Shin Seung-Je, Yoo Won-Gyu
Department of Physical Therapy, The Graduate School, Inje University, Korea.
Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, Korea.
Work. 2015 Jun 5;51(2):321-6. doi: 10.3233/WOR-141867.
Although overhead work is closely related to musculoskeletal disorders, it is difficult to avoid these postures in daily working conditions. In industrial tasks that require elevated arm postures above shoulder height, flexibility in the location of the task is necessary.
This study investigated the sternocleidomastoid, upper trapezius, lower trapezius, and anterior deltoid, serratus anterior muscle activities during overhead work involving four different height and distance locations performed by healthy adult participants.
Eighteen young male right-hand-dominant workers were recruited. The right upper trapezius, lower trapezius, serratus anterior, anterior deltoid, and sternocleidomastoid muscle activities were measured under for overhead work condition (Location 1: overhead work with a height of 10 cm above the head of each subject and distance of 15 cm, Location 2: overhead work with a height of 10 cm above the head of each subject and distance of 30 cm, Location 3: overhead work with a height of 20 cm above the head of each subject and distance of 15 cm, Location 4: overhead work with a height of 20 cm above the head of each subject and distance of 30 cm).
In Location 3, there was significantly higher neck extension range of motion compared to Location 1, Location 2 and Location 4. In Location 1, the activities of the upper trapezius, lower trapezius, serratus anterior, anterior deltoid, and sternocleidomastoid muscles were significantly lower than those in Location 3 (p<0.05). In Location 2, the activities of the upper trapezius, lower trapezius, serratus anterior, anterior deltoid, and sternocleidomastoid muscles were significantly lower than those in Location 4 (p<0.05). In Location 1, there were significantly lower upper trapezius, lower trapezius, serratus anterior, and anterior deltoid muscle activities than in Location 2 (p<0.05). In Location 3, there were significantly lower upper trapezius, lower trapezius, serratus anterior, and anterior deltoid muscle activities than in Location 4 (p<0.05). In Location 1, there was significantly higher sternocleidomastoid muscle activity than in Location 2 (p<0.05). Finally, In Location 3, there was significantly higher sternocleidomastoid muscle activity than in Location 4 (p<0.05).
Overhead workers should engage in work that involves a low height and near distance. Height appears to be a stronger risk factor than distance in overhead work.
尽管头顶作业与肌肉骨骼疾病密切相关,但在日常工作条件下很难避免这些姿势。在需要将手臂举过肩部高度的工业任务中,任务位置的灵活性是必要的。
本研究调查了健康成年参与者在涉及四个不同高度和距离位置的头顶作业过程中胸锁乳突肌、上斜方肌、下斜方肌和三角肌前束、前锯肌的活动情况。
招募了18名右利手的年轻男性工人。在头顶作业条件下(位置1:在每个受试者头顶上方10厘米、距离15厘米处进行头顶作业;位置2:在每个受试者头顶上方10厘米、距离30厘米处进行头顶作业;位置3:在每个受试者头顶上方20厘米、距离15厘米处进行头顶作业;位置4:在每个受试者头顶上方20厘米、距离30厘米处进行头顶作业)测量右上斜方肌、下斜方肌、前锯肌、三角肌前束和胸锁乳突肌的活动。
在位置3,与位置1、位置2和位置4相比,颈部伸展活动范围显著更大。在位置1,上斜方肌、下斜方肌、前锯肌、三角肌前束和胸锁乳突肌的活动显著低于位置3(p<0.05)。在位置2,上斜方肌、下斜方肌、前锯肌、三角肌前束和胸锁乳突肌的活动显著低于位置4(p<0.05)。在位置1,上斜方肌、下斜方肌、前锯肌和三角肌前束的活动显著低于位置2(p<0.05)。在位置3,上斜方肌、下斜方肌、前锯肌和三角肌前束的活动显著低于位置4(p<0.05)。在位置1,胸锁乳突肌的活动显著高于位置2(p<0.05)。最后,在位置3,胸锁乳突肌的活动显著高于位置4(p<0.05)。
头顶作业工人应从事高度低且距离近的工作。在头顶作业中,高度似乎比距离是更强的风险因素。