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Depreli O, Erden Z. The effects of shoulder stabilization exercises on muscle strength, proprioceptive sensory ability and performance in office workers with shoulder protraction. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024; 30:599-610. [PMID: 38533585 DOI: 10.1080/10803548.2024.2326358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/29/2024] [Indexed: 03/28/2024]
Abstract
Objectives. Shoulder protraction is frequently seen in office workers because of working with excessive trunk flexion for a long time. This study aimed to compare the effectiveness of stabilization exercises (SE) given in addition to office exercises (OE). Methods. Sixty office workers with shoulder protraction were divided into SE + OE (n = 30) and OE (n = 30) groups by stratified random sampling for 8 weeks and followed up for 4 weeks. Shoulder protraction was assessed with a caliper, muscle strength with a hand-held dynamometer, proprioception with an isokinetic dynamometer, vibration sense with a vibrometer and upper extremity functional performance with the closed kinetic chain upper extremity stability test. Results. There were significant improvements in all parameters in the OE + SE group, while increases in the strength of the upper trapezius, pectoralis major and infraspinatus muscles and in upper extremity functional performance were also found in the OE group (p < 0.05). During detraining, shoulder protraction, muscle strength, proprioception and upper extremity performance showed longer-term improvement with SE + OE (p < 0.05). Conclusion. The results obtained with the exercises demonstrate the importance of SE + OE in terms of maintaining proper posture and improving shoulder proprioception, muscle strength and functional performance.
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Affiliation(s)
- O Depreli
- Eastern Mediterranean University, Health Sciences Faculty, Physiotherapy and Rehabilitation Department, Famagusta, North Cyprus, via Mersin 10 Turkey
| | - Z Erden
- Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Threesittidath K, Chaibal S, Nitayarak H. Effects of 1-hour computer use on ulnar and median nerve conduction velocity and muscle activity in office workers. J Occup Health 2024; 66:uiae023. [PMID: 38710168 PMCID: PMC11195575 DOI: 10.1093/joccuh/uiae023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 04/23/2024] [Accepted: 04/25/2024] [Indexed: 05/08/2024] Open
Abstract
OBJECTIVES To compare the effects of 1-hour computer use on ulnar and median nerve conduction velocity and muscle activity in office workers with symptomatic neck pain and asymptomatic office workers. METHODS A total of 40 participants, both male and female office workers, with symptomatic neck pain (n = 20) and asymptomatic (n = 20), were recruited. Pain intensity, ulnar nerve conduction velocity, median nerve conduction velocity, and muscle activity were determined before and after 1 hour of computer use. RESULTS There was a significant increase in pain intensity in the neck area in both groups (P < .001). The symptomatic neck pain group revealed a significant decrease in the sensory nerve conduction velocity of the ulnar nerve (P = .008), whereas there was no difference in the median nerve conduction velocity (P > .05). Comparing before and after computer use, the symptomatic neck pain group had less activity of the semispinalis muscles and higher activity of the anterior scalene muscle than the asymptomatic group (P < .05). The trapezius and wrist extensor muscles showed no significant differences in either group (P > .05). CONCLUSIONS This study found signs of neuromuscular deficit of the ulnar nerve, semispinalis muscle, and anterior scalene muscle after 1 hour of computer use among office workers with symptomatic neck pain, which may indicate the risk of neuromuscular impairment of the upper extremities. The recommendation of resting, and encouraging function and flexibility of the neuromuscular system after 1 hour of computer use should be considered.
