Effect of Tactile Feedback on Trunk Posture and EMG Activity in People With Postural Kyphosis During VDT Work
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Background: Recently, there has been an emphasis on the use of interventions with biofeedback information for the maintenance or correction of posture. Objects: This study assessed the change of trunk posture and trunk muscle activation when people exhibiting postural kyphosis performed visual display terminal work with or without a contact feedback device (CFD). Methods: Eighteen right-handed individuals were recruited. Thoracic angle and right thoracic erector spinae (TES) muscle amplitude were analyzed. There were two sessions in these experiments. The control session involved 16 minutes of typing without a CFD, and the CFD session involved 16 minutes of typing with a CFD. The visual analog scale score was analyzed with a paired t-test, and the kinematic and electromyography data were analyzed through two-way repeated analysis of variance. Results: The paired t-tests revealed that subjects had significantly less pain after the CFD sessions than after the control sessions (p<.05). Significant main effects by session and by time were observed in the thoracic kyphosis angle (p<.05). There was a significant session×time interaction for TES amplitude (p<.05), along with significant main effects by session and by time (p<.05). Conclusion: The CFD caused people with postural kyphosis to straighten and to activate their TES continuously, even though they were habituated to bend their bodies forward. Therefore, the CFD was a beneficial treatment tool.
Abstract
Background: Recently, there has been an emphasis on the use of interventions with biofeedback information for the maintenance or correction of posture. Objects: This study assessed the change of trunk posture and trunk muscle activation when people exhibiting postural kyphosis performed visual display terminal work with or without a contact feedback device (CFD). Methods: Eighteen right-handed individuals were recruited. Thoracic angle and right thoracic erector spinae (TES) muscle amplitude were analyzed. There were two sessions in these experiments. The control session involved 16 minutes of typing without a CFD, and the CFD session involved 16 minutes of typing with a CFD. The visual analog scale score was analyzed with a paired t-test, and the kinematic and electromyography data were analyzed through two-way repeated analysis of variance. Results: The paired t-tests revealed that subjects had significantly less pain after the CFD sessions than after the control sessions (p<.05). Significant main effects by session and by time were observed in the thoracic kyphosis angle (p<.05). There was a significant session×time interaction for TES amplitude (p<.05), along with significant main effects by session and by time (p<.05). Conclusion: The CFD caused people with postural kyphosis to straighten and to activate their TES continuously, even though they were habituated to bend their bodies forward. Therefore, the CFD was a beneficial treatment tool.
참고문헌 (31)
- Soonjae Ahn, "Asymmetrical change in the pelvis and the spine during cross-legged sitting postures", Journal of Mechanical Science and Technology, 27(11), pp.3427~3432 (2013), 대한기계학회[DOI]
- Bijur PE, "Reliability of the visual analog scale for measurement of acute pain", Acad Emerg Med, 8(12), pp.1153~1157 (2001)
- Brandt LPA, "Neck and shoulder symptoms and disorders among Danish computer workers", Scand J Work Environ Health, 30(5), pp.399~409 (2004)
- Burgess-Limerick R, "The influence of computer monitor height on head and neck posture", Int J Erogonom, 23(3), pp.171~179 (1999)
- Callaghan JP, "Examination of the flexion relaxation phenomenon in erector spinae muscles during short duration slumped sitting", Clin Biomech, 17(5), pp.353~360 (2002)
- Carter JB, "Musculoskeletal problems in VDT work: A review", Ergonomics, 37(10), pp.1623~1648 (1994)
