The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain

Wegner, Sally; Jull, Gwendolen; O’Leary, Shaun; Johnston, Venerina

doi:10.1016/j.math.2010.06.006

Cited by 99 publications

(96 citation statements)

References 24 publications

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“…minant of scapular position and movement, there is a lack of investigations of scapular position-related pain induced by computer work. Recent findings have suggested that postural correction focusing on scapular alignment is an effective way to reduce neck and shoulder pain 12,13) . Wegner et al (2010) suggested that a postural correction strategy for scapular position was helpful in patients with neck pain for restoring muscular activation during work at the computer 12) .…”

Section: Display Terminalmentioning

confidence: 99%

“…Recent findings have suggested that postural correction focusing on scapular alignment is an effective way to reduce neck and shoulder pain 12,13) . Wegner et al (2010) suggested that a postural correction strategy for scapular position was helpful in patients with neck pain for restoring muscular activation during work at the computer 12) . However, to our knowledge, no study has investigated the influence of prolonged computer work on scapular position with upper trapezius activation.…”

Section: Display Terminalmentioning

confidence: 99%

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Effect of Sustained Typing Work on Changes in Scapular Position, Pressure Pain Sensitivity and Upper Trapezius Activity

Park

Yoo

2013

Journal of Occupational Health

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Effect of Sustained Typing Work on Changes in Scapular Position, Pressure Pain Sensitivity and Upper Trapezius Activity: Se‐Yeon PARK, et al. Department of Physical Therapy, The Graduate School, Inje University, Republic of Korea— Objective The aim of this study was to investigate the effects of sustained computer keyboard typing on the human musculoskeletal system by assessing the pressure‐pain threshold (PPT), scapular position and activation of the upper trapezius. Methods Vertical and horizontal positional changes of the scapular were measured with a palpation meter before and after keyboard work, and the PPT was measured using a pressure algometer. Activation of the upper trapezius during 20 minutes of computer keyboard work was measured by electromyography, and four consecutive 5‐minute segments were analyzed. Results The vertical distance from the seventh cervical process to the acromion, and the horizontal distance from the inferior angle to the same level of the spinal process were significantly increased after keyboard typing work compared with before keyboard typing work (p<0.05). The average value of the upper trapezius activity increased with increased time at the keyboard. The percent reference voluntary contraction of phase 1 (from start to 5 minutes) was lower than those of phase 2 (from 5 to 10 minutes), and phase 3 (from 10 to 15 minutes) (p<0.05). Conclusions We observed that sustained computer work changed the scapular position in the stretched upper trapezius. To prevent musculoskeletal problems in the shoulder region, posture reeducation during computer work should be considered in terms not only of neck and trunk posture, but also of scapular position.

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Section: Display Terminalmentioning

confidence: 99%

Section: Display Terminalmentioning

confidence: 99%

Effect of Sustained Typing Work on Changes in Scapular Position, Pressure Pain Sensitivity and Upper Trapezius Activity

Park

Yoo

2013

Journal of Occupational Health

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“…Occupational diseases and disorders are among common problems in society (1). Studies show that feeling pain in different parts of musculoskeletal systems is one of major reasons for absence from workplaces (2).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Musculoskeletal Disorders Among Office Workers

Noroozi

Hajibabaei

Saki

et al. 2015

Jundishapur J Health Sci

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. Study population included office workers of different departments as well as central organization and library. We use descriptive statistic, t test and chi-square test for data analysis. Results: The mean and standard deviation of participants' age was 35.4 ± 6.7 years and their work experience was 9.7 ± 6.65 years, respectively. Most signs (51%) were in back region, which forced 18.9% of individuals to withdraw from daily activities. Statistical analysis also showed 36.7% neck disorders in office workers, which demonstrated significant association with age and work experience (P < 0.001). Conclusions: Significant association of work experience and age with musculoskeletal disorders shows that individual's education and knowledge improvements with regard to ergonomics risk factors and correction of work postures are very important and ought to follow management and technical practices in the organization.

