تأثیر 8 هفته تمرین درمانی منتخب و برنامه‌ی خود درمانی با بروشور بر میزان درد و ناتوانی مزمن گردن کاربران رایانه

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 کارشناسی ارشد، گروه تربیت بدنی، دانشکده‌ی تربیت بدنی و علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران

2 استادیار، گروه تربیت بدنی، دانشکده‌ی تربیت بدنی و علوم ورزشی، دانشگاه اصفهان، اصفهان، ایران

3 استادیار، گروه فیزیوتراپی، دانشکده‌ی توانبخشی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: درد گردن یکی از اختلالات شایع در کاربران رایانه می‌باشد. هدف از این مطالعه، بررسی تأثیر 8 هفته تمرین درمانی منتخب و برنامه‌ی خود درمانی با بروشور بر میزان درد و ناتوانی مزمن گردن بود.روش‌ها: جامعه‌ی آماری این تحقیق را تعداد 196 کارمند بانک تشکیل می‌دادند که از بین آن‌ها 66 نفر مرد مبتلا به درد مزمن گردن به صورت داوطلب و با داشتن شرایط مطالعه در این تحقیق شرکت نمودند. آزمودنی‌های تحقیق به طور تصادفی به سه گروه تمرین درمانی منتخب (18 نفر)، خود درمانی با بروشور (23 نفر) و شاهد (25 نفر) تقسیم شدند. برای سنجش میزان درد و ناتوانی مزمن از پرسش‌نامه‌ی مقیاس درد و ناتوانی استفاده شد. برای تحلیل داده‌ها ابتدا مقادیر اختلاف پیش آزمون- پس آزمون محاسبه و با آزمون ANOVA و سپس آزمون تعقیبی شفه مورد ارزیابی قرار گرفتند و برای بررسی رابطه‌ی بین سابقه‌ی کار و شدت درد و ناتوانی گردن از همبستگی Pearson استفاده شد.یافته‌ها: 85/42 درصد جامعه‌ی مورد بررسی به درد مزمن گردن مبتلا بودند. بین میانگین درد و ناتوانی مزمن گردن سه گروه تفاوت معنی‌داری وجود داشت (01/0 > P). بین شدت درد و ناتوانی گردن و سابقه‌ی کار آزمودنی‌ها رابطه‌ی معنی‌داری وجود نداشت (086/0 = P، 21/0 = r).نتیجه‌گیری: به طور کلی می‌توان نتیجه‌گیری نمود که برنامه‌ی تمرین درمانی منتخب زیر نظر مربی، می‌تواند نتایج سودمندتری در کاهش درد و ناتوانی مزمن گردن نسبت به روش خود درمانی با بروشور داشته باشد.

کلیدواژه‌ها


عنوان مقاله [English]

The Effects of an Eight-Week Selected Therapeutic Exercises Course and Self-Treatment by Pamphlet Programs on the Rate of Chronic Neck Pain and Disability among Computer Users

نویسندگان [English]

  • Hossein Taheri 1
  • Reza Mahdavinejad 2
  • Vazgen Minasian Vazgen Minasian 2
  • Abdolkarim Karimi 3
1 Department of Physical Education, School of Physical Education and Sport Sciences, The University of Isfahan, Isfahan, Iran
2 Assistant Professor, Department of Physical Education. School of Physical Education and Sport Sciences, The Uni-versity of Isfahan, Isfahan, Iran
3 Assistant Professor, Department of Physiotherapy, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Chronic neck pain is one of the most common problems among computer users. The aim of this research was to evaluate the effects of an eight-week selected therapeutic exercises course and self-treatment with pamphlet programs on the rate of chronic neck pain and disability among computer users.Methods: Out of a total number of 196 bank staff members, 66 men with chronic neck pain (mean age: 39.19 ±3.1 years) voluntarily recruited in this study. they were randomly allocated into three groups of selected exercise therapy (N = 18), self treatment with pamphlet (N = 23) and control (N = 25). Chronic neck pain and disability were measured by the Neck Pain and Disability Scale. For analyzing data, pretest-posttest measures were calculated. Then, analysis of variance (ANOVA) and Scheffe post hoc test were used to analyze the obtained data. Pearson's correlation coefficient test was used to determine the relationship between work experience and neck pain and disability rate of subjects.Findings: The results of this study revealed 42.85% of the subjects to be suffering from chronic neck pain. There were significant differences between decreased values of neck pain and disability between the three groups (P < 0.01). There was no significant relationships between neck pain, disability and work experience (P =0.086; r = 0.21). Conclusion: Generally, it can be concluded that compared to self- treatment by pamphlet program, the selected therapeutic exercises course under supervision of a trainer was beneficial in reducing chronic neck pain and disability.

