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颈肩部无疼痛和有疼痛个体进行计算机工作时斜方肌活动的变化。

Trapezius muscle activity variation during computer work performed by individuals with and without neck-shoulder pain.

机构信息

Department of Industrial and Systems Engineering, Virginia Tech, Blacksburg, VA, 24060, USA.

Centre for Musculoskeletal Research, Department of Occupational and Public Health Sciences, University of Gävle, Gävle, Sweden.

出版信息

Appl Ergon. 2019 Nov;81:102908. doi: 10.1016/j.apergo.2019.102908. Epub 2019 Jul 25.

Abstract

This study aimed at determining the extent to which individuals with neck-shoulder pain and non-symptomatic individuals differ in muscle activation patterns, when performing computer work, as quantified by exposure variation analysis (EVA). As a secondary aim, we also aimed to quantify the day-to-day reliability of EVA variables describing trapezius muscle activation in a non-symptomatic control group. Thirteen touch-typing computer users (pain: n = 5, non-symptomatic: n = 8) completed three pre-selected computer tasks in the laboratory. Upper trapezius muscle activity was recorded using electromyography and analyzed using EVA with five amplitude and five duration categories. Individuals with neck-shoulder pain spent less time at low amplitudes and exhibited longer uninterrupted periods of muscle activation compared to their non-symptomatic counterparts. Thus, non-symptomatic workers tended to switch between exposure levels more often than individuals with pain. For a majority of EVA variables, ICCs ranged from 0.6 to 0.9, and between-days coefficients of variation were between 0.4 and 2.2.

摘要

本研究旨在通过暴露变异分析(EVA)来确定颈肩部疼痛患者和无症状个体在进行计算机工作时肌肉激活模式的差异程度。作为次要目标,我们还旨在量化描述无症状对照组斜方肌激活的 EVA 变量的日常可靠性。13 名打字计算机用户(疼痛:n=5,无症状:n=8)在实验室中完成了三个预先选择的计算机任务。使用肌电图记录上斜方肌的活动,并使用 EVA 进行分析,EVA 有五个幅度和五个持续时间类别。与无症状者相比,颈肩部疼痛患者在低幅度下花费的时间更少,并且肌肉激活的不间断时间更长。因此,无症状工人比疼痛患者更倾向于更频繁地在暴露水平之间切换。对于大多数 EVA 变量,ICC 范围在 0.6 到 0.9 之间,日间变异系数在 0.4 到 2.2 之间。

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