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四周运动方案对圆肩姿势的久坐上班族的影响:一项随机对照研究。

Four weeks of exercise regimen for sedentary workers with rounded shoulder posture: a randomized controlled study.

机构信息

PhD, PT. Assistant Professor, Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Aydın Adnan Menderes University, Aydın, Turkey.

MD. Associate Professor, Department of Radiology, Faculty of Medicine, Aydın Adnan Menderes University, Aydın, Turkey.

出版信息

Sao Paulo Med J. 2022 Sep 12;141(3):e2022257. doi: 10.1590/1516-3180.2022.0257.R1.06072022. eCollection 2022.

Abstract

BACKGROUND

Rounded shoulder (RS) posture causes neck and shoulder pathologies. Mechanical correction taping (MCT) is often incorporated into postural corrective therapies; however, its effects on muscle stiffness are unclear.

OBJECTIVE

We investigated the effect of MCT with different tape fabrics, along with exercise, on upper trapezius and pectoralis minor muscle stiffness and the posture of sedentary workers.

DESIGN AND SETTING

A randomized controlled study was performed at Aydın Adnan Menderes University, Aydın, Turkey.

METHODS

The study included 39 workers with RS posture. Two intervention groups (performance tape: PT and classic tape: CT) were taped twice a week and administered a home exercise program for 4 weeks. The control (C) group performed only home exercises. RS was measured using an acromion-testing table (AT), stiffness using shear wave elastography ultrasound, and shoulder angle (SA) using a smartphone application at baseline and 4 weeks. Time and group interactions were determined using 3 × 2 mixed analysis of variance.

RESULTS

Intragroup analyses revealed a significant main effect of time on AT distance (η2 = 0.445) and SA (η2 = 0.325) in the PT and C groups (P < 0.05) and left upper trapezius stiffness (η2 = 0.287) in the CT and C groups (P < 0.05). In the post hoc analyses, no difference was noted between the groups from baseline to 4 weeks (P > 0.05).

CONCLUSION

Scapular MCT added to postural exercises did not show any difference between the intervention groups and controls in terms of muscle stiffness and posture in sedentary workers.

摘要

背景

圆肩(RS)姿势会导致颈部和肩部疾病。机械矫正贴扎(MCT)通常被纳入姿势矫正治疗中;然而,其对肌肉僵硬的影响尚不清楚。

目的

我们研究了 MCT 与不同的贴扎布、结合运动对上斜方肌和胸小肌僵硬以及坐姿工作者姿势的影响。

设计和设置

这是一项在土耳其阿依登阿德南·曼德列斯大学进行的随机对照研究。

方法

该研究纳入了 39 名 RS 姿势的工人。两个干预组(表现贴扎布:PT 和经典贴扎布:CT)每周贴扎两次,并进行为期 4 周的家庭运动方案。对照组(C)仅进行家庭运动。在基线和 4 周时,使用肩峰测试表(AT)测量 RS,使用剪切波弹性成像超声测量僵硬,使用智能手机应用测量肩角(SA)。使用 3×2 混合方差分析确定时间和组间的相互作用。

结果

组内分析显示,在 PT 和 C 组中,AT 距离(η2 = 0.445)和 SA(η2 = 0.325)(P < 0.05)以及 CT 和 C 组的左侧上斜方肌僵硬(η2 = 0.287)(P < 0.05)有显著的时间主效应。在事后分析中,各组之间从基线到 4 周时没有差异(P > 0.05)。

结论

在坐姿工作者中,肩胛 MCT 结合姿势运动在肌肉僵硬和姿势方面与对照组之间没有差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fe/10065112/486ee4fda673/1806-9460-spmj-141-03-e2022257-gf01.jpg

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