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EN
Introduction and aim. Large breast sizes frequently contribute to women presenting with severe pain symptoms. This study determined the association between breast hypertrophy, forward head posture (FHP), neck and shoulder pain related disabilities and selected anthropometric variables of female undergraduate students of College of Medicine, University of Lagos. Material and methods. A cross-sectional analytical study was conducted among 89 female undergraduate students (mean age = 21.45±1.29 years) with breast hypertrophy (cup size D and above). Breast cup sizes, neck and shoulder pain related disabilities, forward head posture were measured using a measuring tape, neck pain disability scale, shoulder pain disability index and craniovertebral angle (CVA) using photography method. Results. The prevalence of forward head posture among the participants was 43(48.3%). Twenty-eight (31.3%) participants had a “DD” cup size, twenty-six (29.2%) participants had a “DDD” cup size. Sixty-five (73%) of the participants had neck pain related disabilities and 10 (11.2%) of the participants had shoulder pain related disabilities. There was association among weight, forward head posture (p=0.027) and breast hypertrophy (p=0.016). Conclusion. Neck, shoulder pain related disabilities, and forward head posture is prevalent among undergraduates with breast hypertrophy and weight has an influence on forward posture and breast hypertrophy.
EN
Introduction and aim. Neck pain is becoming increasingly common throughout the world with a considerable impact on individuals. This study compared the effects of muscle energy techniques (MET) and static stretching (SS) on pain intensity and functional disability of patient with mechanical neck pain. Material and methods. Fifty subjects with mechanical neck pain recruited were randomly allocated into MET and SS groups equally. Subjects in MET received MET protocol, and SS groups were treated with SS; both groups had treatment twice a week for six weeks. Pain intensity and functional disability at baseline, 3rd and 6th week of treatment were measured. Descriptive and Inferential statistics were used to analyze the data. Alpha level was set at <0.05. Results. There were 12 males and 13 females for MET with age ranged between 31–53 years mean was 42.41± 7.35 years and 11 males and 14 females in SS group with age range 22–60 years and mean age of 42.91±10.44 years. There was a significant reduction in pain intensity and disability in MET’s and SS group (p<0.05) when pre-treatment, 3rd week and 6th week treatment were compared. Pain intensity was lower at SS than MET while functional disability was lower in MET than SS p<0.05 at 6th week. Conclusion. MET reduces ND more than SS and SS reduces pain intensity better MET.
EN
Introduction Factors such as prolonged sitting at work or improper posture of head during work may have a great role in neck pain occurrence among office employees, particularly among those who work with computers. Although some studies claim a significant difference in head posture between patients and pain-free participants, in literature the forward head posture (FHP) has not always been associated with neck pain. Since head, cervical and thoracic postures and their relation with neck pain has not been studied in Iranian office employees, the purpose of this study was to investigate the relationship between some work-related and individual factors, such as poor posture, with neck pain in the office employees. Material and methods It was a cross-sectional correlation study carried out to explore the relationship between neck pain and sagittal postures of cervical and thoracic spine among office employees in forward looking position and also in a working position. Forty-six subjects without neck pain and 55 with neck pain were examined using a photographic method. Thoracic and cervical postures were measured using the high thoracic (HT) and craniovertebral (CV) angles, respectively. Results High thoracic and CV angles were positively correlated with the presence of neck pain only in working position (p < 0.05). In forward looking position, there was no statistically significant difference between the 2 groups (p > 0.05). Conclusions Our findings have revealed that office employees had a defective posture while working and that the improper posture was more severe in the office employees who suffered from the neck pain.
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EN
Objectives: To investigate the association between neck pain and psychological stress in nurses. Material and Methods: Nurses from the Avon Orthopaedic Centre completed 2 questionnaires: the Short Form-36 (SF-36) and 1 exploring neck pain and associated psychological stress. Results: Thirty four nurses entered the study (68% response). Twelve (35.3%) had current neck pain, 13 (38.2%) reported neck pain within the past year and 9 (26.5%) had no neck pain. Subjects with current neck pain had significantly lower mental health (47.1 vs. 70.4; p = 0.002), physical health (60.8 vs. 76.8; p = 0.010) and overall SF-36 scores (56.8 vs. 74.9; p = 0.003). Five (41.7%) subjects with current neck pain and 5 (38.5%) subjects with neck pain in the previous year attributed it to psychological stress. Conclusions: Over 1/3 of nurses have symptomatic neck pain and significantly lower mental and physical health scores. Managing psychological stress may reduce neck pain, leading to improved quality of life for nurses, financial benefits for the NHS, and improved patient care.
