Flexion-relaxation ratio in computer workers with and without chronic neck pain.

This study evaluated the flexion-relaxation phenomenon (FRP) and flexion-relaxation ratios (FR-ratios) using surface electromyography (sEMG) of the cervical extensor muscles of computer workers with and without chronic neck pain, as well as of healthy subjects who were not computer users. This study...

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Publicado en:Journal of Electromyography & Kinesiology Vol. 26; pp. 8 - 18
Autores principales: Pinheiro, Carina Ferreira, Santos, Marina Foresti dos, Chaves, Thais Cristina, dos Santos, Marina Foresti
Formato: research Journal Article
Publicado: Elsevier B.V. Feb2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2016
      vid: 26
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      pub: Elsevier B.V.
      place: New York, New York
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        atl: Flexion-relaxation ratio in computer workers with and without chronic neck pain.
      aug:
        au:
          Pinheiro, Carina Ferreira
          Santos, Marina Foresti dos
          Chaves, Thais Cristina
          dos Santos, Marina Foresti
        affil: Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
      sug:
        subj:
          Chronic Pain Diagnosis
          Muscle Contraction Physiology
          Neck Pain Diagnosis
          Muscle Relaxation Physiology
          Occupational Exposure Adverse Effects
          Computers and Computerization Utilization
          Human
          Neck Muscles Physiology
          Chronic Pain Physiopathology
          Male
          Neck Pain Physiopathology
          Adult
          Range of Motion Physiology
          Electromyography Methods
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Male
          Female
      ab: This study evaluated the flexion-relaxation phenomenon (FRP) and flexion-relaxation ratios (FR-ratios) using surface electromyography (sEMG) of the cervical extensor muscles of computer workers with and without chronic neck pain, as well as of healthy subjects who were not computer users. This study comprised 60 subjects 20-45years of age, of which 20 were computer workers with chronic neck pain (CPG), 20 were computer workers without neck pain (NPG), and 20 were control individuals who do not use computers for work and use them less than 4h/day for other purposes (CG). FRP and FR-ratios were analyzed using sEMG of the cervical extensors. Analysis of FR-ratios showed smaller values in the semispinalis capitis muscles of the two groups of workers compared to the control group. The reference FR-ratio (flexion relaxation ratio [FRR], defined as the maximum activity in 1s of the re-extension/full flexion sEMG activity) was significantly higher in the computer workers with neck pain compared to the CG (CPG: 3.10, 95% confidence interval [CI95%] 2.50-3.70; NPG: 2.33, CI95% 1.93-2.74; CG: 1.99, CI95% 1.81-2.17; p<0.001). The FR-ratios and FRR of sEMG in this study suggested that computer use could increase recruitment of the semispinalis capitis during neck extension (concentric and eccentric phases), which could explain our results. These results also suggest that the FR-ratios of the semispinalis may be a potential functional predictive neuromuscular marker of asymptomatic neck musculoskeletal disorders since even asymptomatic computer workers showed altered values. On the other hand, the FRR values of the semispinalis capitis demonstrated a good discriminative ability to detect neck pain, and such results suggested that each FR-ratio could have a different application.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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