听觉反馈的上背部支架对慢性颈痛上班族前倾头圆肩姿势的影响-一项前后单组研究

Jyotsna R. Bankhele, Rashmi S Yeradkar, M. Mulye
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摘要

背景:前倾头和圆肩姿势(FHRSP)是办公室职员不良的习惯性颈部姿势。这种姿势会导致脖子和肩膀周围的肌肉紧张和疼痛,以及上肢的神经根症状。目的:本研究的目的是探讨听觉反馈的上背支架对颈部疼痛和头向前姿势的影响。研究设计:研究设计包括前瞻性、实验性、前后单组。方法:对25 ~ 60岁的上班族(男、女)进行肩带柔韧性测试(指尖相距2英寸[5厘米])。从50名筛选的受试者中选出10名符合资格标准的受试者参加本研究。受试者每天佩戴带听觉反馈的上背部支架6小时(持续至少30分钟),持续2周。分别在基线和2周后进行颈部残疾指数(NDI)、视觉模拟评分(VAS)、颅椎角(CVA)和肩胛骨指数(SI)的前后评估。结果:干预后,NDI评分(P < 0.05,平均差值的95%可信区间(CI): 2.33 ~ 8.72)和VAS评分(P < 0.05, 95% CI: 0.70 ~ 2.89)显著降低,CVA评分(P < 0.05, 95% CI: 0.60 ~ 6.59)和SI评分(P < 0.05, 95% CI: 0.70 ~ 10.01)显著改善。结论:听觉反馈的上背支具改善了上班族的FHRSP,减轻了颈部疼痛和相关残疾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of upper back brace with auditory feedback for forward head rounded shoulder posture among office workers with chronic neck pain – A pre-post single group study
Background: Forward head and rounded shoulder posture (FHRSP) is a poor habitual neck posture among office workers. The posture results in muscle tension and pain around the neck and shoulders and nerve root symptoms in the upper extremities. Objectives: The aim of this study was to investigate the effect of upper back brace with auditory feedback on posture among office workers with neck pain and forward head posture. Study Design: The study design involves prospective, experimental, pre–post single group. Methods: The office workers (males and females aged 25–60 years) were screened on shoulder girdle flexibility test (fingertips > 2 inches [5 cm] apart). Ten subjects (out of 50 screened subjects) meeting the eligibility criteria were selected for the study. The subjects wore the upper back brace with auditory feedback for 6 h in a day (minimum 30 min in continuation) for 2 weeks. Pre- and post-assessments of the neck disability index (NDI), visual analog scale (VAS), craniovertebral angle (CVA), and scapular index (SI) were carried out at the baseline and after 2 weeks, respectively. Results: Postintervention, significant reduction was found in NDI score (P < 0.05, 95% confidence interval (CI) of mean difference (CI): 2.33–8.72 and VAS score (P < 0.05, 95% CI: 0.70–2.89) and significant improvement was found in CVA score (P < 0.05, 95% CI: 0.60–6.59) and SI score (P < 0.05, 95% CI: 0.70–10.01). Conclusion: The results indicate that the upper back brace with auditory feedback improves the FHRSP and reduces neck pain and related disability among office workers.
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