@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(3):197-203
ISSN: 2252-0805 The Horizon of Medical Sciences 2015;21(3):197-203
Effect of One Period of Exercise-Therapy and an Engonomic Intervention on the Rate of Chronic Neck Pain and Disability in Computer Users
ARTICLE INFO
Article Type
Original ResearchAuthors
Miri M. (*)Hashemizadeh H. (1)
Mohamadpour A. (2)
Zaheri H. (3)
(*) Nursing Department, Aligoodarz Nursing Faculty, Lorestan University of Medical Sciences, Khoramabad, Iran
(1) Nursing Department, Nursing Faculty, Quchan Branch, Islamic Azad University, Quchan, Iran
(2) “Social Determinants of Health Research Center" and "Internal Surgery Nursing Department, Nursing & Midwifery Faculty”, Gonabad University of Medical Sciences, Gonabad, Iran
(3) Nursing Department, Aligoodarz Nursing Faculty, Lorestan University of Medical Sciences, Khoramabad, Iran
Correspondence
Address: Aligoodarz Nursing Faculty, Valiasr Street, Aligoodarz, Lorestan, Iran. Postal Code: 6814993165Phone: +986643339377
Fax: +986643326980
miri356@yahoo.com
Article History
Received: September 20, 2014Accepted: April 29, 2015
ePublished: September 20, 2015
ABSTRACT
Aims
Neck pain is a common disorder among computer users that can reduce the personal yield. So the prevention of it is an important matter in computer users. The purpose of this study was to evaluate the effect of a period of exercise therapy and an ergonomic intervention on chronic neck pain and disability among computer users.
Materials & Methods In this quasi-experimental cross-sectional study in 2012, 30 female computer users of Lorestan University of Medical Sciences with at least 6 months experience of neck pain were selected purposefully by a demographic questionnaire. Subjects were located in experimental (n=15) and control (n=15) groups. The experimental group received therapeutic exercises and ergonomic intervention for two months but control group received no therapeutic intervention. The rate of neck pain and disability was measured by chronic neck pain and disability index questionnaire before and after of exercise therapy and ergonomic intervention. Data were analyzed by independent T test and Pearson correlation coefficient in SPSS 16 software.
Findings There were significant differences between mean of chronic neck pain and disability scores of the two groups (p<0.05). But there were no significant relationships between neck pain, disability and the subjects’ work experience.
Conclusion Exercise therapy along with ergonomic intervention is useful for treatment of chronic neck pain.
Materials & Methods In this quasi-experimental cross-sectional study in 2012, 30 female computer users of Lorestan University of Medical Sciences with at least 6 months experience of neck pain were selected purposefully by a demographic questionnaire. Subjects were located in experimental (n=15) and control (n=15) groups. The experimental group received therapeutic exercises and ergonomic intervention for two months but control group received no therapeutic intervention. The rate of neck pain and disability was measured by chronic neck pain and disability index questionnaire before and after of exercise therapy and ergonomic intervention. Data were analyzed by independent T test and Pearson correlation coefficient in SPSS 16 software.
Findings There were significant differences between mean of chronic neck pain and disability scores of the two groups (p<0.05). But there were no significant relationships between neck pain, disability and the subjects’ work experience.
Conclusion Exercise therapy along with ergonomic intervention is useful for treatment of chronic neck pain.
CITATION LINKS
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[11]Sillanpää J, Huikko S, Nyberg M, Kivi P, Laippala P, Uitti J. Effect of work with visual display units on musculo-skeletal disorders in the office environment. Occup Med (Lond). 2003;53(7):443-51.
[12]Rezasoltani A, Ali-Reza A, Khosro KK, Abbass R. Preliminary study of neck muscle size and strength measurements in females with chronic non-specific neck pain and healthy control subjects. Man Ther. 2010;15(4):400-3.
[13]Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: A systematic critical review of the literature. Eur Spine J. 2006;15(6):834-48.
[14]Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine (Phila Pa 1976). 2000;25(16):2114-25.
[15]Côté P, Cassidy JD, Carroll L. The factors associated with neck pain and its related disability in the Saskatchewan population. Spine (Phila Pa 1976). 2000;25(9):1109-17.
[16]McNair PJ, Portero P, Chiquet C, Mawston G, Lavaste F. Acute neck pain: cervical spine range of motion and position sense prior to and after joint mobilization. Man Ther. 2007;12(4):390-4.
[17]Ylinen J, Takala EP, Nykänen M, Häkkinen A, Mälkiä E, Pohjolainen T, et al. Active neck muscle training in the treatment of chronic neck pain in women: A randomized controlled trial. JAMA. 2003;289(19):2509-16.
