本文選題：伏案工作者 + 頸肩痛　； 參考：《中國運(yùn)動(dòng)醫(yī)學(xué)雜志》2015年07期

【摘要】：目的:為有效防治伏案工作人群職業(yè)性頸肩肌肉疼痛的發(fā)生與發(fā)展,制定一套該類人群工作中運(yùn)動(dòng)處方并評(píng)價(jià)其效果。方法:篩選符合入選標(biāo)準(zhǔn)的頸肩肌肉疼痛人員44名,隨機(jī)分為實(shí)驗(yàn)組(n=22人)和對(duì)照組(n=22人)。實(shí)驗(yàn)組進(jìn)行運(yùn)動(dòng)處方練習(xí):(1)放松:頭部旋轉(zhuǎn),肩帶部旋轉(zhuǎn);(2)牽伸:前外側(cè)肩頸肌牽伸,后外側(cè)肩頸肌牽伸,肩背部牽伸;(3)力量練習(xí):頸前肌肌力訓(xùn)練,頸后及背部肌力訓(xùn)練,肩背部肌力訓(xùn)練,背部肌力訓(xùn)練。每次練習(xí)20 min,2次/日,5天/周,共6周。對(duì)照組相應(yīng)時(shí)間內(nèi)暫停工作,適當(dāng)休息。運(yùn)動(dòng)干預(yù)前后對(duì)兩組受試者均進(jìn)行VAS疼痛評(píng)分、頸部關(guān)節(jié)活動(dòng)度、上斜方肌最大等長收縮肌力、疲勞檢測,所得數(shù)據(jù)應(yīng)用t檢驗(yàn)進(jìn)行組內(nèi)/間分析。結(jié)果:6周運(yùn)動(dòng)干預(yù)后,實(shí)驗(yàn)組VAS疼痛評(píng)分顯著低于對(duì)照組(P0.001);頸椎左右側(cè)屈、左右旋轉(zhuǎn)活動(dòng)度均顯著大于對(duì)照組(P0.05),其他各指標(biāo)兩組無顯著性差異。實(shí)驗(yàn)組干預(yù)前后組內(nèi)VAS評(píng)分顯著性降低(P0.001);左右側(cè)屈關(guān)節(jié)活動(dòng)度顯著增大(P0.01);上斜方肌最大收縮肌力顯著增大(P0.01)。對(duì)照組運(yùn)動(dòng)干預(yù)前后各指標(biāo)均無顯著變化(P0.05)。結(jié)論:以頸肩背部肌肉放松、牽伸、等長收縮練習(xí)為主的工作中運(yùn)動(dòng)處方簡便、有效、可行,通過增強(qiáng)頸肩背部關(guān)節(jié)肌肉功能,能有效改善伏案工作人群頸肩肌肉疼痛癥狀及頸椎活動(dòng)情況。
[Abstract]:Objective: to establish a set of exercise prescriptions and evaluate the effect of occupational neck and shoulder muscle pain in the working population in order to prevent the occurrence and development of occupational neck and shoulder muscle pain. Methods: 44 patients with neck and shoulder muscle pain were randomly divided into experimental group (n = 22) and control group (n = 22). Exercise prescription exercise 1) relaxation: head rotation, shoulder band rotation (2) stretching: anterolateral shoulder neck muscle, posterolateral shoulder neck muscle drafting, shoulder and back muscle stretching 3) strength exercises: anterior cervical muscle strength training, neck and back muscle strength training, Shoulder back strength training, back strength training. Practice for 20 mins / day for 5 days / week for 6 weeks. In the control group, the work was suspended and the rest was appropriate. Before and after exercise intervention, VAS pain score, neck joint activity, maximum isometric contraction of superior trapezius muscle and fatigue were measured. The data were analyzed by t test. Results after 6 weeks of exercise intervention, the VAS pain score in the experimental group was significantly lower than that in the control group (P 0.001), and the flexion of the cervical spine on the left and right side was significantly higher than that in the control group (P 0.05). There was no significant difference in other indexes between the two groups. Before and after intervention, the VAS score of the experimental group decreased significantly (P 0.001), the flexion joint activity of the left and right sides increased significantly (P 0.01), and the maximal contractile strength of the superior trapezius muscle increased significantly (P 0.01). In the control group, there was no significant change in every index before and after exercise intervention (P 0.05). Conclusion: the exercise prescription is simple, effective and feasible in the exercise of relaxation, stretching and isometric contraction of the neck, shoulder and back muscles, by enhancing the muscle function of the neck, shoulder and back joint. It can effectively improve the symptoms of neck and shoulder muscle pain and cervical vertebrae movement in the working population.
【作者單位】： 天津體育學(xué)院健康與運(yùn)動(dòng)科學(xué)系;天津醫(yī)科大學(xué)總醫(yī)院康復(fù)醫(yī)學(xué)科;天津市運(yùn)動(dòng)生理學(xué)與運(yùn)動(dòng)醫(yī)學(xué)重點(diǎn)實(shí)驗(yàn)室;天津市職業(yè)病防治院;
【基金】：國家科技支撐計(jì)劃項(xiàng)目“運(yùn)動(dòng)促進(jìn)體質(zhì)健康關(guān)鍵技術(shù)的研究與應(yīng)用”(2012BAK21B00)資助 天津市高校創(chuàng)新團(tuán)隊(duì)基金資助
【分類號(hào)】：R875