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Affiliation(s)
- Kanruethai Threesittidath
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Thai Buri, Tha Sala District, Nakhon Si Thammarat, Thailand 80160
- Movement Science and Exercise Research Center, Walailak University, Thai Buri, Tha Sala District, Nakhon Si Thammarat, Thailand 80160
| | - Supattra Chaibal
- Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Thai Buri, Tha Sala District, Nakhon Si Thammarat, Thailand 80160
- Movement Science and Exercise Research Center, Walailak University, Thai Buri, Tha Sala District, Nakhon Si Thammarat, Thailand 80160
| | - Haifah Nitayarak
- Movement Science and Exercise Research Center, Walailak University, Thai Buri, Tha Sala District, Nakhon Si Thammarat, Thailand 80160
- Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Karnjanavanich Road, Hat Yai, Songkhla, Thailand 90110
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Çupi B, Šarac I, Jovanović JJ, Jovanović S, Petrović-Oggiano G, Debeljak-Martačić J, Jovanović J. Occupational and non-occupational risk factors correlating with the severity of clinical manifestations of carpal tunnel syndrome and related work disability among workers who work with a computer. Arh Hig Rada Toksikol 2023; 74:252-272. [PMID: 38146761 PMCID: PMC10750320 DOI: 10.2478/aiht-2023-74-3754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 07/01/2023] [Accepted: 12/01/2023] [Indexed: 12/27/2023] Open
Abstract
The contribution of certain occupational and personal factors to the development of carpal tunnel syndrome (CTS) is still uncertain. We investigated which specific occupational and non-occupational factors correlate with the level of clinical manifestations and work disability related to CTS. The study included 190 workers who work with a computer and have diagnosed CTS (100 men, 90 women, aged 20-65 years). Subjective experience of CTS-related impairments was assessed with the Symptom Severity Scale (SSS) and the Functional Status Scale (FSS) of the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ). The objective, neural impairments were tested with electrodiagnostics (EDX), whereas CTS-related work disability data were collected from medical records. We found a high inter-correlation between BCTQ, EDX, and work disability data. These also showed high correlations with certain occupational factors (duration of computer-working in months and hours spent daily in computer-working, certain ergonomic, microclimatic, and other occupational conditions) and non-occupational factors (demographic and lifestyle factors: nutritional status, diet, smoking, alcohol consumption, and physical activity). Despite its limitations, our study has identified occupational and non-occupational risk factors that can aggravate CTS and work disability, but which can also be improved with workplace and lifestyle preventive and corrective measures. More research is needed, though, to establish the possible causal relationships and the independent influence of each of those risk factors.
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Affiliation(s)
- Blerim Çupi
- Besa Meditor Primary Healthcare Centre, Oslomej, Kičevo, North Macedonia
- University of Niš Faculty of Medicine, Department of Occupational Health, Niš, Serbia
| | - Ivana Šarac
- University of Belgrade Institute for Medical Research, National Institute of Republic of Serbia, Centre of Research Excellence in Nutrition and Metabolism, Belgrade, Serbia
| | | | - Stefan Jovanović
- University of Niš Faculty of Medicine, Department of Occupational Health, Niš, Serbia
| | - Gordana Petrović-Oggiano
- University of Belgrade Institute for Medical Research, National Institute of Republic of Serbia, Centre of Research Excellence in Nutrition and Metabolism, Belgrade, Serbia
| | - Jasmina Debeljak-Martačić
- University of Belgrade Institute for Medical Research, National Institute of Republic of Serbia, Centre of Research Excellence in Nutrition and Metabolism, Belgrade, Serbia
| | - Jovica Jovanović
- University of Niš Faculty of Medicine, Department of Occupational Health, Niš, Serbia
- Institute of Occupational Medicine, Niš, Serbia
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Short N, Almonroeder T, Baumle M, Benvenuti K, Bozett N, John O, Lovasko M, Rinaldi E. Wrist pressure and angulation during keyboarding: Comparison between two common wrist supports. Work 2022; 71:1121-1128. [DOI: 10.3233/wor-205154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Wrist pressure and angulation while working at a computer workstation have been associated with cumulative trauma disorders (CTDs) like carpal tunnel syndrome (CTS). OBJECTIVE: This quantitative, comparative study analyzed wrist pressure and angulation between two common wrist supports while typing at a standardized computer workstation. METHODS: A convenience sample of healthy young adults completed a five-minute typing task at a standardized workstation with no wrist support, with the ErgoBeads™ wrist support, and with an Elzo™ (memory foam) wrist support. Pressure mapping (Tekscan™)) and goniometry were used as quantitative measures to examine wrist pressure and wrist angulation during the typing task; descriptive and inferential statistics were performed to compare wrist angulation and wrist pressure between two supports. RESULTS: For the sample (n = 54), both wrist supports demonstrated a significant (p < 0.001) reduction in wrist extension as well as pressure compared to typing at the workstation with no support. There was no statistically significant difference in peak or mean pressure between the ErgoBeads™ and Elzo™ wrist supports (p = 0.99). Significant difference was identified ((p < 0.001) for wrist angle as participants exhibited less wrist extension using the ErgoBeads™ ( x ¯ = 12 . 56 ∘ ; SD = 3.32°) support as compared to the Elzo™ ( x ¯ = 19 . 25 ∘ ; SD = 3.77°) support. CONCLUSIONS: The results suggest that the ErgoBeads™ and Elzo™ memory foam wrist supports are effective for reducing pressure between the wrist and work surface while the ErgoBeads™ support may promote a more neutral angle of the wrist while typing.
