INVESTIGATION OF NECK PAIN AND JOINT RANGE OF MOTION OF UNIVERSITY STAFF

Yıl 2022, Cilt: 5 Sayı: 1, 47 - 61, 31.05.2022

Özlem Çınar Özdemir , Ümit Yüzbaşıoğlu

https://doi.org/10.52538/iduhes.1018303

Öz

Postural neck pain, which develops as a result of static loading of the cervical spine, such as working in a sitting posture for a long time in professional and daily life, exposure to repetitive movements and spending too much time in front of the computer, is an important health problem among office workers in recent years. Academicians who have important responsibilities such as teaching and researching and administrative staff who have to work in a long sitting posture often complain of neck pain. The aim of this study is to evaluate and compare normal range of motion and neck pain in university staff working in long-term sitting posture. Academic (n=30) and administrative staff (n=26) working at the university participated in the study. The pain intensity of the individuals participating in the study was evaluated with the Vısual Analog Scale, the range of motıon of the neck joint was evaluated with the CROM device, and the neck disability was evaluated with the Neck Disability Questionnaire. A statistically significant difference was found in the pain intensity of academic and administrative staff (p<0.05). In addition, it was observed that the pain severity of administrative staff was higher than that of academic staff. It was observed that the joint range of motion of the administrative staff was lower, together with the limitation in the joint range of motion of both groups. There was no statistically significant difference in the total score of the neck disability questionnaire (p>0.05). In addition to poor body posture, inadequate ergonomics is among the main causes of limitation in joint range of motion and increase in pain intensity. Academic and administrative staff working in prolonged sitting posture should be included in ergonomic support programs in addition to exercise interventions.

Anahtar Kelimeler

Neck pain, range of motion, university stuff

Üniversite Personellerinin Boyun Ağrısı ve Boyun Eklemi Hareket Açıklığının İncelenmesi

Öz

Mesleki ve günlük yaşamda uzun süreli oturma postüründe çalışma, tekrarlayan hareketlere maruziyet ve bilgisayar başında fazla zaman geçirme gibi servikal omurganın statik yüklenmesi sonucu gelişen postüral boyun ağrısı son yıllarda ofis çalışanları arasında önemli bir sağlık sorunudur. Eğitim verme, araştırma yapma gibi önemli sorumluluklara sahip olan akademisyenler ve uzun süreli oturma postüründe çalışmak zorunda olan idari personeller sıklıkla boyun ağrısından yakınmaktadırlar. Çalışmanın amacı, uzun süreli oturma postüründe çalışan üniversite personellerindeki normal eklem hareket açıklığı ve boyun ağrısını değerlendirmek ve karşılaştırmaktır. Çalışmaya üniversitede görev yapan akademik (n=30) ve idari personeller (n=26) katıldı. Çalışmaya katılan bireylerin ağrı şiddeti Vizüel Analog Skala, boyun eklemi hareket açıklıkları CROM cihazı ile ve boyun özürlülüğü ise Boyun Özürlülük Sorgulama Anketi ile değerlendirildi. Akademik ve idari personellerin ağrı şiddetinde istatistiksel olarak anlamlı bir fark bulundu (p<0,05). Ayrıca idari personellerin ağrı şiddetinin akademik personellerden daha yüksek olduğu görüldü. Her iki grubun eklem hareket açıklığındaki limitasyonla beraber idari personellerin eklem hareket açıklıklarının daha düşük olduğu gözlendi. Boyun özürlülük anketi toplam skorunda ise istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05). Eklem hareket açıklığındaki limitasyon ve ağrı şiddetindeki artışın temel nedenleri arasında kötü vücut postürüne ek olarak yetersiz ergonomi yer almaktadır. Uzun süreli oturma postüründe çalışan akademik ve idari personeller, egzersiz müdahalelerine ek olarak ergonomik destek programlarına dahil edilmelidir.