EN
Objectives To prospectively investigate if the risk of chronic neck/shoulder pain is associated with work stress and job control, and to assess if physical exercise modifies these associations. Material and Methods The study population comprised 29 496 vocationally active women and men in the Norwegian Nord-Trøndelag Health Study (HUNT Study) without chronic pain at baseline in 1984–1986. Chronic neck/shoulder pain was assessed during a follow-up in 1995–1997. A generalized linear model (Poisson regression) was used to calculate adjusted relative risks (RRs). Results Work stress was dosedependently associated with the risk of neck/shoulder pain (p trend < 0.001 in both sexes). The women and men who perceived their work as stressful “almost all the time” had multi-adjusted RRs = 1.27 (95% confidence interval (CI): 1.1–1.47) and 1.71 (95% CI: 1.46–2), respectively, referencing those with no stressful work. Work stress interacted with sex (p < 0.001). Poor job control was not associated with the risk of neck/shoulder pain among the women (RR = 1.04, 95% CI: 0.92–1.19) nor the men (RR = 1.09, 95% CI: 0.95–1.26). Combined analyses showed an inverse dose-dependent association between hours of physical exercise/week and the risk of neck/shoulder pain in the men with no stressful work (p trend = 0.05) and among the men who perceived their work as “rarely stressful” (p trend < 0.02). This effect was not statistically significant among the women or among men with more frequent exposure to work stress. Conclusions Work stress is an independent predictor of chronic neck/shoulder pain and the effect is stronger in men than in women. Physical exercise does not substantially reduce the risk among the persons with frequent exposure to work stress.
PL
Wstęp Ból pleców to na całym świecie jedna z najczęściej spotykanych dolegliwości zdrowotnych w różnych populacjach pracowników. Celem badania była ocena występowania i nasilenia dolegliwości bólowych pleców wśród nauczycieli polskich szkół w powiązaniu z ich aktywnością fizyczną i zebranymi zmiennymi demograficznymi. Materiał i metody W badaniu uczestniczyło 998 czynnych zawodowo nauczycieli (840 kobiet, 158 mężczyzn) z południowej Polski. Wykorzystano następujące narzędzia psychometryczne: 1) do oceny niepełnosprawności z powodu bólu pleców – polską wersję wskaźnika niepełnosprawności Oswestry (Oswestry Disability Index – ODI) i szyjny indeks niepełnosprawności (Neck Disability Index – NDI), 2) do oceny aktywności fizycznej – subiektywną ocenę wykonywanej pracy (Subjective Experience of Work Load – SEWL) oraz autorski kwestionariusz z pytaniami dotyczącymi zmiennych demograficznych i antropometrycznych. Wyniki Nie wykazano zależności między wiekiem a NDI w grupie kobiet (r = 0,027), w przeciwieństwie do mężczyzn (r = 0,202; p ≤ 0,05). Różnice istotne statystycznie (p ≤ 0,05) uzyskano między zmiennymi: wiek i ODI (u kobiet: r = 0,219, u mężczyzn: r = 0,180). Nie wykazano istotności statystycznej między wskaźnikiem masy ciała (body mass index – BMI) a ODI ani między BMI a NDI. U kobiet z dolegliwościami bólowymi kręgosłupa stwierdzono niski poziom aktywności fizycznej w czasie pracy, w trakcie uprawiania sportu i spędzania wolnego czasu, natomiast u mężczyzn nie odnotowano takiej zależności. Wnioski Uzyskane wyniki potwierdzają, że ból pleców jest poważnym problemem wśród nauczycieli. Wiek jest czynnikiem prognostycznym, natomiast nie odnotowano związku między BMI a bólami kręgosłupa. Ograniczenie aktywności ruchowej wiąże się z częstszymi dolegliwościami bólowymi kręgosłupa. Istnieje potrzeba wdrażania wśród nauczycieli programu promocji zdrowego stylu życia, ze szczególnym uwzględnieniem aktywności ruchowej. Med. Pr. 2015;66(6):771–778
EN
Background Back pain represents one of the most common diseases across various populations of workers worldwide. This study analyzes the prevalence and severity of back pain, based on selected demographic variables, and the relationship with physical activity among school teachers. Material and Methods The study included 998 professionally active teachers (840 females and 158 males) from the southern part of Poland. Validated psychometric tools, namely: 1) for evaluation of disability due to back pain – a Polish version of the Oswestry Disability Index (ODI) and Neck Disability Index (NDI), 2) for physical activity assessment – the Subjective Experience of Work Load (SEWL) as well as the authors’ supplementary questionnaire, addressing demographic and anthropometric variables were used. Results