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非病理性颈部疼痛对三种不同头部位置的医护人员握力的影响:一项横断面研究设计

The effect of non-pathological neck pain on hand grip strength in healthcare practitioners across three different head positions: a cross-sectional study design.

作者信息

Alatawi Salem F

机构信息

Department of Health Rehabilitation Sciences, Faculty of Applied Medical Sciences, University of Tabuk: 71491, North West region, Tabuk City, Kingdom of Saudi Arabia.

出版信息

J Phys Ther Sci. 2024 Sep;36(9):505-512. doi: 10.1589/jpts.36.505. Epub 2024 Sep 5.

Abstract

[Purpose] To determine how different head-neck positions (HNPs) influence the hand grip strength (HGS) of medical personnel with non-pathological neck pain (NPNP). [Participants and Methods] A cross-sectional study recruited 46 healthcare professionals: 21 (45.7%) with NPNP and 25 (54.3%) without. A dynamometer, cervical range of motion, and visual analogue scale measured HGS, HNPs, and NPNPs. Participants were instructed to squeeze the handgrip dynamometer handle in 90-degree elbow flexion as much as possible from a seated position to measure HGS from the neutral head position (NHP), 40° head neck flexion (HFP40°), and 30° head neck extension (HEP30°). [Results] The mean HGS for the dominant hand in NHP, HFP40°, and HEP30° was 29.27 kg (± 9.03), 27.24 kg (± 9.08), and 26.37 kg (± 9.32), while for the non-dominant hand it was 27.45 kg (± 9.62), 25.23 kg (± 9.36), and 24.61 kg (± 10.17). There was no significant correlation between HNPs and HGS. However, the only significant difference was between dominant HGS in the NHP and non-dominant HGS in the HEP30°. [Conclusion] NPNP had no significant influence on HGS in any of the three HNPs for either hand. Future studies should include other HNPs and other potential variables such as age, gender, weight, and pain intensity.

摘要

[目的] 确定不同的头颈部位置(HNPs)如何影响患有非病理性颈部疼痛(NPNP)的医务人员的握力(HGS)。[参与者与方法] 一项横断面研究招募了46名医疗保健专业人员:21名(45.7%)患有NPNP,25名(54.3%)未患。使用测力计、颈椎活动范围和视觉模拟量表测量HGS、HNPs和NPNPs。参与者被要求从坐姿开始,在肘部屈曲90度时尽可能用力挤压握力计手柄,以测量中立头位(NHP)、头颈部屈曲40°(HFP40°)和头颈部伸展30°(HEP30°)时的HGS。[结果] 在NHP、HFP40°和HEP30°时,优势手的平均HGS分别为29.27 kg(±9.03)、27.24 kg(±9.08)和26.37 kg(±9.32),非优势手分别为27.45 kg(±9.62)、25.23 kg(±9.36)和24.61 kg(±10.17)。HNPs与HGS之间无显著相关性。然而,唯一显著的差异是NHP时的优势HGS与HEP30°时的非优势HGS之间的差异。[结论] NPNP对任何一种手在三种HNPs中的任何一种情况下的HGS均无显著影响。未来的研究应包括其他HNPs以及其他潜在变量,如年龄、性别、体重和疼痛强度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c6/11374178/c9dc98bf49a4/jpts-36-505-g001.jpg

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