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Zmiany przewodnictwa nerwowo-mięśniowego pracowników w zależności od wieku

100%
Łach P.
Medycyna Pracy
|
2022
|
vol. 73
|
issue 5
417-425
EN
Background The research was conducted to determine the effect of age on potential functional changes occurring through the transmission of nerve impulses in the motor nerves supplying selected muscles of the lower limb. The nerve conduction parameters in the lower limb were measured, as well as the ability to control muscle tension with pressure on the foot pedal. Material and Methods The study included a group of 54 men, differentiated by age. During the research, the speed of nerve conduction, amplitude and latency of the motor response in the tibial and peroneal nerves were measured. During the RAMP-contraction test, the EMG signal was recorded from the tibialis anterior muscles and the gastrocnemius muscles of the medial head. Results The results of the research showed that with age the ability to control muscle tone decreases, the speed of transmission of electrical impulses decreases, the motor response is delayed and its amplitude is significantly lower than in the case of younger people. Conclusions The deterioration of neuromuscular conduction observed with age and a reduction in the ability to control the generated value of muscle strength may result in a deterioration of the ability to operate equipment or drive vehicles. From the point of view of prolonging the activity in working life, identifying all factors limiting the functioning of an older employee in the work environment may be the basis for creating guidelines and recommendations helpful in the design of devices and workstations for older employees.
PL
Wstęp Celem badań było określenie wpływu wieku na potencjalne zmiany czynnościowe zachodzące na drodze przekazywania impulsów nerwowych w nerwach ruchowych zaopatrujących wybrane mięśnie kończyny dolnej. Przeprowadzono pomiar parametrów przewodnictwa nerwowego w kończynie dolnej i zdolności do kontroli napięcia mięśniowego przy nacisku na pedał. Materiał i metody Badaniem objęto grupę 54 mężczyzn, zróżnicowaną ze względu na wiek. W trakcie badań mierzono prędkość przewodnictwa nerwowego i amplitudę oraz latencję odpowiedzi ruchowej w nerwach piszczelowym i strzałkowym. W trakcie testu RAMP-contraction rejestrowano sygnał elektromiograficzny z mięśnia piszczelowego przedniego i głowy przyśrodkowej mięśnia brzuchatego łydki. Wyniki Wykazano, że wraz z wiekiem obniża się zdolność do kontroli napięcia mięśniowego, zmniejsza się prędkość przekazywania impulsów elektrycznych i opóźnia się odpowiedź ruchowa, która cechuje się istotnie niższą amplitudą niż u młodszych osób. Wnioski Obserwowane wraz z wiekiem osłabienie przewodnictwa nerwowo-mięśniowego i zmniejszenie kontroli generowanej wartości siły mięśniowej mogą skutkować pogorszeniem zdolności do obsługi urządzeń lub prowadzenia pojazdów. Ze względu na wydłużenie aktywności zawodowej zidentyfikowanie wszystkich czynników ograniczających funkcjonowanie starszego pracownika w środowisku pracy może być podstawą tworzenia wytycznych i rekomendacji pomocnych przy projektowaniu urządzeń oraz stanowisk dla starszych pracowników.
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Effectiveness of prevention exercises protocol among office workers with symptoms of carpal tunnel syndrome

63%
Łach P., Cygańska A. K.
International Journal of Occupational Medicine and Environmental Health
|
2024
|
vol. 37
|
issue 1
45-57
EN
Objectives Carpal tunnel syndrome (CTS) is common among office workers and limits functional hand ability and the ability to work. Carpal tunnel syndrome prevention programs implementation are still insufficient among office workers. In view of the fact that physical activity is the best method of preventing musculoskeletal complaints the aim of the study was to evaluate the effectiveness of prevention exercises protocol for hand and wrist pain among office workers. Material and Methods Study group consists form 62 office workers, reporting complaints of hand and wrist pain. Exercise group it was 49 subjects who performed the exercise protocol and the non-exercise group consisted of 13 subjects. An exercises program, consisting of 7 exercises. The program was planned for daily routine during 8 weeks. The effectiveness of the exercise program was assessed by physical parameters (hand grip and pinch grip strength, force of forearm muscles) and questionnaires (Visual Analog Scale pain scale, Carpal Tunnel Syndrome Symptom Severity Scale, and Carpal Tunnel Syndrome Functional Status Scale functional hand assessment questionnaires) were performed. Assessment was performed before and after the intervention. Results Statistical analysis of the data showed significant changes in the value of measured hand grip of the right hand (Z = –2.85, p < 0.01). For pinch grip, changes were significant for both the right (Z = –2.12, p < 0.05) and the left hands (Z = –2.35, p < 0.05). Functional performance improved significantly in bought groups. There was no statistically significant change in the intensity of experienced pain. Conclusions The results of the study indicate that performing a preventive exercise program regularly has an effect on increasing forearm muscle strength in a group of office workers. Office workers with symptoms of CTS who exercised regularly had higher results in hand grip and pincer grip strength. Exercises do not affect the level of pain complaints, which may indicate a more complex etiology of pain perception in this study group.
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