics of the head and neck, we can improve our understanding of how
   these structures work and develop strategies to enhance safety, healthcare, and
   overall well-being.
   Biomechanics of the head and neck involves various sub-disciplines, such as
   kinematics (study of motion), kinetics (study of forces), and computational
   modeling. Research in this field is crucial for advancing our understanding of
   the human body, developing medical technologies, and improving the overall
   health and well-being of individuals. Moreover, as the field continues to
   evolve, it holds the potential to offer innovative solutions for a wide range of
   clinical and non-clinical challenges related to the head and neck region.
   As we embark on this exploration, we will unravel the complexities of the
   head and neck's biomechanics, shedding light on its role in our daily lives,
   clinical applications, and the ever-evolving frontiers of research. By the end of
   this report, you will gain a deeper appreciation for the pivotal role that
   biomechanics plays in shaping our understanding of this crucial anatomical
   region and its broader impact on healthcare, technology, and human well-
   being.
Anatomy of Head and Neck
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   The anatomy of the head and neck is a complex and diverse region of the
   human body that includes various structures, each with specific functions. I'll
   provide an overview of the major components of the head and neck anatomy:
   1) Skull: The skull is the bony structure that encases the brain and supports
      the face. It consists of two main parts.
   2) Brain: The brain is the central organ of the nervous system and is located
      within the cranial cavity.
   3) Scalp: The scalp is the soft tissue covering the top of the head and is
      composed of skin, connective tissue, and muscles.
   4) Face: The face contains various structures, including: Eyes, Nose, Mouth
      and Ears
   5) Neck: The neck connects the head to the rest of the body and contains
      several important structures: Throat, Blood Vessels and Muscles
Biomechanical Considerations
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 Biomechanical principles in the head and neck consider factors such as:
 1)   Movement
 2)   Muscle force.
 3)   Joint stability
 4)   Load distribution
 1) Movement: All movements of the neck are combinations or varying
    percentages of these essential movements. They are:
       Flexion: is the movement that allows you to bend your head toward your
         chest. In normal flexion, you can touch your chin to your chest.
       Extension: Is the movement you make when tilting your head back. In
         normal extension, a person can tilt their head back to look at the ceiling.
       Left and Right Lateral Rotation: Lateral rotation is the motion you
         make when you turn your head to either side. Your chin stays parallel to
         the floor. In normal rotation, your chin will hover over your shoulders.
       Left and Right Lateral Flexion: Lateral Flexion is best described by
         bending your neck so that your ear leans toward your shoulders. In normal
         lateral flexion, you should be able to bend your neck about 45 degrees.
Biomechanical Considerations
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 2) Muscle Force: Muscle force is the mechanical power generated by muscles
    when they contract. It's responsible for all forms of movement in the body,
    from simple actions like bending an arm to complex activities like running.
    Muscles contract, develop tension, and produce force, enabling us to perform
    everyday activities and maintain posture. Understanding muscle force is vital
    in fields like biomechanics, sports, rehabilitation, and prosthetics, contributing
    to improved health, performance, and technology.
 3) Joint Stability: Joint stability refers to the ability of a joint to stay in its
    proper position and function effectively during movement. It depends on the
    interplay of ligaments, muscles, and proprioception (body awareness). Joint
    stability is crucial for preventing injuries, rehabilitation after injuries, athletic
    performance, and maintaining good posture. Adequate joint stability ensures
    the joint is less susceptible to damage, dislocation, or sprains. It's a key factor
    in both injury prevention and recovery.
Biomechanical Considerations
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4) Load Distribution: Load distribution in the neck is a crucial aspect of
   biomechanics that helps us understand how various forces are distributed d
   and facilitates a wide range of movements. The neck experiences various
   dynamic and static loads due to its crucial role in supporting the head and
   facilitating a wide range of movements. This is how dynamic and static loads
   affect the neck:
 Dynamic Loads:
    Muscle Activation: Dynamic loads are primarily associated with muscle
      activity. When we move our head or neck, muscles contract to generate
      the required force. For example, when turning the head to look in a
      different direction, neck muscles must exert dynamic forces to produce
      this movement.
     External Forces: External factors, such as carrying heavy objects or
      participating in sports activities, subject the neck to dynamic loads. These
      loads vary in intensity and direction based on the specific activity or
      movement being performed.
