Female Office Workers With Moderate Neck Pain Have Increased Anterior Positioning of the Cervical Spine and Stiffness of Upper Trapezius Myofascial Tissue in Sitting Posture

Kocur, Piotr; Wilski, Maciej; Lewandowski, Jacek; Łochyński, Dawid

doi:10.1016/j.pmrj.2018.07.002

Cited by 43 publications

(40 citation statements)

References 49 publications

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“…Neck pain (NP) is the fourth largest contributor to global disability worldwide [ 14 ]. Individuals with NP show limited range of motion (ROM) [ 15 ], pain adaptive motor control disturbances, such as increased activation of surface musculature [ 15 , 16 ], and modifications in muscle mechanical properties (MMPs) [ 16 , 17 ]. However, these disturbances are not completely understood [ 18 ] and most of these conditions are diagnosed and classified as unspecific [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Paravertebral Muscle Mechanical Properties and Spinal Range of Motion in Patients with Acute Neck or Low Back Pain: A Case-Control Study

et al. 2021

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Our aims were to identify potential differences in muscle mechanical properties (MMPs) of cervical and lumbar tissues and in spinal range of motion (ROM) between patients with acute low back pain (LBP) or acute neck pain (NP) and healthy controls, and to identify if ROMs and MMPs are able to identify subjects among the three groups. Clinical variables (pain, disability, fear of movement, kinesiophobia, quality of life), MMPs and ROMs were obtained in 33 subjects with acute LBP, 33 with acute NP, and 33 healthy control subjects. Between-groups differences and explanatory models to discriminate groups depending on MMPs and ROMs were calculated. The results showed that cervical tone was higher in patients with acute NP than in controls, while cervical decrement was higher in both spinal pain groups. Patients with acute NP showed reduced cervical flexion when compared to acute LBP and control groups, and also cervical rotation, but just against controls. Furthermore, lumbar flexion was reduced in patients with acute LBP when compared to those with acute NP. Cervical decrement was able to discriminate spinal pain individuals from controls in a multinominal regression (R2: Cox–Snell estimation = 0.533; Nagelkerke estimation = 0.600). Lumbar flexion differentiated patients with acute LBP and controls, whereas cervical flexion differentiated patients with acute NP and controls. This study supports a tendency of the affectation of other spinal regions when only one is affected.

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Section: Introductionmentioning

confidence: 99%

Paravertebral Muscle Mechanical Properties and Spinal Range of Motion in Patients with Acute Neck or Low Back Pain: A Case-Control Study

et al. 2021

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“…Studies have found that placing the computer screen not in line with the eyes can be related to the appearance of neck pain or musculoskeletal discomfort [28,29]. From a functional perspective, Kocur et al noted that clerks with pain in the cervical spine had advanced the position of the head in a sitting position and presented a higher rigidity in the upper trapezius, although there was no change in the pain threshold when pressing this muscles group [30]. In a more recent study, Kokur et al assessed the relationship between advanced head posture, biomechanical parameters, and the pain threshold related to the pressure in superficial neck musculature in asymptomatic sedentary workers.…”

Section: Discussionmentioning

confidence: 99%

Effect of a Long Exercise Program in the Reduction of Musculoskeletal Discomfort in Office Workers

Villanueva

Rabal-Pelay

Berzosa

et al. 2020

IJERPH

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The purpose of this study was to assess the effect of a six week exercise program to reduce the muscle tone of the trapezius and musculoskeletal discomfort (MED) of office workers. Twenty-six workers performed an exercise program based on: (1) stretching of cervical and/or dorsal region; (2) joint mobility of shoulders and rachis; (3) strengthening deep stabilizer and core muscles; and (4) scapula stabilizing exercises. A Myoton device was used to evaluate trapezius tone and the Cornell Musculoskeletal Discomfort Questionnaire was used to assess changes in MED at three points of evaluation: at the beginning (Pre_1) and at the end of the workday (Post_1), and after the training program (Pre_2). The Wilcoxon test and Cohen’s d were performed to examine differences and effect sizes between evaluations. Main results show that trapezius tone remained constant during the workday, but decreased in the dominant upper trapezius (p = 0.003, ES = −0.60) and increased in the non-dominant middle trapezius (p = 0.016, ES = 0.45) after the exercise program, which eliminated significant muscle asymmetries. MED significantly decreased in the neck (p = 0.027, ES = −0.60) and upper back (p = 0.046, ES = −0.67). In conclusion, MED appears to improve in office workers after a six week training program, which may be explained by a decrease in trapezius tone and increase in the left middle trapezius tone.

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“…In western countries, office workers in particular have been found vulnerable to develop neck pain [ 2 ]. Neck pain symptomatic female office workers showed a protraction of the head relative to the thorax, also known as a protracted “forward head posture” (FHP), compared to asymptomatic controls [ 3 ]. A FHP has frequently been reported for multiple activities and postures, such as driving, computer work, or reading [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Two Joint Neck Model to Identify Malposition of the Head Relative to the Thorax

Schmid

Bauer

Ernst

et al. 2021

Sensors

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Neck pain is a frequent health complaint. Prolonged protracted malpositions of the head are associated with neck pain and headaches and could be prevented using biofeedback systems. A practical biofeedback system to detect malpositions should be realized with a simple measurement setup. To achieve this, a simple biomechanical model representing head orientation and translation relative to the thorax is introduced. To identify the parameters of this model, anthropometric data were acquired from eight healthy volunteers. In this work we determine (i) the accuracy of the proposed model when the neck length is known, (ii) the dependency of the neck length on the body height, and (iii) the impact of a wrong neck length on the models accuracy. The resulting model is able to describe the motion of the head with a maximum uncertainty of 5 mm only. To achieve this high accuracy the effective neck length must be known a priory. If however, this parameter is assumed to be a linear function of the palpable neck length, the measurement error increases. Still, the resulting accuracy can be sufficient to identify and monitor a protracted malposition of the head relative to the thorax.

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Female Office Workers With Moderate Neck Pain Have Increased Anterior Positioning of the Cervical Spine and Stiffness of Upper Trapezius Myofascial Tissue in Sitting Posture

Abstract: II.

Cited by 43 publications

References 49 publications

Paravertebral Muscle Mechanical Properties and Spinal Range of Motion in Patients with Acute Neck or Low Back Pain: A Case-Control Study

Paravertebral Muscle Mechanical Properties and Spinal Range of Motion in Patients with Acute Neck or Low Back Pain: A Case-Control Study

Effect of a Long Exercise Program in the Reduction of Musculoskeletal Discomfort in Office Workers

A Two Joint Neck Model to Identify Malposition of the Head Relative to the Thorax

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