کلیدواژه‌ها [English]

  • Chronic neck pain and disability
  • Selected therapeutic exercises
  • Computer user
  1. David G, Woods V, Li G, Buckle P. The development of the Quick Exposure Check (QEC) for assessing exposure to risk factors for work-related musculoskeletal disorders. Appl Ergon 2008; 39(1): 57-69.
  2. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 2004; 14(1): 13-23.
  3. Christos G. Work-related prevalence of musculoskeletal symptoms among Greek forest workers. International Journal of Industrial Ergonomics 2006; 36(8): 731-6.
  4. 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.
  5. Kietrys DM, Galper JS, Verno V. Effects of at-work exercises on computer operators. Work 2007; 28(1): 67-75.
  6. Mirmohammadi SJ, Mehrparvar AH, Soleimani H, Lotfi MH, Akbari H, Heidari N. Musculoskeletal disorders among video display terminal (VDT) workers comparing with other office workersl. Iran Occupational Health Journal 2010; 7(2): 11-4. [In Persian].
  7. Marcus M, Gerr F, Monteilh C, Ortiz DJ, Gentry E, Cohen S, et al. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med 2002; 41(4): 236-49.
  8. 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.
  9. Mohammadi Zeidi I, Farmanbar R, Morshedi H, Mohammadi Zeidi B, Karbord A. Effectiveness of an Ergonomic education to modify of body posture, ergonomic risk factor and Musculoskeletal pain severity in computer users. Journal of Guilan University of Medical Sciences 2010; 19(47): 15-28. [In Persian].
  10. Juul-Kristensen B, Jensen C. Self-reported workplace related ergonomic conditions as prognostic factors for musculoskeletal symptoms: the "BIT" follow up study on office workers. Occup Environ Med 2005; 62(3): 188-94.
  11. Rempel DM, Krause N, Goldberg R, Benner D, Hudes M, Goldner GU. A randomised controlled trial evaluating the effects of two workstation interventions on upper body pain and incident musculoskeletal disorders among computer operators. Occup Environ Med 2006; 63(5): 300-6.
  12. 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. Journal of Gorgan University of Medical Sciences 2010; 12(1): 33-7. [In Persian].
  13. 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.
  14. 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.
  15. 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.
  16. Salo PK, Hakkinen AH, Kautiainen H, Ylinen JJ. Effect of neck strength training on health-related quality of life in females with chronic neck pain: a randomized controlled 1-year follow-up study. Health Qual Life Outcomes 2010; 8: 48.
  17. Ylinen J, Takala EP, Nykanen M, Hakkinen A, Malkia 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. Hakkinen 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.
  19. Hakala PT, Rimpela AH, Saarni LA, Salminen JJ. Frequent computer-related activities increase the risk of neck-shoulder and low back pain in adolescents. Eur J Public Health 2006; 16(5): 536-41.
  20. 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.
  21. Adedoyin RA, Idowu BO, Adagunodo RE, Owoyomi AA, Idowu PA. Musculoskeletal pain associated with the use of computer systems in Nigeria. Technol Health Care 2005; 13(2):
  22. -30.
  23. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques. Oxford: F.A. Davis; 2007.
  24. Liebenson C. Rehabilitation of the spine: a practitioner's manual. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2006.
  25. Karimi AK, Mozafari F, Kamaledini H, Jokar S. The effectiveness of therapeutic exercises and general care by educational booklet on reduction of neck pain. Journal of Research in Rehabilitation Sciences 2010; 6(2): 201-10.
  26. Blozik E, Kochen MM, Herrmann-Lingen C, Scherer M. Development of a short version of the Neck Pain and Disability Scale. Eur J Pain 2010; 14(8): 864-7.
  27. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986; 27(1): 117-26.
  28. 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-E831.
  29. Cagnie B, Danneels L, Van TD, De L, V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J 2007; 16(5): 679-86.
  30. Korhonen T, Ketola R, Toivonen R, Luukkonen R, Hakkanen M, Viikari-Juntura E. Work related and individual predictors for incident neck pain among office employees working with video display units. Occup Environ Med 2003; 60(7): 475-82.
  31. Chiu TT, Ku WY, Lee MH, Sum WK, Wan MP, Wong CY, et al. A study on the prevalence of and risk factors for neck pain among university academic staff in Hong Kong. J Occup Rehabil 2002; 12(2): 77-91.
  32. 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. Journal of Rafsanjan University Of Medical Sciences 2009; 8(1): 59-68. [In Persian].
  33. Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther 2007; 87(4): 408-17.
  34. 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.
  35. 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.
  36. 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 Physiol Ther 1992; 15(8): 495-500.
  37. Yassin M, Ahmadi A. Physical therapy for common musculoskeletal disorder. Tehran: Adiban Publication; 2009. [In Persian].
  38. 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.
  39. 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.
  40. Harman PT, Hubley-Kozey CL, Butler H. Effectiveness of an Exercise Program to Improve Forward Head Posture in Normal Adults: A Randomized, Controlled 10-Week Trial. . The Journal of Manual & Manipulative Therapy 2005; 13(3): 163-76.
  41. Taheri H, Mahdavi Nejad R, Minasian V, Karimi AK. 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. Journal of Research in Rehabilitation Sciences 2011; 7(1): 1-10.
  42. Bolandian A. The Compare of effect of common therapeutic exercise and therapeutic exercise with emphasis corrective methods on rate of neck pain in general dentist of Tehran [MSc Thesis]. Tehran: University of Tehran; 2006. [In Persian].
  43. 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.
  44. 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.
  45. Akbari M, Azari A. The survey of prevalence of neck pain in patient who refer to physiotherapy center in Tehran city 1998. Journal of Iran University of Medical Sciences 2001; 8(25): 175-80. [In Persian].
  46. Sillanpaa 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.
  47. 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.
  48. Mirmohammadi SJ, Mehrparvar AH. Office Ergonomics. 2nd ed. Tehran: Farzaneh Books Publication; 2009. p. 103-21. [In Persian].