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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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Menevşe Ö, Kepenek-Varol B, Gültekin M, Bilgin S. Cervical proprioception in Parkinson's disease and its correlation with manual dexterity function. J Mov Disord 2023; 16:295-306. [PMID: 37394236 PMCID: PMC10548074 DOI: 10.14802/jmd.23039] [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: 02/22/2023] [Revised: 04/26/2023] [Accepted: 06/30/2023] [Indexed: 07/04/2023] Open
Abstract
OBJECTIVE Cervical proprioception plays a crucial role in posture and movement control. This study aimed to determine the relationships of cervical proprioception, cervical muscle strength and endurance with manual dexterity and hand strength in individuals with idiopathic Parkinson's disease (PD). METHODS Twenty individuals with PD (mean age: 63.9 years) and 20 healthy individuals as a control group (mean age: 61.9 years) were recruited. Cervical joint position error (JPE), static endurance of neck muscles, activation of deep cervical flexor muscles (Craniocervical Flexion Test, CCFT), manual dexterity (Purdue Pegboard Test, PPT), cognitive and motor tasks of the PPT, finger tapping test (FTT), pinch strength, and grip strength were assessed. RESULTS Cervical JPE was significantly higher in individuals with PD than in controls (p < 0.05). The strength and endurance of the cervical muscles were significantly decreased in individuals with PD (p < 0.05). Cervical JPE measurements were negatively correlated with PPT, cognitive and motor tasks of the PPT in individuals with PD (all p < 0.05). The endurance of cervical flexor muscles was negatively correlated with PPT and cognitive PPT scores in the PD group (p < 0.05). In addition, a significant positive correlation was found between cervical flexor endurance and hand strength in the PD group (p < 0.05). CONCLUSION Cervical proprioception and the strength and endurance of cervical muscles decrease in individuals with PD compared to healthy individuals. Impairment of cervical proprioception appears to be associated with poorer upper extremity performance. Detailed evaluation of the cervical region in PD may help determine the factors affecting upper extremity function.
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Affiliation(s)
- Özlem Menevşe
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri, Turkey
| | - Büşra Kepenek-Varol
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Nuh Naci Yazgan University, Kayseri, Turkey
| | - Murat Gültekin
- Department of Neurology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
- Department of Neurology, Faculty of Medicine, İstanbul Atlas University, İstanbul, Turkey
| | - Sevil Bilgin
- Department of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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Ardıç FN, Metin U, Gökcan BE. Subjective Visual Vertical test with the 3D virtual reality system: effective factors and cybersickness. Acta Otolaryngol 2023; 143:570-575. [PMID: 37493360 DOI: 10.1080/00016489.2023.2238769] [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: 05/30/2023] [Revised: 07/12/2023] [Accepted: 07/13/2023] [Indexed: 07/27/2023]
Abstract
BACKGROUND 3D Virtual Reality (VR) offers new opportunities in vestibular science. It also presents new challenges and problems. AIMS/OBJECTIVES The study aimed to evaluate the effective factors in the 3D VR Subjective Visual Vertical (SVV) test and the impact of cybersickness on the test results. MATERIAL AND METHODS The effect of the foam surface, head position in the yaw axis, moving background, and arm position holding the controller was tested. Cybersickness was evaluated using the Simulator Sickness Questionnaire (SSQ). RESULTS The head position and controller holding style significantly affected the results. The foam surface and the moving background did not have a significant effect. Although 61.4% of the patients fell into the bad category according to the symptoms of the SSQ score, cybersickness did not significantly affect the SVV results. CONCLUSIONS AND SIGNIFICANCE In 3D VR SVV, additional factors should be considered: the headset's weight, head position, and how we hold the controller. The A-effect emerged when the head was 45 degrees turned on the yaw axis. A significant shift was detected in the test, with the arm holding the controller at 90 degrees. Most subjects felt cybersickness at a considerable level. Cybersickness should always be taken into account in VR when planning new applications.
