Browse > Article
http://dx.doi.org/10.21598/JKPNFA.2021.19.3.413

Changes in the Cervical and Lumber Flexion-Relaxation Ratio, Range of Motion, Pressure Pain Threshold, and Perceived Comfort Following the Wearing of a Trunk Brace during Smartphone Watching  

Park, Jin-Seong (Daonwellness Corporation)
Park, Du-Jin (Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan)
Publication Information
PNF and Movement / v.19, no.3, 2021 , pp. 413-422 More about this Journal
Abstract
Purpose: This study was conducted to investigate changes in the cervical and lumbar flexion-relaxation ratio, range of motion, pressure pain threshold, and perceived comfort following the wearing of a trunk brace during smartphone watching. Methods: To calculate the number of subjects for this study, an analysis with G*Power was performed at a statistical power of 0.8, an effect size of 0.5, and a significance level of 0.05, based on the results of a preliminary experiment on five subjects. In total, 27 adult men and women were recruited who had been informed of the study's purpose and process and had agreed to participate. All subjects watched content on a smartphone for 20 minutes in the same posture and conditions while wearing and not wearing a trunk brace, and then their cervical and lumbar flexion-relaxation ratio, range of motion, pressure pain threshold, and perceived comfort were measured. Results: Compared to the non-wearing of a trunk brace, the wearing of a trunk brace resulted in a statistically significant smaller decline in cervical extension and right-side cervical rotation (p<0.05). When the subjects wore a trunk brace, their right- and left-side cervical and right-side lumbar pressure pain statistically significantly improved when compared to not wearing a trunk brace (p<0.05). They also perceived a significantly lowered level of comfort 20 minutes after wearing a trunk brace compared to immediately after wearing it (p<0.05). Conclusion: The trunk brace was effective in reducing declines in right-side cervical rotation and the occurrence of left- and right-side cervical and right-side lumbar pressure pain. The findings indicate the need to improve the perceived comfort of trunk braces.
Keywords
Trunk brace; Smart phone; Neck; Lumbar;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Yung-Hui L, Wei-Hsien H. Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking. Applied Ergonomics. 2005;36(3):355-362.   DOI
2 Andersen JH, Kaergaard A, Frost P, et al. Physical, psychosocial, and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine. 2002;27(6):660-667.   DOI
3 Arguisuelas MD, Lison JF, Domenech-Fernandez J, et al. Effects of myofascial release in erector spinae myoelectric activity and lumbar spine kinematics in non-specific chronic low back pain: randomized controlled trial. Clinical Biomechanics. 2019;63:27-33.   DOI
4 Balaguier R, Madeleine P, Vuillerme N. Is one trial sufficient to obtain excellent pressure pain threshold reliability in the low back of asymptomatic individuals? A test-retest study. PLoS One. 2016;11(8):e0160866.   DOI
5 Clausen T. The sodium pump keeps us going. Annals of the New York Academy of Sciences. 2003;986:595-602.   DOI
6 Eom SH, Choi SY, Park DH. An empirical study on relationship between symptoms of musculoskeletal disorders and amount of smartphone usage. Journal of the Korea Safety Management and Science. 2013;15(2): 113-120.   DOI
7 Floyd WF, Silver PH. The function of erector spinae muscles in flexion of the trunk. Lancet. 1951;1(6647):133-134.   DOI
8 Hogarty DT, Hogarty JP, Hewitt AW. Smartphone use in ophthalmology: What is their place in clinical practice? Survey of Ophthalmology. 2020;65(2):250-262.   DOI
9 Horikawa M. Effect of visual display terminal height on the trapezius muscle hardness: quantitative evaluation by a newly developed muscle hardness meter. Applied Ergonomics. 2001;32(5):473-478.   DOI
10 International Telecommunication Union. Measuring the information society. Geneva. ITU Publications. 2012.
11 Kim SH, Han SC, Monn JH. Study for range of motion, neck disability index according to cervical posture in adults with reduced cervical lordosis due to smartphone use. The Journal of the Korea Institute of Electronic Communication Sciences. 2017;12(4):679-690.   DOI
12 Korpinen L, Paakkonen R, Gobba F. Self-reported neck symptoms and use of personal computers, laptops and cell phones among Finns aged 18-65. Ergonomics. 2013;56(7):1134-1146.   DOI
13 Lee HM, Park DJ, Kim SY. Immediate effects of dynamic neck training combined with the hold-relax technique for young college students with video display terminal syndrome. International Journal of Athletic Therapy and Training. 2016;21(1):50-55.   DOI
14 Macintosh JE, Bogduk N. The attachments of the lumbar erector spinae. Spine. 1991;16(7):783-792.   DOI
15 Eitivipart AC, Viriyarojanakul S, Redhead L. Musculoskeletal disorder and pain associated with smartphone use: a systematic review of biomechanical evidence. Hong Kong Physiotherapy Journal. 2018;38(2):77-90.   DOI
16 Park SY, Park DJ. Changes of gait pattern, muscle activity, and perceived comfort in response to variations of height-elevating insoles in young adults. Journal of Exercise Rehabilitation. 2018;14(1):100-105.   DOI
17 Meyer JJ, Berk RJ, Anderson AV. Recruitment patterns in the cervical paraspinal muscles during cervical forward flexion: evidence of cervical flexion-relaxation. Electromyography and Clinical Neurophysiology. 1993;33(4):217-223.
18 Mohammad WS, Hamza HH, ElSais WM. Assessment of neck pain and cervical mobility among female computer workers at Hail University. International Journal of Occupational Safety and Ergonomics. 2015;21(1): 105-110.   DOI
19 Park DJ, Park SY. Long-term effects of diagonal active stretching versus static stretching for cervical neuromuscular dysfunction, disability and pain: An 8 weeks follow-up study. Journal of Back and Musculoskeletal Rehabilitation. 2019;32(3):403-410.   DOI
20 Shin SJ, An DH, Oh JS, et al. Changes in pressure pain in the upper trapezius muscle, cervical range of motion, and the cervical flexion-relaxation ratio after overhead work. Industrial Health. 2012;50(6):509-515.   DOI
21 Solomonow M, Baratta RV, Banks A, et al. Flexion-relaxation response to static lumbar flexion in males and females. Clinical Biomechanics. 2003;18(4):273-279.   DOI
22 Vahedi Z, Mazloumi A, Sharifnezhad A, et al. Head forward flexion, lateral bending and viewing distance in smartphone users: a comparison between sitting and standing postures. Work. 2020;67(4):837-846.   DOI
23 Wu B, Yuan H, Geng D, et al. The impact of a stabilization exercise on neck pain: a systematic review and meta-analysis. Journal of Neurological Surgery. 2020;81(4):342-347.
24 Yoo WG, An DH. The relationship between the active cervical range of motion and changes in head and neck posture after continuous VDT work. Industrial Health. 2009;47(2):183-188.   DOI
25 Namwongsa S, Puntumetakul R, Neubert MS, et al. Factors associated with neck disorders among university student smartphone users. Work. 2018;61(3):367-378.   DOI
26 Patel RK, Sayers AE, Patrick NL, et al. A UK perspective on smartphone use amongst doctors within the surgical profession. Annals of Medicine and Surgery. 2015;4(2):107-112.   DOI
27 Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial. Clinical Rehabilitation. 2016;30(1):64-72.   DOI