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Affiliation(s)
| | | | | | | | | | - Olivia John
- OTDS, Huntington University, Fort Wayne, IN, USA
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Alpar O. Monitoring and fuzzy warning system for risk prevention of Guyon’s canal syndrome. Biomed Signal Process Control 2021. [DOI: 10.1016/j.bspc.2020.102228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Zhen Q, Yao N, Chen X, Zhang X, Wang Z, Ge Q. TOTAL BODY ADIPOSITY, TRIGLYCERIDES, AND LEG FAT ARE INDEPENDENT RISK FACTORS FOR DIABETIC PERIPHERAL NEUROPATHY IN CHINESE PATIENTS WITH TYPE 2 DIABETES MELLITUS. Endocr Pract 2019; 25:270-278. [PMID: 30913011 DOI: 10.4158/ep-2018-0459] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
OBJECTIVE To evaluate the risk factors associated with diabetic peripheral neuropathy (DPN) in Chinese patients with type 2 diabetes mellitus (T2DM). METHODS Between January 2014 and December 2017, 107 participants who had obesity with T2DM and 349 participants who had normal weight with T2DM, matched for age, sex, and duration of diabetes, were recruited. The clinical and biochemical parameters were measured in each patient. DPN was diagnosed based on neuropathy symptom score and neuropathy deficit score. Motor and sensory nerve conduction velocities were measured by electromyography. Body fat mass was estimated by dual-energy X-ray absorptiometry, while hepatic steatosis was evaluated by ultrasonography. RESULTS The group with obesity had a significant higher prevalence of DPN (66.62%) than that (46.99%) of the group with normal weight. Compared to the patients with normal weight, the sural sensory nerve in the right lower limbs of the patients with obesity was more susceptible to damage. Hypertriglyceridemia in the patients with obesity was a significant independent risk factor for DPN (odds ratio [OR], 3.90 [95% confidence interval (CI), 1.01 to 15.02]; P = .04), while the duration of diabetes (OR, 1.33 [95% CI, 1.07 to 1.65]; P<.01) and leg subcutaneous fat mass (OR, 0.72 [95% CI, 0.57 to 0.90]; P<.01) in the patients with normal weight were independent risk factors for DPN. The presence of obesity alone in patients with T2DM could predict high DPN risk (OR, 3.09 [95% CI, 1.11 to 8.65]; P = .04). CONCLUSION Reducing total body adiposity and triglyceride levels, as well as avoiding leg subcutaneous fat atrophy, could be new prevention strategies for DPN in Chinese patients with T2DM. ABBREVIATIONS ALB = albumin; ALT = alanine transaminase; AST = aspartate transaminase; AUC = area under the curve; AUCc-p/AUCglu = AUC of C-peptide/AUC of glucose; BMI = body mass index; BP = blood pressure; CI = confidence interval; Cr = creatinine; DBP = diastolic blood pressure; DPN = diabetic peripheral neuropathy; FC-P = fasting C-peptide; FPG = fasting plasma glucose; FFA = free fatty acid; γ-GGT = γ-glutamyl transferase; HbA1c = glycated hemoglobin A1c; HDL-C = high-density-lipoprotein cholesterol; ISI = insulin sensitivity index; ISSI-2 = insulin secretion-sensitivity index-2; LDL-C = low-density-lipoprotein cholesterol; MNCS = motor nerve conduction velocity; OGTT = oral glucose tolerance test; PG = plasma glucose; SAT = subcutaneous adipose tissue; SBP = systolic blood pressure; SNCS = sensory nerve conduction velocity; T2DM = type 2 diabetes mellitus; TC = total cholesterol; TG = triglyceride; UA = uric acid; VAT = visceral adipose tissue; WC = waist circumference.