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Affiliation(s)
- Fazıl Necdet Ardıç
- Department of Otolaryngology, School of Medicine, Pamukkale University, Denizli, Turkey
| | - Ulaş Metin
- Department of Otolaryngology, School of Medicine, Pamukkale University, Denizli, Turkey
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Presperin Pedersen J, Smith C, Dahlin M, Henry M, Jones J, McKenzie K, Sevigny M, Yingling L. Wheelchair backs that support the spinal curves: Assessing postural and functional changes. J Spinal Cord Med 2022; 45:194-203. [PMID: 32406808 PMCID: PMC8986246 DOI: 10.1080/10790268.2020.1760530] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
Objective: To compare outcomes using a wheelchair back designed to support the natural seated spinal curves versus an upholstered back that promotes posterior pelvic tilt and thoracolumbar kyphosis.Design: Cross-over intervention.Setting: Two free-standing spinal cord injury (SCI) model system hospitals.Participants: Fifty adults with motor complete SCI C6-T4, between the ages of 18-60 years who use a manual wheelchair for mobility were recruited from a convenience sample.Intervention: Each participant's wheelchair back support was removed and replaced by an upholstered back and a solid back in randomized order. Postural and functional outcomes, pain, and satisfaction were evaluated using each back.Outcome measures: Seated postural measurements included pelvic angle, spinal angle of kyphosis and linear measurement of spine. Functional outcomes included vertical forward reach, one stroke push, timed forward wheeling, ramp ascent and descent. Numerical pain rating and a satisfaction survey provided input pertaining to both backs.Results: The solid back demonstrated significance in seated postural measurements. Participants using the solid back trended to higher scores in functional outcome measures including vertical forward reach, one stroke push and timed ramp ascent. Participants reported increased satisfaction with comfort and stability with the solid back.Conclusions: This pilot study demonstrated that a wheelchair back, which supports the seated spinal curves improves upright posture, functional reach, and wheelchair propulsion skills. Further research is necessary to demonstrate statistical findings as well as to assess back height and lateral support.
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Affiliation(s)
- Jessica Presperin Pedersen
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA,Correspondence to: Jessica Presperin Pedersen, Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Feinberg School of Medicine, Northwestern University, 355 E. Erie St., Chicago, IL60611, USA; Ph: 773-805-8968.
| | | | | | - Molly Henry
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | | | - Kelly McKenzie
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
| | | | - Lindsey Yingling
- Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA
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Neck proprioception assessment with a laser beam device: reliability in participants without neck pain and differences between participants with and without neck pain. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2021. [DOI: 10.1186/s43161-021-00056-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Proprioception deficits have previously been reported in patients with non-specific chronic neck pain (NSCNP), with a comprehensive and valid battery of tests still required. This study aimed to investigate the test-retest and inter-rater reliability of cervical proprioception in participants without NSCNP and to examine differences in proprioception between participants with and without NSCNP. Twenty participants without NSCNP and 20 age- and sex-matched participants with NSCNP were recruited. Proprioception tests were sequentially performed in random order, in four head-to-neutral movement directions (starting positions at mid-flexion, mid-extension and mid-right/mid-left rotation head-neck positions and end position at neutral head-neck posture) and two head-to-target movement directions (starting position from neutral head-neck posture and end positions at right and left 45° rotation), with a laser beam device secured onto their forehead. Participants performed all tests in sitting at a 1-m distance from a whiteboard. The average deviations of the laser beam mark from set targets marked on the whiteboard represented proprioception deficits. The two-way random, absolute agreement model of the intraclass correlation coefficient (ICC), the standard error of the measurement (SEM) and the smallest detectable difference (SDD) were used as measures of reliability. Between-group differences were examined with the independent samples t test.
Results
The reliability of the laser beam device in participants without neck pain varied from poor to good. The following tests demonstrated good reliability: test-retest ‘Head-to-neutral from flexion’ (ICC: 0.77–0.78; SDD: 5.73–6.84 cm), inter-rater ‘Head-to-neutral from flexion’ (ICC: 0.80–0.82; SDD: 6.20–6.45 cm) and inter-rater ‘Head-to-neutral from right/left rotation’ (ICC: 0.80–0.84; SDD: 5.92–6.81 cm). Differences between participants with and without NSCNP were found only in head-to-neutral from flexion (4.10–4.70 cm); however, those were within the limits of the SDD values of the HtN from flexion test.