[18]Viljanen M, Malmivaara A, Uitti J, Rinne M, Palmroos P, Laippala P. Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: Randomised controlled trial. BMJ. 2003;327(7413):475.
[19]Karimi A, Mozafari F, Kamaledini H, Jokar S. The effectiveness of therapeutic exercises and general care by educational booklet on reduction of neck pain. J Res Rehabil Sci. 2009;6(2):1-10. [Persian]
[20]Zebis MK, Andersen LL, Pedersen MT, Mortensen P, Andersen CH, Pedersen MM, et al. Implementation of neck/shoulder exercises for pain relief among industrial workers: A randomized controlled trial. BMC Musculoskelet Disord. 2011;12:205.
[21]Björklund M, Djupsjöbacka M, Svedmark Å, Häger C. Effects of tailored neck-shoulder pain treatment based on a decision model guided by clinical assessments and standardized functional tests. A study protocol of a randomized controlled trial. BMC Musculoskelet Disord. 2012;13:75.
[22]Blozik E, Kochen MM, Herrmann-Lingen CH, Scherer M. Development of a short version of the Neck Pain and Disability Scale. Eur J Pain. 2010;14(8):864.e1-7.
[23]Jensen MP, Karolyn P, Braver S. The measurement of clinical pain intensity: A comparison of six methods. Pain. 1986;27(1):117-26.
[24]Mousavi SJ, Parnianpour M, Montazeri A, Mehdian H, Karimi A, Abedi M, et al. Translation and validation study of the Iranian versions of the Neck Disability Index and the Neck Pain and Disability Scale. Spine (Phila Pa 1976). 2007;32(26):E825-31.
[25]Rezasoltani A, Khaleghifar M, Tavakoli A, Ahmadipour AR. The Comparison of Neuromuscular Facilitation Exercises and Traditional Exercise Therapy Programs in the Treating of Patients with Chronic Non-Specific Neck Pain. J Rafsanjan Uni Med Sci. 2009;8(1):59-68. [Persian]
[26]Häkkinen A, Kautiainen H, Hannonen P, Ylinen J. Strength training and stretching versus stretching only in the treatment of patients with chronic neck pain: A randomized one-year follow-up study. Clin Rehabil. 2008;22(7):592-600.
[27]Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of Neck Exercise on Sitting Posture in Patients With Chronic Neck Pain. Physical Therapy. 2007;87(4):407-17.
[28]Taimela S, Takala EP, Asklof T, Seppala K, Parviainen S. Active treatment of chronic neck pain: A prospective randomized intervention. Spine (Phila Pa 1976). 2000;25(8):1021-7.
[29]Randlov A, Ostergaard M, Manniche C, Kryger P, Jordan A, Heegaard S, et al. Intensive dynamic training for females with chronic neck/shoulder pain. A randomized controlled trial. Clin Rehabil. 1998;12(3):200-10.
[30]Cassidy JD, Quon JA, Lafrance LJ, Yong-Hing K. The effect of manipulation on pain and range of motion in the cervical spine: a pilot study. J Manipulative Phyiol Ther. 1992;15(8):495-500.
[31]Lowe BD, Dick RB. Workplace exercise for control of occupational neck/shoulder disorders: A review of prospective studies. Environ Health Insights. 2014;8(Suppl 1):75-95.
[32]Pascarelli EF, Hsu YP. Understanding work-related upper extremity disorders: Clinical findings in 485 computer users, Musicians, and Others. J Occup Rehabil. 2001;11(1):1-21.
[33]McLean SM, May S, Klaber-Moffett J, Sharp DM, Gardiner E. Risk factors for the onset of non-specific neck pain: a systematic review. J Epidemiol Community Health. 2010;64(7):565-72.
[34]Harman K, Hubley-Kozey Ch, Butler H. Effectiveness of an Exercise Program to Improve Forward Head Posture in Normal Adults: A Randomized, Controlled 10-Week Trial. J Manual Manipulative Therapy. 2005;13(3):163-76.
[35]Taheri H, Mahdavinejad R, Minasian V, Karimi A. The effect of 8 weeks selected exercise therapy and self treatment by pamphlet programs on the strength and range of motion of the neck in patients with chronic neck pain. 2011;7(1):1-10. [Persian]
[36]Cheng CH, Su HT, Yen LW, Liu WY, Cheng HY. Long-term effects of therapeutic exercise on nonspecific chronic neck pain: A literature review. J Phys Ther Sci. 2015;27(4):1271-6.
[37]Larsson R, Oberg PA, Larsson SE. Changes of trapezius muscle blood flow and electromyography in chronic neck pain due to trapezius myalgia. Pain. 1999;79(1):45-50.