- Colloca CJ, "The biomechanical and clinical significance of the lumbar erector spinae flexion-relaxation phenomenon: A review of literature", J Manipulative Physiol Ther, 28(8), pp.623~631 (2005)
- Cutler WB, "Prevalence of kyphosis in a healthy sample of pre-and postmenopausal women", Am J Phys Med Rehabil, 72(4), pp.219~225 (1993)
- Epstein ML, "Effectiveness of feedback during the testing of preschool children, elementary school children, and adolescents with developmental delays", The Psychological Record, 53(2), pp.177~195 (2003)
- Regina Eum, "Is Kyphosis Related to Mobility, Balance, and Disability?", American Journal of Physical Medicine & Rehabilitation, 92(11), pp.980~989 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Florence JM, "Intrarater reliability of manual muscle test(Medical Research Council Scale)grades in Duchenne’s muscular dystrophy", Phys Ther, 72(2), pp.115~122 (1992)
- Fujimaki G, "Study of the seated posture for VDT work", Displays, 23(1-2), pp.17~24 (2002)
- Gigante M, "Could VDT use induce thoracic hyperkyphosis? Preliminary data", G Ital Med Lav Ergon, 27(1), pp.119~123 (2005)
- Erin S. Hart, "Scheuermannʼs Thoracic Kyphosis in the Adolescent Patient", Orthopaedic Nursing, 29(6), pp.365~371 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Hinman MR, "Comparison of thoracic kyphosis and postural stiffness in younger and older women", Spine J, 4(4), pp.413~417 (2004)
- Hinman MR, "Interrater reliability of flexicurve postural measures among novice users", J Back Musculoskelet Rehabil, 17(1), pp.33~36 (2003)
- Kang CH, "MRI of paraspinal muscles in lumbar degenerative kyphosis patients and control patients with chronic low back pain", Clin Radiol, 62(5), pp.479~486 (2007)
- Jeremy S Lewis, "Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain", BMC Musculoskeletal Disorders, 11(1), pp.39~ (2010), Springer Nature[DOI]
- Liao MH, "Posture, discomfort and performance in a VDT task", Ergonomics, 43(3), pp.345~359 (2000)
- Edmond Lou, "Development of a smart garment to reduce kyphosis during daily living", Medical & Biological Engineering & Computing, 50(11), pp.1147~1154 (2012), Springer Nature[DOI]
- Marcus M, "A prospective study of computer users: Ii. Postural risk factors for musculoskeletal symptoms and disorders", Am J Ind Med, 41(4), pp.236~249 (2002)
- Falk Mörl, "Lumbar posture and muscular activity while sitting during office work", Journal of Electromyography and Kinesiology, 23(2), pp.362~368 (2013), Elsevier BV[DOI]
- Milne JS, "A longitudinal study of kyphosis in older people", Age Ageing, 12(3), pp.225~233 (1983)
- Neumann DA, "Kinesiology of the Musculoskeletal System: Foundations for rehabilitation", pp.357~373 (2013), Mosby
- Kieran O'Sullivan, "Investigating the effect of real-time spinal postural biofeedback on seated discomfort in people with non-specific chronic low back pain", Ergonomics, 56(8), pp.1315~1325 (2013), Informa UK Limited[DOI]
- Panjabi MM, "The stabilizing system of the spine. Part Ⅱ. Neutral zone and instability hypothesis", J Spinal Disord, 5(4), pp.390~396 (1992)
- Sawdon-Bea J, "Effects of a 10-week exercise intervention on thoracic kyphosis, pulmonary function, endurance, back extensor strength, and quality of life in women with osteoporosis", Doctor, pp.2010
- Seghers J, "Posture, muscle activity and muscle fatigue in prolonged vdt work at different screen height settings", Ergonomics, 46(7), pp.714~730 (2003)
- Foad Seidi, "The efficiency of corrective exercise interventions on thoracic hyper-kyphosis angle", Journal of Back and Musculoskeletal Rehabilitation, 27(1), pp.7~16 (2014), IOS Press[DOI]
- Sinaki M, "Correlation of back extensor strength with thoracic kyphosis and lumbar lordosis in estrogen-deficient women", Am J Phys Med Rehabil, 75(5), pp.370~374 (1996)
- Yoo WG, "Effects of a proximitysensing feedback chair on head, shoulder, and trunk postures when working at a visual display terminal", J Occup Rehabil, 16(4), pp.631~637 (2006)