Conclusions
The laser beam device can be reliably used in clinical practice only in the aforementioned head-neck movement directions, based on the findings of the present study. The between-group differences noted involved only the head mid-flexion to neutral test, possibly denoting proprioception deficits only in this movement direction, for reasons that require further evaluation.
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ARDIÇ FN, ŞENTÜRK M, ÇİL T. The effect of head roll and soft surface on Virtual SVV in healthy subjects: A normalization study. ENT UPDATES 2020. [DOI: 10.32448/entupdates.743714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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Hsu WL, Chen CP, Nikkhoo M, Lin CF, Ching CTS, Niu CC, Cheng CH. Fatigue changes neck muscle control and deteriorates postural stability during arm movement perturbations in patients with chronic neck pain. Spine J 2020; 20:530-537. [PMID: 31672689 DOI: 10.1016/j.spinee.2019.10.016] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Revised: 10/14/2019] [Accepted: 10/23/2019] [Indexed: 02/09/2023]
Abstract
BACKGROUND CONTEXT Multisensory afferent inputs to the cervical spine affect the generation of neck muscle control. Chronic neck pain (CNP) and muscle fatigue are factors that disturb somatosensory function. Whether they affect postural control under self-initiated perturbation in daily activities is still unclear. PURPOSE To investigate the effect of CNP and neck flexor muscle fatigue on muscle control strategy and postural control in young patients performing voluntary shoulder flexion movements. STUDY DESIGN Cross-sectional case-control study. PATIENT SAMPLE Twenty-five patients with CNP and 25 age-matched asymptomatic controls. OUTCOME MEASURES The postural sway, muscle onset time, and activation level of the erector spinae, rectus abdominal, semispinalis capitis (SSC), and sternocleidomastoid (SCM) muscles were recorded and analyzed using two-way ANOVA to evaluate the interaction of CNP and muscle fatigue on standing balance and muscle control upon self-initiated perturbations. METHODS All participants were instructed to perform shoulder flexion movements in the standing position before and after a neck flexor muscle fatigue exercise under either the eyes-open or eyes-closed condition. RESULTS The CNP group exhibited significantly larger body sway, greater neck muscle activation (SCM and SSC), and longer onset time of neck flexor muscle (SCM) compared with the control group. The CNP group also demonstrated a trend of greater postural sway and shorter muscle onset under the eyes-closed condition than those under the eyes-open condition. After muscle fatigue, the CNP group further exhibited (1) greater body sway during the eyes-open condition but decreased body sway during the eyes-closed condition, (2) higher activation of the neck flexor (SCM) and lower activation of the trunk extensor (erector spinae), and (3) early onset of the neck muscles (SCM and SSC). CONCLUSIONS CNP causes poor postural control and altered neck muscle control patterns. The addition of neck flexor muscle fatigue further decreases balance stability and provokes a protective neck muscle control strategy during the shoulder flexion movement. Those findings facilitate the understanding of the strategies adopted by patients and suggest that neck endurance training programs may be beneficial to improve whole postural control in patients with CNP.
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Affiliation(s)
- Wei-Li Hsu
- School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC
| | - Carl Pc Chen
- Department of Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital at Linkou and College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC
| | - Mohammad Nikkhoo
- Department of Biomedical Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Cheng-Feng Lin
- Department of Physical Therapy, College of Medicine, National Cheng Kung University, Taiwan, ROC
| | - Congo Tak-Shing Ching
- Graduate Institute of Biomedical Engineering, National Chung Hsing University, Taichung, Taiwan, ROC
| | - Chi-Chien Niu
- Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, ROC; Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC
| | - Chih-Hsiu Cheng
- School of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC; Bone and Joint Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan, ROC.