     Impact and Accidents: Traumatic events, like car accidents or falls, can
      expose the neck to sudden and often extreme dynamic loads. This can
      result in forces that lead to injuries, such as whiplash, which affects the
      neck's soft tissues and joints.
 Static Loads:
    Gravity: The weight of the head exerts a constant static load on the neck.
      The neck's muscles, ligaments, and vertebrae must continually work to
      counteract the gravitational force, which can vary from person to person
      depending on the size and weight of the head.
    Sustained Postures: Maintaining prolonged static positions, such as
      sitting at a desk with poor posture or cradling a phone between the
      shoulder and ear, creates static loads on the neck. Over time, these loads
      can lead to muscle fatigue and discomfort.
     Sleeping Position: Sleeping positions can also contribute to static loads
      on the neck. Poor pillow support or sleeping in awkward positions may
      lead to neck pain and stiffness.
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Head to Neck Lever
   A lever system in the context of the head and neck refers to the mechanical
   principles that govern head movements and stability, taking into account
   the arrangement of bones, joints, and muscles. Specifically, the head can
   be considered a load, the neck acts as a lever arm, and various muscles and
   joints are involved in generating and controlling movements.
   The connection between the head and the cervical spine is a class one lever
   system. The class one lever is stable, but not very flexible. The additional
   flexibility needed for the head is provided by the cervical spine.
   Head to head lever consists of:
    Load (Head): The head is considered the load in this lever system. It
     has weight and is positioned at the end of the lever (the neck) that is
     moved.
    Lever Arm (Neck): The neck serves as the lever arm in this system.
     The cervical spine, which consists of seven cervical vertebrae, is the
     rigid structure that connects the head to the rest of the body. These
     vertebrae are interconnected by joints and surrounded by muscles and
     ligaments.
    Fulcrum (Pivot Point): The fulcrum, or pivot point, in this head-to-
     neck lever system is primarily formed by the joints in the cervical
     spine.
    Applied Force (Muscles): The muscles of the neck, including the
     sternocleidomastoid, trapezius, and others, provide the force necessary
     to move and stabilize the head. These muscles contract and relax to
     control head movements and maintain stability.
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Head to Neck Lever
   In this lever system, the muscles apply force to the lever arm (the neck) to
   move the load (the head) around the fulcrum (the joints in the cervical
   spine). The balance between these forces and the lever arm's structure
   allows for a wide range of head movements, including nodding, turning,
   tilting, and maintaining an upright posture.
   The head-to-neck lever system is essential for everyday activities such as
   looking around, maintaining eye contact, and holding the head in an
   upright position. It underscores the biomechanical principles that govern
   the complex interactions within the neck and head region.
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The Effects of Head Weight on The Body and Neck
   The weight of the head can have significant effects on both the neck and the
   rest of the bod. The head, on average, weighs about 10-12 pounds (4.5-5.4
   kilograms), making it one of the heaviest parts of the body. Especially when
   considering factors like posture, Such as:
   1) Neck Effects:
    Muscle Strain: The head, on average, weighs about 10-12 pounds (4.5-5.4
    kilograms). Proper posture ensures the weight is evenly distributed at the top
    of the spine. The neck muscles, particularly those in the cervical region, are
    responsible for supporting this weight. When the head is not properly
    aligned with the spine (as in poor posture), it can lead to increased muscle
    strain as the neck muscles work harder to hold the head up. Over time, this
    can cause discomfort and tension in the neck.
    Cervical Spine Alignment: The weight of the head influences the
    alignment of the cervical spine. Proper alignment is crucial to maintain the
    spine's natural curvature, which allows it to function optimally in supporting
    the head and facilitating movements. Incorrect alignment, due to the head's
    weight or poor posture, can lead to issues like forward head posture
    (commonly referred to as "text neck") and increased stress on the cervical
    spine.
    Risk of Neck Pain and Injury: Prolonged periods of poor posture or
    excessive strain on the neck muscles can result in chronic neck pain and
    discomfort. In more severe cases, it can lead to conditions like cervical
    spondylosis or herniated discs, affecting the cervical spine's overall health.
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The Effects of Head Weight on The Body and Neck
   2) Body Effects:
   Postural Changes: The weight of the head plays a significant role in overall
   body posture. When the head is properly aligned with the spine, the rest of the
   body tends to follow suit with good posture. However, if the head is held
   forward or in an imbalanced position, it can lead to postural issues in the
   shoulders, upper back, and even the lower back, affecting overall body
   posture.