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Woo EHC, White P, Lai CWK. Effects of electronic device overuse by university students in relation to clinical status and anatomical variations of the median nerve and transverse carpal ligament. Muscle Nerve 2017. [PMID: 28635099 DOI: 10.1002/mus.25697] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION This study investigates the results of a questionnaire, provocative tests, and ultrasonographic measurements of carpal tunnel morphological parameters in intensive and nonintensive electronic device users. METHODS Forty-eight university students (equal numbers of intensive and nonintensive users, ≥5 h/day and <5 h/day of electronic device usage, respectively) were randomly selected after questionnaire responses were received and evaluated clinically and by ultrasonography. All participants were right-handed. RESULTS Intensive users had significantly more positive results in Phalen's and Durkan's tests and reported more wrist/hand pain compared with nonintensive users (P < 0.05). Intensive users also had significantly larger median nerve cross-sectional areas, flattening ratios, and perimeters as well as greater bowing of the transverse carpal ligament compared with nonintensive users (P < 0.05). DISCUSSION Overuse of electronic devices may adversely affect the median nerve within the carpal tunnel and the transverse carpal ligament, resulting in numbness, tingling, and pain in the hand. Caution may be warranted when using handheld electronic devices. Muscle Nerve 56: 873-880, 2017.
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Affiliation(s)
- Eugenia Hoi Chi Woo
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Room Y934, 9/F, Lee Shau Kee Building, Hung Hom, Kowloon, Hong Kong Special Administrative Region, China
| | - Peter White
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Room Y934, 9/F, Lee Shau Kee Building, Hung Hom, Kowloon, Hong Kong Special Administrative Region, China
| | - Christopher Wai Keung Lai
- Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Room Y934, 9/F, Lee Shau Kee Building, Hung Hom, Kowloon, Hong Kong Special Administrative Region, China
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Appleby R, Zur Linden A, Sears W. INTRAOPERATIVE IMAGE NAVIGATION: EXPERIMENTAL STUDY OF THE FEASIBILITY AND SURGEON PREFERENCE BETWEEN A STERILE ENCASED NINTENDO WII TM REMOTE AND STANDARD WIRELESS COMPUTER MOUSE. Vet Radiol Ultrasound 2017; 58:266-272. [PMID: 28176448 DOI: 10.1111/vru.12479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2016] [Revised: 11/07/2016] [Accepted: 11/07/2016] [Indexed: 11/26/2022] Open
Abstract
Diagnostic imaging plays an important role in the operating room, providing surgeons with a reference and surgical plan. Surgeon autonomy in the operating room has been suggested to decrease errors that stem from communication mistakes. A standard computer mouse was compared to a wireless remote-control style controller for computer game consoles (Wiimote) for the navigation of diagnostic imaging studies by sterile personnel in this prospective survey study. Participants were recruited from a cohort of residents and faculty that use the surgical suites at our institution. Outcome assessments were based on survey data completed by study participants following each use of either the mouse or Wiimote, and compared using an analysis of variance. The mouse was significantly preferred by the study participants in the categories of handling, accuracy and efficiency, and overall satisfaction (P <0.05). The mouse was preferred to both the Wiimote and to no device, when participants were asked to rank options for image navigation. This indicates the need for the implementation of intraoperative image navigation devices, to increase surgeon autonomy in the operating room.
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Affiliation(s)
- Ryan Appleby
- Department of Clinical Studies, Ontario Veterinary College, Guelph, ON N1G 2W1, Canada
| | - Alex Zur Linden
- Department of Clinical Studies, Ontario Veterinary College, Guelph, ON N1G 2W1, Canada
| | - William Sears
- Department of Population Medicine, Ontario Veterinary College, Guelph, ON N1G 2W1, Canada
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