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Fettweis T, Onkelinx MN, Schwartz C, Demoulin C, Croisier JL, Vanderthommen M. Influence of a dynamic seating habit on lumbar motor control in schoolchildren. J Back Musculoskelet Rehabil 2018; 31:347-353. [PMID: 29171979 DOI: 10.3233/bmr-169763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Adequate motor control is considered important for spinal stability and the prevention of low back pain in adulthood and in childhood. OBJECTIVE Given that the sitting position can affect proprioception, this study aimed to evaluate the influence of using at school a triangular and dynamic cushion on schoolchildren's trunk motor control. METHODS Thirty 8-year-old schoolchildren were randomized into a control group (n= 15) and a "cushion group" (n= 15), in which the children used the cushion for one year and a half. At the end of this period, a 3D-analysis was used to assess lumbar spine proprioception by means of a trunk repositioning task performed blindfolded in a seated position in two conditions (on a stable and on an unstable surface). RESULTS The schoolchildren in the cushion group performed better at the trunk repositioning task (p= 0.02) and hold their lumbar lordosis (p= 0.03) better than the control children, in both conditions (stable and unstable). CONCLUSIONS This preliminary study suggests that daily use of a triangular dynamic cushion has a beneficial impact on children's lumbar proprioception. Further studies are needed to confirm these results and investigate the effectiveness of its use to prevent low back pain in adulthood.
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Affiliation(s)
- T Fettweis
- Department of Sports and Rehabilitation Sciences, University of Liège, Liege, Belgium
| | - M N Onkelinx
- Department of Sports and Rehabilitation Sciences, University of Liège, Liege, Belgium
| | - C Schwartz
- Department of Sports and Rehabilitation Sciences, University of Liège, Liege, Belgium.,Laboratory of Human Movement Analysis (LAMH), Liege, Belgium
| | - C Demoulin
- Department of Sports and Rehabilitation Sciences, University of Liège, Liege, Belgium.,Department of Physical Medicine and Rehabilitation, Liège University Hospital (CHU), Liege, Belgium
| | - J L Croisier
- Department of Sports and Rehabilitation Sciences, University of Liège, Liege, Belgium.,Laboratory of Human Movement Analysis (LAMH), Liege, Belgium.,Department of Physical Medicine and Rehabilitation, Liège University Hospital (CHU), Liege, Belgium
| | - M Vanderthommen
- Department of Sports and Rehabilitation Sciences, University of Liège, Liege, Belgium.,Laboratory of Human Movement Analysis (LAMH), Liege, Belgium.,Department of Physical Medicine and Rehabilitation, Liège University Hospital (CHU), Liege, Belgium
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Alghadir AH, Zafar H, Iqbal ZA, Al-Eisa ES. Effect of voluntary teeth clenching and sitting posture on maximal static force of limb muscles. J Sports Med Phys Fitness 2018; 59:774-778. [PMID: 29619804 DOI: 10.23736/s0022-4707.18.08341-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND People clench their teeth to activate facial, neck and abdominal muscles when they need to generate heavy muscle force against large resistance like lifting heavy objects, in order to gain possible ergogenic advantage. These are termed as remote voluntary contractions. Aim of this study was to evaluate the effect of voluntary teeth clenching on maximal voluntary contraction of extensors and flexors of the knee, shoulder and elbow joints of the dominant side during slouch and unsupported upright sitting. METHODS One hundred healthy young male adults (mean age 23.3 years) participated in this study. Maximal voluntary contraction was measured using a hand-held dynamometer. RESULTS Jaw clenching caused different ergogenic effect during slouch versus unsupported sitting postures. The data revealed that during unsupported upright sitting, the effect of jaw clenching consistently results in larger maximal voluntary contraction of both extensor and flexor muscles of all the three studied joints. However, during slouch sitting, only the maximal voluntary contraction of extensors of elbow and flexors of knee were larger with clenched teeth position. CONCLUSIONS Jaw clenching can affect the maximal voluntary contraction of limb muscles which is sitting posture dependent. Jaw clenching can consistently facilitate certain muscles of the upper and lower limbs to generate greater force production during upright sitting.
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Affiliation(s)
- Ahmad H Alghadir
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Hamayun Zafar
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.,Department of Odontology, Clinical Oral Physiology, Umea University, Umea, Sweden
| | - Zaheen A Iqbal
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia -
| | - Einas S Al-Eisa
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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