Lee Sangyong, Choi Yoon-Hee, Kim Janggon
Department of Physical Therapy, U1 University, Republic of Korea.
Department of Physical Therapy, Graduate School DeaJeon University, Republic of Korea.
J Phys Ther Sci. 2017 May;29(5):921-923. doi: 10.1589/jpts.29.921. Epub 2017 May 16.
[Purpose] The purpose of this study was to examine the effects of the cervical flexion angle on muscle fatigue and pain in the cervical erector spinae and upper trapezius in normal adults in their 20s. [Subjects and Methods] The study's subjects were 14 normal adults. After sitting on a chair with their back against the wall, they held a smartphone with both hands for 10 minutes and fatigue and pain in the neck and shoulder muscles were measured at different cervical flexion angles (0°, 30°, and 50°). Electromyography was performed to analyze the muscle fatigue of the right upper trapezius, left upper trapezius, right cervical erector spinae, and left cervical erector spinae, and a Commander Algometer was used to measure pain. The cervical range of motion was used as an instrument to compare and analyze the cervical flexion angles. [Results] The study's results showed statistically significant differences in the muscle fatigue and pain of the right upper trapezius and left upper trapezius depending on the cervical flexion angle and a post-hoc test showed statistically significant lower levels of muscle fatigue and pain at 50° than at 0° or 30°. No statistically significant differences were found between the right cervical erector spinae and left cervical erector spinae. [Conclusion] The cervical flexion angle during smartphone use may influence the muscle fatigue and pain of the upper trapezius.
[目的] 本研究旨在探讨颈椎前屈角度对20多岁正常成年人颈竖脊肌和上斜方肌肌肉疲劳及疼痛的影响。[对象与方法] 本研究的对象为14名正常成年人。他们背靠墙坐在椅子上,双手握住智能手机10分钟,在不同颈椎前屈角度(0°、30°和50°)下测量颈部和肩部肌肉的疲劳及疼痛情况。进行肌电图检查以分析右上斜方肌、左上斜方肌、右侧颈竖脊肌和左侧颈竖脊肌的肌肉疲劳情况,并使用痛觉计测量疼痛程度。颈椎活动范围用作比较和分析颈椎前屈角度的工具。[结果] 研究结果显示,右上斜方肌和左上斜方肌的肌肉疲劳及疼痛情况因颈椎前屈角度而异,事后检验表明,50°时的肌肉疲劳和疼痛程度在统计学上显著低于0°或30°时。右侧颈竖脊肌和左侧颈竖脊肌之间未发现统计学上的显著差异。[结论] 使用智能手机时的颈椎前屈角度可能会影响上斜方肌的肌肉疲劳和疼痛。