Aerosp Med Hum Perform. 2024 Oct;95(10):788-793. doi: 10.3357/AMHP.6485.2024.
Strong neck muscles may decrease the risk of flight-induced neck pain and possible disability among fast jet pilots. The purpose of this study was to examine the intra- and interrater reliability of a commercial force gauge attached to a pilot's helmet for measuring isometric force production of the neck muscles.
A total of 41 subjects performed maximal isometric cervical flexion, extension, and lateral flexion in two measurement sessions for intrarater reliability, and 31 of these subjects participated in a third session for measuring interrater reliability. Delayed muscle soreness and neck pain were assessed using the Visual Analog Scale before and after each measurement session. The intraclass correlation coefficient (ICC) was used to compare values between the test and retest assessments.
The overall interrater reliability was good (ICC 0.79-0.90), whereas the intrarater reliability varied from moderate to good (ICC 0.58-0.84). In both intra- and interrater reliability, the flexion test had good (ICC 0.84-0.89) reliability, while the lateral flexion test results had moderate to good (ICC 0.73-0.90) reliability. The extension test had the lowest reliability in both intra- (ICC 0.58) and interrater (ICC 0.79) tests. The average visual analog scale score (from 1-100 scale) prior to the second measurement session was 16 ± 18 in delayed muscle soreness and 0 ± 0 in neck pain.
The present study demonstrated that the helmet-attached force gauge is a reliable, safe, and clinically applicable method to evaluate isometric neck strength in the flexion and lateral flexion directions. Honkanen T, Mattila V, Kinnunen O, Janhunen M, Sovelius R, Vaara JP, Kyröläinen H. Reliability of a flight helmet-attached force gauge in measuring isometric neck muscle strength. Aerosp Med Hum Perform. 2024; 95(10):788-793.
强壮的颈部肌肉可能会降低快速喷气式飞机飞行员因飞行引起的颈部疼痛和可能的残疾风险。本研究的目的是检查附在飞行员头盔上的商用测力计测量颈部肌肉等长力量产生的内-间和间-内可靠性。
共有 41 名受试者在两次测量中进行最大等长颈椎前屈、后伸和侧屈，以评估内-间可靠性，其中 31 名受试者参加了第三次测量以评估间-内可靠性。在每次测量前后，使用视觉模拟量表评估迟发性肌肉酸痛和颈部疼痛。使用组内相关系数（ICC）比较测试和复测评估之间的值。
总体间可靠性良好（ICC 0.79-0.90），而内-间可靠性从中度到良好（ICC 0.58-0.84）。在间-内和内-间可靠性中，前屈测试具有良好的可靠性（ICC 0.84-0.89），而侧屈测试结果具有中度到良好的可靠性（ICC 0.73-0.90）。在间-内（ICC 0.58）和间-间（ICC 0.79）测试中，伸展测试的可靠性最低。第二次测量前的平均视觉模拟量表评分（1-100 量表）为迟发性肌肉酸痛 16 ± 18，颈部疼痛 0 ± 0。
本研究表明，头盔附力计是一种可靠、安全且临床适用的方法，可用于评估前屈和侧屈方向的等长颈部力量。Honkanen T、Mattila V、Kinnunen O、Janhunen M、Sovelius R、Vaara JP、Kyröläinen H。飞行头盔附力计测量等长颈部肌肉力量的可靠性。航空航天医学与人类表现。2024;95(10):788-793。