   Muscle Imbalances: The body will naturally adjust to accommodate the
   head's weight in different postures. For example, poor posture can lead to
   muscle imbalances in the shoulders and upper back as these muscles work
   harder to compensate for the forward head position. This can result in pain,
   tension, and decreased mobility.
   Breathing and Circulation: The head's position can impact the ability of the
   ribcage to expand fully during breathing. Forward head posture can restrict
   lung capacity, potentially affecting respiratory function and oxygen intake.
   Circulation, including blood flow to the brain, can also be influenced by
   posture and head position.
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How to Reduce Effects on The Neck and Body?
     Reducing the effects of the head's weight on the neck and body is crucial for
     preventing discomfort, strain, and potential long-term health issues. Here are
     several wats o help alleviate the stress caused by the weight of the head:
     1) Improve Posture: Maintaining proper posture is essential for minimizing
        the strain on the neck and spine. When you have good posture, the head
        is balanced directly over the spine, reducing the forces that can lead to
        neck pain and discomfort.
     2) Ergonomic Workspace: Ensure your workspace is ergonomically
        designed. This includes setting up your computer, chair, and desk to
        support an upright, comfortable posture. Adjust your monitor to eye
        level, use an ergonomic chair, and position your keyboard and mouse
        properly.
     3) Regular Exercise: Engage in regular physical activity to strengthen the
        muscles in your neck and shoulders. Exercise can improve overall
        posture and reduce the strain on your neck.
     4) Frequent Breaks: Take regular breaks from activities that require you to
        keep your head in one position for an extended period. For example, if
        you work at a computer, take short breaks to stretch and change your
        head and neck position.
     5) Proper Pillow and Mattress: Choose a supportive pillow and mattress
        that maintain the natural alignment of your spine, especially when
        sleeping. This can reduce strain on the neck and back.
     6) Manage Heavy Loads: When lifting heavy objects, use proper lifting
        techniques. Bend your knees, keep the load close to your body, and use
        your leg muscles to lift, reducing strain on your neck and back.
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Conclusion
   In conclusion, the biomechanics of the head and neck play a fundamental role
   in understanding the complex interplay of forces and structures in this vital
   anatomical region. The head and neck house the brain, support sensory
   organs, and facilitate crucial functions like communication and swallowing. A
   thorough understanding of their biomechanics is essential for a range of
   applications, including injury prevention, diagnostics, medical treatment, and
   the design of protective equipment.
   The head and neck are characterized by a delicate balance between structural
   stability and a wide range of motion. Joints, muscles, and ligaments work in
   harmony to support and facilitate movements such as nodding, turning, and
   tilting. Various forces, including gravity, muscle contractions, and external
   impacts, exert pressure on the neck and head. Understanding how these forces
   are distributed is critical for predicting injury risks and developing protective
   measures.
   Biomechanics helps explain how injuries occur in this region, from whiplash
   in car accidents to sports-related head and neck trauma. This knowledge is
   essential for injury prevention and treatment strategies.
   Biomechanics of the head and neck have broad applications in fields such as
   sports medicine, automotive safety, and medical diagnostics. It informs the
   development of safety equipment, customized treatment plans, and prosthetic
   devices. The field of head and neck biomechanics continues to evolve, with
   ongoing research in computational modeling, injury prevention, and
   personalized medicine, offering promising directions for improving the
   understanding and management of this intricate region.
   In summary, the biomechanics of the head and neck are not only crucial for
   safeguarding this vital part of the body but also hold the potential to enhance
   our overall well-being through advancements in safety, medical treatments,
   and injury prevention strategies. Understanding the biomechanical intricacies
   of the head and neck is a cornerstone in the pursuit of health and safety.
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References
  https://www.semanticscholar.org/paper/Differences-in-neck-surface-
   electromyography%2C-and-A-Lascurain-Aguirrebe%C3%B1a-Newham/
   6e6f91e095ebceed59d77f99b7bc5f9e8602c4c1
  https://thespineexperts.brain-spine.com/2019/08/05/six-movements-of-the-
   neck/
  https://waergo.com/JES/BodyBasics.htm
  http://resource.download.wjec.co.uk.s3.amazonaws.com/vtc/2015-16/15-
   16_21/eng/section3.html .
  https://www.beechborophysiotherapy.com.au/what-the-heck-is-text-neck/
  https://pettibonsystem.com/blog/deep-dive-into-forward-head-posture/
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