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“…Wegner ve ark. [7] ise yaptıkları çalışmada boyun ağrılı hastalarda skapular postural düzeltme egzersizlerinin trapezius kasında optimal kas aktivitesini sağladığını göstermişlerdir.…”

Section: Tablo 4 Skapular Retraksiyon Testi Ve Skapular Yardım Testiunclassified

“…Yapılan çalışmalarda boyun ağ-rılı hastalarda trapezius kasında anormal aktivite ve buna bağlı skapular postürde değişimler olduğu gös-terilmiştir. [6,7] Skapular değerlendirme; skapula işlev bozukluğu-nun varlığını veya yokluğunu belirlemede, dinlenme pozisyonunda değişmiş skapula konumunu ortaya çıkarmada ve sıkışma belirtilerinin saptanmasında önemlidir. [2] Kronik kas-iskelet sistemi problemlerinin günlük yaşam aktivite fonksiyonlarında zorlanmalara neden olarak yaşam kalitesini azalttığı bilinmektedir.…”

Section: Introductionunclassified

The relationship between scapular dyskinesia, pain, range of motion and flexibility in patients with neck and shoulder problems

Pekyavaş¹,

Kunduracilar²,

Ersin³

et al. 2014

Agri

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SRT (r=0.617, p=0.000) and SAT (r=0.565, p=0.000) ÖzetAmaç: Boyun, omuz ve boyun-omuz ağrılı olgularda, skapular diskinezi, ağrı ve esneklik arasındaki ilişkilerin araştırılması. Gereç ve Yöntem: Çalışmamıza Başkent Üniversitesi Hastanesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı'na boyun ve omuz ağrısı şikayeti ile başvurmuş, patolojik tanı almış 160 olgu alındı. Hastalar boyun (n=80, yaş ort=48.78±15.97, VKİ ort=27.14±4.62), omuz (n=54, yaş ort=54.01±14.64, VKİ ort=26.28±3.43) ve boyun+omuz (n=27 yaş ort=51.48±15.25, VKİ ort=26.13±4.53) ağrısı grupları olmak üzere üç gruba ayrıldı. Boyun ve omuz ağrı şiddetinin değerlendirilmesi amacıyla Görsel Analog Skalası (GAS), eklem hareket açıklıklarının ölçülmesi amacıyla gonyometre, omuz internal ve eksternal rotasyon hareketlerinin esnekliklerinin değerlendirilmesi amacıyla mezura ile ölçüm yapıldı. Skapular diskineziyi değerlendirmek amacıyla Lateral Scapular Slide Test (LSST), Scapular Retraction Test (SRT) ve Scapular Assistance Test (SAT) kullanıldı. Bulgular: Boyun patolojili olgularda dominant tarafta SRT ve SAT pozitifliği bulunan olgularda dominant olmayan tarafta da SRT (r=0.617, p=0.000) ve SAT (r=0.565, p=0.000) pozitif bulundu. Boyun ve omuz patolojili olgularda, aktivite sırasında boyun+omuz ağrısı istirahatte ve gece de ağrı devam etmektedir (r=0.572, p=0.002). Her üç grupta da ağrı şidde-ti ile skapular diskinezi arasında anlamlı ilişki bulunmadı. Tüm gruplarda LSST (LSST1=0.76±0.74; LSST2=0.68±0.81; LSST3=0.75±0.75) değerleri 1.5 cm altında olduğundan dolayı skapular hareketlilik normal kabul edildi. Sonuç: Boyun, omuz, boyun ve omuz birlikte olan ağrılı durumlarda eklem limitasyonları ile birlikte skapular diskinezinin de değerlendirilmesinin ağrı ile ilişkili sorunların çözümünde yol gösterici olacağını düşünmekteyiz. İleriki çalışmalarda dahil edilecek grupların patolojiye göre sınıflandırılması, mevcut patolojinin skapular diskinezi üzerine etkisini anlamak açısından önemli bir yol çizecektir.

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The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain

Cited by 99 publications

References 24 publications

Effect of Sustained Typing Work on Changes in Scapular Position, Pressure Pain Sensitivity and Upper Trapezius Activity

Effect of Sustained Typing Work on Changes in Scapular Position, Pressure Pain Sensitivity and Upper Trapezius Activity

Prevalence of Musculoskeletal Disorders Among Office Workers

The relationship between scapular dyskinesia, pain, range of motion and flexibility in patients with neck and shoulder problems

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