[38]Kadi F, Ahlgren C, Waling K, Sundelin G, Thornell LE. The effects of different training programs on the trapezius muscle of women with work-related neck and shoulder myalgia. Acta Neuropathol. 2000;100(3):253-8.
[39]Côté P, Cassidy JD, Carroll L. The Saskatchewan health and back pain survey: the prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998;23(15):1689-98.
[40]Brandt LP, Andersen JH, Lassen CF, Kryger A, Overgaard E, Vilstrup I, et al. Neck and shoulder symptoms and disorders among Danish computer workers. Scand J Work Environ Health. 2004;30(5):399-409.
[41]Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The burden and determinants of neck pain in the general population. Eur Spine J. 2008;17(Suppl 1):39-51.
[2]Lipscomb J, Trinkoff A, Brady B, Geiger-Brown J. Health care system changes and reported musculoskeletal disorders among registered nurses. Am J Public Health. 2004;94(8):1431-5.
[3]Jafry T, O'Neill DH. The application of ergonomics in rural development: A review. Appl Ergon. 2000;31(3):263-8.
[4]Ylinen J, Salo P, Nykänen M, Kautiainen H, Häkkinen A. Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. Arch Phys Med Rehabil. 2004;85(8):1303-8.
[5]Denis D, St-Vincent M, Imbeau D, Jette C, Nastasia I. Intervention practices in musculoskeletal disorder prevention: A critical literature review. Appl Ergon. 2008;39(1):1-14.
[6]Mirmohammad SJ, Mehrparvar MH, Soleimani H, Lotfi MH, Akbari H, Heidari N. Musculoskeletal disorders among video display terminal (VDT) workers comparing with other office workers. Ir Occup Health. 2010;7(2):6-11 [Persian]
[7]Johnston V, Souvlis T, Jimmieson NL, Jull G. Associations between individual and workplace risk factors for self-reported neck pain and disability among female office workers. Appl Ergon. 2008;39(2):171-82.
[8]Javanshir Kh, Mohseni-Bandpei MA, Amiri M, Rezasoltani A, Rahgozar M. The comparison of Longus colli muscle size and shape ratio between healthy subjects and chronic neck pain patients using ultrasonography. J Gorgan Uni Med Sci. 2010;12(1):33-7. [Persian]
[9]Klussmann A, Gebhardt H, Liebers F, Rieger MA. Musculoskeletal symptoms of the upper extremities and the neck: a cross-sectional study on prevalence and symptom-predicting factors at visual display terminal (VDT) workstations. BMC Musculoskelet Disord. 2008;9:96.
[10]Adedoyin RA, Idowu BO, Adagunodo RE, Owoyomi AA, Idowu PA. Musculoskeletal pain associatedwith the use of computer systems in Nigeria. Technol Health Care. 2005;13(2):125-30.
[11]Sillanpää J, Huikko S, Nyberg M, Kivi P, Laippala P, Uitti J. Effect of work with visual display units on musculo-skeletal disorders in the office environment. Occup Med (Lond). 2003;53(7):443-51.
[12]Rezasoltani A, Ali-Reza A, Khosro KK, Abbass R. Preliminary study of neck muscle size and strength measurements in females with chronic non-specific neck pain and healthy control subjects. Man Ther. 2010;15(4):400-3.
[13]Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: A systematic critical review of the literature. Eur Spine J. 2006;15(6):834-48.
[14]Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine (Phila Pa 1976). 2000;25(16):2114-25.
[15]Côté P, Cassidy JD, Carroll L. The factors associated with neck pain and its related disability in the Saskatchewan population. Spine (Phila Pa 1976). 2000;25(9):1109-17.
[16]McNair PJ, Portero P, Chiquet C, Mawston G, Lavaste F. Acute neck pain: cervical spine range of motion and position sense prior to and after joint mobilization. Man Ther. 2007;12(4):390-4.
[17]Ylinen J, Takala EP, Nykänen M, Häkkinen A, Mälkiä E, Pohjolainen T, et al. Active neck muscle training in the treatment of chronic neck pain in women: A randomized controlled trial. JAMA. 2003;289(19):2509-16.
[18]Viljanen M, Malmivaara A, Uitti J, Rinne M, Palmroos P, Laippala P. Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: Randomised controlled trial. BMJ. 2003;327(7413):475.
[19]Karimi A, Mozafari F, Kamaledini H, Jokar S. The effectiveness of therapeutic exercises and general care by educational booklet on reduction of neck pain. J Res Rehabil Sci. 2009;6(2):1-10. [Persian]
[20]Zebis MK, Andersen LL, Pedersen MT, Mortensen P, Andersen CH, Pedersen MM, et al. Implementation of neck/shoulder exercises for pain relief among industrial workers: A randomized controlled trial. BMC Musculoskelet Disord. 2011;12:205.