There was no correlation between age and the NDI scores in females (r = 0.027), in contrast to males (r = 0.202; p ≤ 0.05). Statistically significant correlations (p ≤ 0.05) were reported between: age and the ODI, in both females (r = 0.219) and males (r = 0.180). No associations between the body mass index (BMI)-ODI, and BMI-NDI were found. In the case of women, disability related to low back pain (LBP) had a negative impact on the indicators of their activity during work, sports, and leisure time. In the case of men, the NDI and ODI scores did not differ, based on activity indicators. Conclusions Our findings confirm that back pain represents a serious concern among teachers. Age appears to be a prognostic factor, while no association between the BMI and LBP has been revealed. The limitation of physical activity leads to more frequent back pain. Med Pr 2015;66(6):771–778
EN
BackgroundFollowing the declaration of the COVID-19 pandemic by the WHO, many people in the public sector have switched to remote work, including teachers. This could have contributed to the occurrence of back pain in this group. The aim of the study was to assess back pain in a group of teachers before and after the introduction of distance learning due to the COVID-19 pandemic.Material and MethodsThe study was based upon an online diagnostic survey and included 361 teachers and university lecturers from 16 provinces of Poland. In order to assess the intensity of pain, a Numerical Rating Scale (NRS) was used. Statistical analysis was performed using IBM SPSS Statistics 26 and Microsoft Excel 2021. The level of statistical significance was adopted on the level p < 0.05.ResultsAmong the surveyed teachers, the mean degree of declared cervical and lumbar spine pain increased significantly after the COVID-19 pandemic (p < 0.001). The mean value of the declared degree of cervical pain increased from 2.49±2.81 before the pandemic to 5.44±1.83 during the pandemic. Before the pandemic, the mean low back pain intensity was 2.81±2.73 on the NRS, while after the introduction of remote working, it was 5.53±2.20.ConclusionsThere is a relationship between the occurrence of back pain and the change in the nature of work in the group of teachers in connection with the declaration of the COVID-19 pandemic. There has been a statistically significant increase in teachers’ back pain intensity since the introduction of distance learning. Depending on the number of hours spent at the computer, the average degree of the declared back pain in the study group increased statistically significantly. There is a need to set the goals of physioprophylaxis and introduce education in the field of ergonomics of computer work in a group of teachers.
PL
WstępW związku z ogłoszeniem przez Światową Organizację Zdrowia (WHO) pandemii COVID-19 wiele osób z sektora publicznego przeszło w tryb pracy zdalnej, w tym grupa zawodowa nauczycieli. Mogło to wpłynąć na wystąpienie bólu kręgosłupa w tej grupie. Celem pracy była ocena dolegliwości bólowych kręgosłupa w grupie nauczycieli przed wprowadzeniem nauczania zdalnego z powodu pandemii COVID-19 i po nim.Materiał i metodyBadanie prowadzono za pośrednictwem ankiety internetowej. Wzięło w nim udział 361 nauczycieli i wykładowców akademickich z 16 województw Polski. Do oceny stopnia natężenia bólu zastosowano Skalę numeryczną (Numerical Rating Scale – NRS). Analizę statystyczną przeprowadzono za pomocą programów IBM SPSS Statistics 26 i Microsoft Excel 2021. Poziom istotności statystycznej przyjęto na poziomie p < 0,05.WynikiWśród badanych nauczycieli po ogłoszeniu pandemii COVID-19 istotnie statystycznie wzrósł średni stopień deklarowanego bólu odcinków szyjnego i lędźwiowego kręgosłupa (p < 0,001). Średnia wartość deklarowanego bólu odcinka szyjnego kręgosłupa u badanych wzrosła w skali NRS z 2,49±2,81 przed pandemią do 5,44±1,83 w trakcie pandemii, a odcinka lędźwiowego – z 2,81±2,73 do 5,53±2,20.WnioskiIstnieje zależność między występowaniem bólu kręgosłupa a zmianą charakteru pracy w grupie nauczycieli w związku z ogłoszeniem pandemii COVID-19. Istotnie statystycznie wzrosło natężenie bólu kręgosłupa nauczycieli od czasu wprowadzenia nauczania zdalnego. W zależności od liczby godzin spędzanych przy komputerze istotnie statystycznie wzrósł średni stopień deklarowanego bólu kręgosłupa badanej grupy. Istnieje potrzeba wyznaczenia celów fizjoprofilaktyki i wprowadzenia edukacji w zakresie ergonomii pracy przy komputerze w grupie nauczycieli.
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