Four weeks of exercise regimen for sedentary workers with rounded shoulder posture
a randomized controlled study
Palavras-chave:
Posture, Shoulder, Exercise, PhotogrammetryResumo
BACKGROUND: Rounded shoulder (RS) posture causes neck and shoulder pathologies. Mechanical correction taping (MCT) is often incorporated into postural corrective therapies; however, its effects on muscle stiffness are unclear. OBJECTIVE: We investigated the effect of MCT with different tape fabrics, along with exercise, on upper trapezius and pectoralis minor muscle stiffness and the posture of sedentary workers. DESIGN AND SETTING: A randomized controlled study was performed at Aydın Adnan Menderes University, Aydın, Turkey. METHODS: The study included 39 workers with RS posture. Two intervention groups (performance tape: PT and classic tape: CT) were taped twice a week and administered a home exercise program for 4 weeks. The control (C) group performed only home exercises. RS was measured using an acromion-testing table (AT), stiffness using shear wave elastography ultrasound, and shoulder angle (SA) using a smartphone application at baseline and 4 weeks. Time and group interactions were determined using 3 × 2 mixed analysis of variance. RESULTS: Intragroup analyses revealed a significant main effect of time on AT distance (η2 = 0.445) and SA (η2 = 0.325) in the PT and C groups (P < 0.05) and left upper trapezius stiffness (η2 = 0.287) in the CT and C groups (P < 0.05). In the post hoc analyses, no difference was noted between the groups from baseline to 4 weeks (P > 0.05). CONCLUSION: Scapular MCT added to postural exercises did not show any difference between the intervention groups and controls in terms of muscle stiffness and posture in sedentary workers.
Downloads
Referências
Singla D, Veqar Z, Hussain ME. Photogrammetric Assessment of Upper Body Posture Using Postural Angles: A Literature Review. J Chiropr Med. 2017;16(2):131-8. PMID: 28559753; https://doi.org/10.1016/j.jcm.2017.01.005.
Ruivo RM, Pezarat-Correia P, Carita AI. Cervical and shoulder postural assessment of adolescents between 15 and 17 years old and association with upper quadrant pain. Braz J Phys Ther. 2014;18(4):364-71. PMID: 25054381; https://doi.org/10.1590/bjpt-rbf.2014.0027.
Wong CK, Coleman D, diPersia V, Song J, Wright D. The effects of manual treatment on rounded-shoulder posture, and associated muscle strength. J Bodyw Mov Ther. 2010;14(4):326-33. PMID: 20850039; https://doi.org/10.1016/j.jbmt.2009.05.001.
Shaghayegh Fard B, Ahmadi A, Maroufi N, Sarrafzadeh J. Evaluation of forward head posture in sitting and standing positions. Eur Spine J. 2016;25(11):3577-82. PMID: 26476717; https://doi.org/10.1007/s00586-015-4254-x.
Yoo WG. Comparison of shoulder muscles activation for shoulder abduction between forward shoulder posture and asymptomatic persons. J Phys Ther Sci. 2013;25(7):815-6. PMID: 24259860; https://doi.org/10.1589/jpts.25.815.
Kwon JW, Son SM, Lee NK. Changes in upper-extremity muscle activities due to head position in subjects with a forward head posture and rounded shoulders. J Phys Ther Sci. 2015;27(6):1739-42. PMID: 26180310; https://doi.org/10.1589/jpts.27.1739.
Manor J, Hibberd E, Petschauer M, Myers J. Acute effects of posture shirts on rounded-shoulder and forward-head posture in college students. J Sport Rehabil. 2016;25(4):309-14. PMID: 27705072; https://doi.org/10.1123/jsr.2014-0304.
Nejati P, Lotfian S, Moezy A, Moezy A, Nejati M. The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Med J Islam Repub Iran. 2014;28:26. PMID: 25250268.
Han JT, Lee JH, Yoon CH. The mechanical effect of kinesiology tape on rounded shoulder posture in seated male workers: a single-blinded randomized controlled pilot study. Physiother Theory Pract. 2015;31(2):120-5. PMID: 25264014; https://doi.org/10.3109/09593985.2014.960054.
