Evaluation of natural head position over five minutes: A comparison between an instantaneous and a five‐minute analysis with an inertial measurement unit

BACKGROUND: Head posture is a balance of several positions and therefore shows inherent variation. Most methods available to quantify this are however instantaneous, not providing information about its variation over time. A dynamic recording of head posture would thus be beneficial. OBJECTIVES: The purpose of this study was to evaluate the variation in natural head position (NHP) over 5 min using an inertial measurement unit (IMU). METHODS: Fifteen healthy young volunteers were asked to sit on a chair and keep their head in the self‐balanced position for 5 min. A mirror was then revealed in front of them, and they were asked to look at their eyes for 20 s. This procedure was undertaken on two separate occasions with a one‐week interval. This was compared to an instantaneous measurement of head position at a specific time point corresponding to the 15th second of the recording. RESULTS: During the 5 min of recording, the participants tended to elevate their head progressively by a mean of 1.5°, which is then corrected by looking at oneself in the mirror. Most participants tended to rotate their head to the left and continued that progressive rotation despite looking in the mirror. The roll axis had no systematic changes observed between the self‐balanced position and the mirror‐guided position and was the most reproducible axis. Moderate to good correlations were found comparing both sessions for each axis. CONCLUSION: The comparison between the five‐minute analysis and the instantaneous measurement showed a systematic difference on the pitch axis but no differences for the yaw and roll. These results suggest that the variation in the NHP during a period of 5 min is generally specific to each participant with a head elevation and rotation to the left in most cases.