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健康办公室工作人员的上斜方肌活动:职业暴露测量对性别和利手差异的可靠性和敏感性

Upper trapezius muscle activity in healthy office workers: reliability and sensitivity of occupational exposure measures to differences in sex and hand dominance.

作者信息

Marker Ryan J, Balter Jaclyn E, Nofsinger Micaela L, Anton Dan, Fethke Nathan B, Maluf Katrina S

机构信息

a Rehabilitation Science Program , University of Colorado Anschutz Medical Campus , Aurora , CO , USA.

b Physical Therapy Program , University of Colorado Anschutz Medical Campus , Aurora , CO , USA.

出版信息

Ergonomics. 2016 Sep;59(9):1205-14. doi: 10.1080/00140139.2015.1130860. Epub 2016 Feb 28.

DOI:10.1080/00140139.2015.1130860
PMID:26924036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9333326/
Abstract

Patterns of cervical muscle activity may contribute to overuse injuries in office workers. The purpose of this investigation was to characterise patterns of upper trapezius muscle activity in pain-free office workers using traditional occupational exposure measures and a modified Active Amplitude Probability Distribution Function (APDF), which considers only periods of active muscle contraction. Bilateral trapezius muscle activity was recorded in 77 pain-free office workers for 1-2 full days in their natural work environment. Mean amplitude, gap frequency, muscular rest and Traditional and Active APDF amplitudes were calculated. All measures demonstrated fair to substantial reliability. Dominant muscles demonstrated higher amplitudes of activity and less muscular rest compared to non-dominant, and women demonstrated less muscular rest with no significant difference in amplitude assessed by Active APDF compared to men. These findings provide normative data to identify atypical motor patterns that may contribute to persistence or recurrence of neck pain in office workers. Practitioner Summary: Upper trapezius muscle activity was characterised in a large cohort of pain-free workers using electromyographic recordings from office environments. Dominant muscles demonstrated higher activity and less rest than non-dominant, and women demonstrated less rest than men. Results may be used to identify atypical trapezius muscle activity in office workers.

摘要

颈部肌肉活动模式可能导致办公室职员出现过度使用损伤。本研究的目的是使用传统职业暴露测量方法和一种仅考虑肌肉主动收缩期的改良主动幅度概率分布函数(APDF),来描述无疼痛办公室职员的斜方肌上束肌肉活动模式。在77名无疼痛办公室职员的自然工作环境中,对其双侧斜方肌肌肉活动进行了1至2整天的记录。计算了平均幅度、间隙频率、肌肉休息时间以及传统和主动APDF幅度。所有测量结果均显示出良好到高度的可靠性。与非优势侧相比,优势侧肌肉表现出更高的活动幅度和更少的肌肉休息时间;与男性相比,女性的肌肉休息时间更少,通过主动APDF评估的幅度无显著差异。这些发现提供了规范性数据,以识别可能导致办公室职员颈部疼痛持续或复发的非典型运动模式。从业者总结:通过在办公室环境中进行肌电图记录,对一大群无疼痛工作者的斜方肌上束肌肉活动进行了特征描述。优势侧肌肉比非优势侧表现出更高的活动和更少的休息,女性比男性休息更少。研究结果可用于识别办公室职员中斜方肌的非典型肌肉活动。

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