Roddey TS, Olson SL, Grant SE. The effect of pectoralis muscle stretching on the resting position of the scapula in persons with varying degrees of forward head/rounded shoulder posture. J Man Manip Ther. 2002;10(3):124-8. https://doi.org/10.1179/106698102790819247.
Shaik AR. Dental ergonomics: Basic steps to enhance work efficiency. AMHS. 2015;3(1):138-44. https://doi.org/10.4103/2321-4848.154966.
Lynch SS, Thigpen CA, Mihalik JP, Prentice WE, Padua D. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. Br J Sports Med. 2010;44(5):376-81. PMID: 20371564; https://doi.org/10.1136/bjsm.2009.066837.
Kluemper M, Uhl T, Hazelrigg H. Effect of stretching and strengthening shoulder muscles on forward shoulder posture in competitive swimmers. J Sport Rehabil. 2006;15(1):58. https://doi.org/10.1123/jsr.15.1.58.
Harput G, Guney H, Toprak U, Colakoglu F, Baltaci G. Acute effects of scapular Kinesio Taping® on shoulder rotator strength, ROM and acromiohumeral distance in asymptomatic overhead athletes. J Sports Med Phys Fitness. 2017;57(11):1479-85. PMID: 27391411; https://doi.org/10.23736/S0022-4707.16.06583-X.
Lin JJ, Hung CJ, Yang PL. The effects of scapular taping on electromyographic muscle activity and proprioception feedback in healthy shoulders. J Orthop Res. 2011;29(1):53-7. PMID: 20607815; https://doi.org/10.1002/jor.21146.
Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther. 2005;35(2):72-87. PMID: 15773565; https://doi.org/10.2519/jospt.2005.35.2.72.
Yildiz TI, Castelein B, Harput G, Duzgun I, Cools A. Does scapular corrective taping alter periscapular muscle activity and 3-dimensional scapular kinematics? A systematic review. J Hand Ther. 2019;33(3):361-70. PMID: 30962122; https://doi.org/10.1016/j.jht.2019.03.001.
Ishikawa H, Muraki T, Morise S, et al. Changes in stiffness of the dorsal scapular muscles before and after computer work: a comparison between individuals with and without neck and shoulder complaints. Eur J Appl Physiol. 2017;117(1):179-87. PMID: 27913925; https://doi.org/10.1007/s00421-016-3510-z.
Dubois G, Kheireddine W, Vergari C, et al. Reliable protocol for shear wave elastography of lower limb muscles at rest and during passive stretching. Ultrasound Med Biol. 2015;41(9):2284-91. PMID: 26129731; https://doi.org/10.1016/j.ultrasmedbio.2015.04.020.
Sahrmann S. Diagnosis and treatment of movement impairment syndromes. St Louis: Mosby; 2002.
Kase K, Wallis J, Kase T. Clinical therapeutic applications of the kinesio taping method. 2nd ed. Tokyo, Japan: Ken Ikai Co. Ltd.; 2003.
Lewis JS, Valentine RE. The pectoralis minor length test: a study of the intra-rater reliability and diagnostic accuracy in subjects with and without shoulder symptoms. BMC Musculoskelet Disord. 2007;8:64. PMID: 17620136; https://doi.org/10.1186/1471-2474-8-64.
Struyf F, Nijs J, Mottram S, et al. Clinical assessment of the scapula: a review of the literature. Br J Sports Med. 2014;48(11):883-90. PMID: 22821720; https://doi.org/10.1136/bjsports-2012-091059.
Mitchell K, Gutierrez SB, Sutton S, Morton S, Morgenthaler A. Reliability and validity of goniometric iPhone applications for the assessment of active shoulder external rotation. Physiother Theory Pract. 2014;30(7):521-5. PMID: 24654927; https://doi.org/10.3109/09593985.2014.900593.
Dieterich AV, Andrade RJ, Le Sant G, et al. Shear wave elastography reveals different degrees of passive and active stiffness of the neck extensor muscles. Eur J Appl Physiol. 2017;117(1):171-8. PMID: 27913924; https://doi.org/10.1007/s00421-016-3509-5.
