Larsen Mette K, Samani Afshin, Madeleine Pascal, Olsen Henrik B, Søgaard Karen, Holtermann Andreas
National Research Centre for the Working Environment, Copenhagen, Denmark.
BMC Musculoskelet Disord. 2009 Aug 10;10:101. doi: 10.1186/1471-2474-10-101.
Work-site strength training sessions are shown effective to prevent and reduce neck-shoulder pain in computer workers, but difficult to integrate in normal working routines. A solution for avoiding neck-shoulder pain during computer work may be to implement high intensity voluntary contractions during the computer work. However, it is unknown how this may influence productivity, rate of perceived exertion (RPE) as well as activity and rest of neck-shoulder muscles during computer work. The aim of this study was to investigate short-term effects of a high intensity contraction on productivity, RPE and upper trapezius activity and rest during computer work and a subsequent pause from computer work.
18 female computer workers performed 2 sessions of 15 min standardized computer mouse work preceded by 1 min pause with and without prior high intensity contraction of shoulder elevation. RPE was reported, productivity (drawings per min) measured, and bipolar surface electromyography (EMG) recorded from the dominant upper trapezius during pauses and sessions of computer work. Repeated measure ANOVA with Bonferroni corrected post-hoc tests was applied for the statistical analyses.
The main findings were that a high intensity shoulder elevation did not modify RPE, productivity or EMG activity of the upper trapezius during the subsequent pause and computer work. However, the high intensity contraction reduced the relative rest time of the uppermost (clavicular) trapezius part during the subsequent pause from computer work (p < 0.04).
Since a preceding high intensity shoulder elevation did not impose a negative impact on perceived effort, productivity or upper trapezius activity during computer work, implementation of high intensity contraction during computer work to prevent neck-shoulder pain may be possible without affecting the working routines. However, the unexpected reduction in clavicular trapezius rest during a pause with preceding high intensity contraction requires further investigation before high intensity shoulder elevations can be recommended as an integrated part of computer work.
工作场所的力量训练课程已被证明对预防和减轻电脑工作者的颈肩疼痛有效,但难以融入日常工作流程。在电脑工作期间避免颈肩疼痛的一个解决方案可能是在电脑工作时进行高强度的自主收缩。然而,尚不清楚这会如何影响生产力、主观用力程度(RPE)以及电脑工作期间颈肩肌肉的活动和休息情况。本研究的目的是调查高强度收缩对电脑工作期间及随后停止电脑工作后的生产力、RPE、上斜方肌活动和休息的短期影响。
18名女性电脑工作者进行了2次15分钟的标准化电脑鼠标操作,操作前有1分钟的休息时间,分别在有和没有预先进行肩部上抬高强度收缩的情况下进行。记录RPE,测量生产力(每分钟绘图数量),并在电脑工作的休息时间和操作期间从优势侧上斜方肌记录双极表面肌电图(EMG)。采用重复测量方差分析和Bonferroni校正的事后检验进行统计分析。
主要发现是,高强度肩部上抬在随后的休息和电脑工作期间并未改变RPE、生产力或上斜方肌的EMG活动。然而,高强度收缩减少了随后停止电脑工作期间最上部(锁骨部)斜方肌部分的相对休息时间(p < 0.04)。
由于预先进行的高强度肩部上抬在电脑工作期间并未对主观用力、生产力或上斜方肌活动产生负面影响,因此在电脑工作期间进行高强度收缩以预防颈肩疼痛在不影响工作流程的情况下可能是可行的。然而,在高强度肩部上抬被推荐作为电脑工作的一个组成部分之前,高强度收缩后休息期间锁骨部斜方肌休息时间意外减少这一情况需要进一步研究。