【參考文獻(xiàn)】

相關(guān)期刊論文 前3條

1 楊磊;VH. Hildebrandt;余善法;凌瑞杰;何麗華;陳衛(wèi)紅;夏昭林;王建新;李麗萍;王生;;肌肉骨骼疾患調(diào)查表介紹附調(diào)查表[J];工業(yè)衛(wèi)生與職業(yè)病;2009年01期

2 何健民,周麗波,李靜先,周智翔,杜偉佳;辦公室職員與電腦操作相關(guān)動(dòng)作的人類工效學(xué)評(píng)價(jià)[J];中國工業(yè)醫(yī)學(xué)雜志;2005年02期

3 黃志強(qiáng);高強(qiáng);;等長工作時(shí)肌纖維動(dòng)作電位傳導(dǎo)速度的變化及其與平均功率頻率的關(guān)系[J];體育科學(xué);1987年04期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 黃鵬;楊文明;;腦卒中后肩-手綜合征臨床研究概述[J];中醫(yī)藥臨床雜志;2011年12期

2 吳建賢;徐梅;;軟組織擠壓傷的康復(fù)[J];安徽醫(yī)學(xué);2008年05期

3 倪朝民;;腦卒中不同恢復(fù)時(shí)期的康復(fù)治療[J];安徽醫(yī)學(xué);2009年12期

4 胡曉琴;王玉英;傅嗥;;綜合康復(fù)治療膝關(guān)節(jié)骨性關(guān)節(jié)炎36例療效觀察[J];安徽醫(yī)學(xué);2009年12期

5 黃勇;倪朝民;孫怡寧;馬祖長;龍希文;;正常青年男女不同狀態(tài)下站立平衡能力差異分析[J];安徽醫(yī)學(xué);2011年06期

6 吳欣楠;沈顯山;吳建賢;;康復(fù)護(hù)理在肩手綜合征康復(fù)治療中的應(yīng)用[J];安徽醫(yī)學(xué);2011年06期

7 鮑文;陳和木;高曉平;;腦卒中患者運(yùn)動(dòng)功能評(píng)定方法的研究現(xiàn)狀及發(fā)展趨勢(shì)[J];安徽醫(yī)藥;2011年04期

8 陳瑞全;肖洪波;朱宗俊;羅金發(fā);吳燕;;促通技術(shù)對(duì)腦卒中急性期偏癱患者日常生活活動(dòng)能力的影響[J];安徽醫(yī)藥;2011年08期

9 李俊;胡家才;;磁貼穴位敷貼對(duì)哮喘患者肺功能及Th1/Th2細(xì)胞因子的影響[J];安徽中醫(yī)學(xué)院學(xué)報(bào);2009年02期

10 李運(yùn)友;指撥、指壓法治療頸源性頭痛[J];按摩與導(dǎo)引;2001年06期

相關(guān)會(huì)議論文 前10條

1 張恩達(dá);郭樹忠;;吞咽言語診治儀治療腦卒中后吞咽功能障礙療效觀察[A];中國康復(fù)醫(yī)學(xué)會(huì)第22屆療養(yǎng)康復(fù)學(xué)術(shù)會(huì)議論文匯編[C];2011年

2 爾兆娟;張洪秀;;康復(fù)訓(xùn)練與電針、理療綜合治療早期周圍性面癱[A];2011中國針灸學(xué)會(huì)年會(huì)論文集（摘要）[C];2011年

3 蔡玉梅;黃文燕;鄭繼范;;麥粒灸治療肱骨外上髁炎的臨床觀察[A];2011中國針灸學(xué)會(huì)年會(huì)論文集（摘要）[C];2011年

4 姜慧強(qiáng);范振林;;認(rèn)知知覺障礙訓(xùn)練對(duì)腦卒中患者生活質(zhì)量的影響[A];中國康復(fù)醫(yī)學(xué)會(huì)第十四次腦血管病康復(fù)學(xué)術(shù)會(huì)議暨中華中醫(yī)藥學(xué)會(huì)第九次養(yǎng)生康復(fù)學(xué)術(shù)會(huì)議論文匯編[C];2011年

5 姚云海;顧旭東;傅建明;李亮;;針刺配合運(yùn)動(dòng)療法治療早期腦卒中偏癱的臨床觀察[A];中國康復(fù)醫(yī)學(xué)會(huì)第十四次腦血管病康復(fù)學(xué)術(shù)會(huì)議暨中華中醫(yī)藥學(xué)會(huì)第九次養(yǎng)生康復(fù)學(xué)術(shù)會(huì)議論文匯編[C];2011年

6 張雄;賈天貴;馮子駒;王釗德;岳良明;歐昌坤;李小林;;分期順勢(shì)針刀、針灸治療肩周炎的對(duì)比研究[A];第四次全國民間傳統(tǒng)診療技術(shù)與驗(yàn)方整理研究學(xué)術(shù)會(huì)論文集[C];2011年

7 雷邁;盧斌;羅仲爾;李乾揚(yáng);吳e，

本文編號(hào)：1977388