Han H, Yi C, You S, et al. Comparative Effects of 4 Single-Leg Squat Exercises in Subjects With Gluteus Medius Weakness. J Sport Rehabil. 2018;27(6):513-9. PMID: 28714757; https://doi.org/10.1123/jsr.2016-0193.
Cohen J. A power primer. Psychol Bull. 1992;112(1):155-9. PMID: 19565683; https://doi.org/10.1037//0033-2909.112.1.155.
van der Windt D, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-64. PMID: 8546527; https://doi.org/10.1136/ard.54.12.959.
Kibler WB, Sciascia A. The role of the scapula in preventing and treating shoulder instability. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):390-7. PMID: 26231154; https://doi.org/10.1007/s00167-015-3736-z.
Burkhart SS, Morgan CD, Kibler WB. The disabled throwing shoulder: spectrum of pathology Part III: The SICK scapula, scapular dyskinesis, the kinetic chain, and rehabilitation. Arthroscopy. 2003;19(6):641-61. PMID: 12861203; https://doi.org/10.1016/s0749-8063(03)00389-x.
Yıldız Tİ, Sarıal C, Kılınç HE, Baltacı G. Does Taping Change Anterior Tilt of the Head? Rigid and Kinesio Taping. Turkiye Klinikleri J Sports Sci. 2015;7(2):29-34. https://doi.org/10.5336/sportsci.2014-41868.
Gulpinar D, Tekeli Ozer S, Yesilyaprak SS. Effects of Rigid and Kinesio Taping on Shoulder Rotation Motions, Posterior Shoulder Tightness, and Posture in Overhead Athletes: A Randomized Controlled Trial. J Sport Rehabil. 2019;28(3):256-65. PMID: 28714759; https://doi.org/10.1123/jsr.2017-0047.
Ko CH, Cynn HS, Lee JH, Yoon TL, Choi SA. Figure-8 strap application: immediate alteration of pectoralis minor length and scapular alignment during arm-lifting exercise in participants with forward shoulder posture. J Sport Rehabil. 2016;25(3):273-9. PMID: 26797650; https://doi.org/10.1123/jsr.2015-0002.
Thigpen CA, Padua DA, Michener LA, et al. Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. J Electromyogr Kinesiol. 2010;20(4):701-9. PMID: 20097090; https://doi.org/10.1016/j.jelekin.2009.12.003.
Johnston V, Jull G, Souvlis T, Jimmieson NL. Neck movement and muscle activity characteristics in female office workers with neck pain. Spine (Phila Pa 1976). 2008;33(5):555-63. PMID: 18317202; https://doi.org/10.1097/BRS.0b013e3181657d0d.
Côté P, van der Velde G, Cassidy JD, et al. The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther. 2009;32(2):S70-S86. PMID: 19251078; https://doi.org/10.1016/j.jmpt.2008.11.012.
Laudner K, Thorson K. Acute Effects of Pectoralis Minor Self-Mobilization on Shoulder Motion and Posture: A Blinded and Randomized Placebo-Controlled Study in Asymptomatic Individuals. J Sport Rehabil. 2019;29(4):420-24. PMID: 30860417; https://doi.org/10.1123/jsr.2018-0220.
Zhang J, Yu J, Liu C, Tang C, Zhang Z. Modulation in Elastic Properties of Upper Trapezius with Varying Neck Angle. Appl Bionics Biomech. 2019;2019:6048562. PMID: 30944582; https://doi.org/10.1155/2019/6048562.
Umehara J, Nakamura M, Nishishita S, et al. Scapular kinematic alterations during arm elevation with decrease in pectoralis minor stiffness after stretching in healthy individuals. J Shoulder Elbow Surg. 2018;27(7):1214-20. PMID: 29602634; https://doi.org/10.1016/j.jse.2018.02.037.
Kim J, Kim S, Shim J, et al. Effects of McKenzie exercise, Kinesio taping, and myofascial release on the forward head posture. J Phys Ther Sci. 2018;30(8):1103-7. PMID: 30154609; https://doi.org/10.1589/jpts.30.1103.
Shih HS, Chen SS, Cheng SC, et al. Effects of Kinesio taping and exercise on forward head posture. J Back Musculoskelet Rehabil. 2017;30(4):725-33. PMID: 28282792; https://doi.org/10.3233/BMR-150346.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
