Boyun Ağrısı Olan Ofis Çalışanlarında Koruyucu Fizyoterapi Uygulamalarının Başın Anterior Tilt Postürü ve Üst Ekstremite İş ile İlişkili Fonksiyonları Üzerine Etkisi

Abstract

In the present study, it was aimed to investigate the efficacy of Preventive Physiotherapy Practices (PPP) that are intended for work-related musculoskeletal disorders (MSD), posture training, ergonomic arrangements, exercise, and EMG biofeedback (EMG-B) training on Forward Head Posture (FHP), and upper extremity work-related functions among office workers with neck pain. 51 office workers with neck pain, under the age of 40, active full-time employees for the past 1 year were included in the study. All individuals received posture training and ergonomic arrangements in their workplace. Three groups, EMG-B, Exercise, and Control, with 17 individuals in each group, were formed. EMG-B and Exercise training were performed for 6 weeks, 3 days a week. Pain (NDI and NPAD), postüre (FHP and RULA), upper extremity functionality (DASH T/W, Constant-Murley Score), task performance (keyboard/ mouse tasks), and Upper Trapezius (UT) muscle activation (sEMG) were assessed pre-post study. According to the findings obtained; significant differences were observed in all parameters except task performance and muscle activation in 3 groups. UT muscle activation decreased only in the EMG-B group (p<0.01); In the Exercise group, FHP and neck disability was found to be lower than the other groups (p<0.01). There was no significant difference between the groups in RULA and upper extremity functionality (p>0.05). In addition, determined that FHP was correlated with neck pain, mouse task speed, and UT activity (p<0.05). Individualized posture training and ergonomic arrangements given by physiotherapists for office workers showed positive effects on pain, posture, and work-related functions. It would be beneficial to support the program with exercise training when a more effective treatment is aimed on FHP and pain, and with EMG-B to reduce UT muscle activity. Further studies are needed to examine the long-term effects and psychosocial parameters of PPP.