[21]Björklund M, Djupsjöbacka M, Svedmark Å, Häger C. Effects of tailored neck-shoulder pain treatment based on a decision model guided by clinical assessments and standardized functional tests. A study protocol of a randomized controlled trial. BMC Musculoskelet Disord. 2012;13:75.
[22]Blozik E, Kochen MM, Herrmann-Lingen CH, Scherer M. Development of a short version of the Neck Pain and Disability Scale. Eur J Pain. 2010;14(8):864.e1-7.
[23]Jensen MP, Karolyn P, Braver S. The measurement of clinical pain intensity: A comparison of six methods. Pain. 1986;27(1):117-26.
[24]Mousavi SJ, Parnianpour M, Montazeri A, Mehdian H, Karimi A, Abedi M, et al. Translation and validation study of the Iranian versions of the Neck Disability Index and the Neck Pain and Disability Scale. Spine (Phila Pa 1976). 2007;32(26):E825-31.
[25]Rezasoltani A, Khaleghifar M, Tavakoli A, Ahmadipour AR. The Comparison of Neuromuscular Facilitation Exercises and Traditional Exercise Therapy Programs in the Treating of Patients with Chronic Non-Specific Neck Pain. J Rafsanjan Uni Med Sci. 2009;8(1):59-68. [Persian]
[26]Häkkinen A, Kautiainen H, Hannonen P, Ylinen J. Strength training and stretching versus stretching only in the treatment of patients with chronic neck pain: A randomized one-year follow-up study. Clin Rehabil. 2008;22(7):592-600.
[27]Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of Neck Exercise on Sitting Posture in Patients With Chronic Neck Pain. Physical Therapy. 2007;87(4):407-17.
[28]Taimela S, Takala EP, Asklof T, Seppala K, Parviainen S. Active treatment of chronic neck pain: A prospective randomized intervention. Spine (Phila Pa 1976). 2000;25(8):1021-7.
[29]Randlov A, Ostergaard M, Manniche C, Kryger P, Jordan A, Heegaard S, et al. Intensive dynamic training for females with chronic neck/shoulder pain. A randomized controlled trial. Clin Rehabil. 1998;12(3):200-10.
[30]Cassidy JD, Quon JA, Lafrance LJ, Yong-Hing K. The effect of manipulation on pain and range of motion in the cervical spine: a pilot study. J Manipulative Phyiol Ther. 1992;15(8):495-500.
[31]Lowe BD, Dick RB. Workplace exercise for control of occupational neck/shoulder disorders: A review of prospective studies. Environ Health Insights. 2014;8(Suppl 1):75-95.
[32]Pascarelli EF, Hsu YP. Understanding work-related upper extremity disorders: Clinical findings in 485 computer users, Musicians, and Others. J Occup Rehabil. 2001;11(1):1-21.
[33]McLean SM, May S, Klaber-Moffett J, Sharp DM, Gardiner E. Risk factors for the onset of non-specific neck pain: a systematic review. J Epidemiol Community Health. 2010;64(7):565-72.
[34]Harman K, Hubley-Kozey Ch, Butler H. Effectiveness of an Exercise Program to Improve Forward Head Posture in Normal Adults: A Randomized, Controlled 10-Week Trial. J Manual Manipulative Therapy. 2005;13(3):163-76.
[35]Taheri H, Mahdavinejad R, Minasian V, Karimi A. The effect of 8 weeks selected exercise therapy and self treatment by pamphlet programs on the strength and range of motion of the neck in patients with chronic neck pain. 2011;7(1):1-10. [Persian]
[36]Cheng CH, Su HT, Yen LW, Liu WY, Cheng HY. Long-term effects of therapeutic exercise on nonspecific chronic neck pain: A literature review. J Phys Ther Sci. 2015;27(4):1271-6.
[37]Larsson R, Oberg PA, Larsson SE. Changes of trapezius muscle blood flow and electromyography in chronic neck pain due to trapezius myalgia. Pain. 1999;79(1):45-50.
[38]Kadi F, Ahlgren C, Waling K, Sundelin G, Thornell LE. The effects of different training programs on the trapezius muscle of women with work-related neck and shoulder myalgia. Acta Neuropathol. 2000;100(3):253-8.
[39]Côté P, Cassidy JD, Carroll L. The Saskatchewan health and back pain survey: the prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998;23(15):1689-98.
[40]Brandt LP, Andersen JH, Lassen CF, Kryger A, Overgaard E, Vilstrup I, et al. Neck and shoulder symptoms and disorders among Danish computer workers. Scand J Work Environ Health. 2004;30(5):399-409.
[41]Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The burden and determinants of neck pain in the general population. Eur Spine J. 2008;17(Suppl 1):39-51.