Anahtar Kelimeler

Boyun ağrısı, Eklem hareket açıklığı, üniversite personeli

Kaynakça

• Referans1 Andersson, G. (1987). Biomechanical aspects of sitting: an application to VDT terminals. Behaviour & Information Technology, 6(3), 257-269.
• Referans2 Arvidsson, I., Simonsen, J., Dahlqvist, C., Axmon, A., Karlson, B., Björk, J., & Nordander, C. (2016). Cross-sectional associations between occupational factors and musculoskeletal pain in women teachers, nurses and sonographers. BMC musculoskeletal disorders, 17(1), 1-15.
• Referans3 Bernal-Utrera, C., Gonzalez-Gerez, J., Anarte-Lazo, E., & Rodriguez-Blanco, C. (2020). Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials, 21(1), 1-10.
• Referans4 Berqvıst, U., Wolgast, E., Nılsson, B., & Voss, M. (1995). Musculoskeletal disorders among visual display terminal workers: individual, ergonomic, and work organizational factors. Ergonomics, 38(4), 763-776.
• Referans5 , G., Schrader, H., & Sand, T. (1994). Neck pain in the general population. Spine, 19(12), 1307-1309.
• Referans6 , B., Danneels, L., Tiggelen, D., Loose, V., & Cambier , D. (2007). Individual and work related risk factors for neck pain among office workers: a cross sectional study. European Spine Journal, 16(5), 679-686.
• Referans7 , J., Ribeiro, I., Araújo, T., Carvalho, F., & Reis, E. (2009). Prevalence of musculoskeletal pain among teachers. Revista Brasileira de Epidemiologia, 12(4), 604-614.
• Referans8 Carter, J., & Banıster, E. (1994). Musculoskeletal problems in VDT work: a review. Ergonomics, 37(10), 1623-1648.
• Referans9 Chiu, T., & Leung, A. (2006). Neck pain in Hong Kong: a telephone survey on prevalence, consequences, and risk groups. Spine, 31(16), E540-4.
• Referans10 CROM Procedure Manual. (1988). University of Minnesota: Performance Attainment Associates.
• Referans11 Çalik, B., Atalay, O., Baskan, E., & Gokçe, B. (2013). Analyzing musculoskeletal system discomfort, work interference and risk factors of office workers with computer users. Clinical and Experimental Health Sciences, 3(4), 208.
• Referans12 Çelik, S., Dirimeşe, E., Taşdemir, N., Çelik, K., Arık, T., & Büyükkara, İ. (2018). Determination of pain in muscoloskeletal system reported by office workers and the pain risk factors. International Journal of Occupational Medicine and Environmental Health, 31(1), 91-111.
• Referans13 Dall’Alba, P., Sterling, M., Treleaven, J., Edwards, S., & Jull, G. (2001). Cervical range of motion discriminates between asymptomatic persons and those with whiplash. Spine, 26(19), 2090-2094.
• Referans14 Edmondston, S., Chan, H., Ngai, G., Warren, M., Williams, J., Glennon, S., & Netto, K. (2007). Postural neck pain: an investigation of habitual sitting posture, perception of ‘good’posture and cervicothoracic kinaesthesia. Manual therapy, 12(4), 363-371.
• Referans15 Erick, P., & Smith, D. (2011). A systematic review of musculoskeletal disorders among school teachers. BMC musculoskeletal disorders, 12(1), 1-11.
• Referans16 Erick, P., & Smith, D. (2013). Musculoskeletal disorder risk factors in the teaching profession: a critical review. OA Musculoskelet Med, 1(3), 29.
• Referans17 Erick, P., & Smith, D. (2014). The prevalence and risk factors for musculoskeletal disorders among school teachers in Botswana. Occupational Medicine & Health Affairs, 1-13.
• Referans18 Fejer, R., Kyvik, K., & Hartvigsen, J. (2006). The prevalence of neck pain in the world population: a systematic critical review of the literature. European spine journal, 15(6), 834-848.
• Referans19 Hole, D., Cook, J., & Bolton, J. (1995). Reliability and concurrent validity of two instruments for measuring cervical range of motion: effects of age and gender. Manual therapy, 1(1), 36-42.
• Referans20 Jun, D., Zoe, M., Johnston, V., & O’Leary, S. (2017). Physical risk factors for developing non-specific neck pain in office workers: a systematic review and meta-analysis. International archives of occupational and environmental health, 90(5), 373-410.
• Referans21 Kang, J.-H., Park, R.-Y., Lee, S.-J., Kim, J.-Y., Yoon, S.-R., & Jung, K.-I. (2012). The effect of the forward head posture on postural balance in long time computer based worker. Annals of rehabilitation medicine, 36(1), 98.
• Referans22 Klein, G., Mannion, A., Panjabi, M., & Dvorak , J. (2001). Trapped in the neutral zone: another symptom of whiplash-associated disorder? European Spine Journal, 10(2), 141-148.
• Referans23 Koller, H., Resch, H., Acosta, F., Zenner, J., Schwaiger, R., Tauber, M., . . . Hitzl, W. (2010). Assessment of two measurement techniques of cervical spine and C1–C2 rotation in the outcome research of axis fractures: a morphometrical analysis using dynamic computed tomography scanning. Spine, 35(3), 286-290.
• Referans24 Korkmaz, N., Cavlak, U., & Telci, E. A. (2011). Musculoskeletal pain, associated risk factors and coping strategies in school teachers. Scientific Research and Essays, 6(3), 649-657.
• Referans25 Kraatz, S., Lang, J., Kraus, T., Münster, E., & Ochsmann, E. (2013). The incremental effect of psychosocial workplace factors on the development of neck and shoulder disorders: a systematic review of longitudinal studies. International archives of occupational and environmental health, 86(4), 375-395.
• Referans26 Larsson, B., Søgaard, K., & Rosendal, L. (2007). Work related neck–shoulder pain: a review on magnitude, risk factors, biochemical characteristics, clinical picture and preventive interventions. Best Practice & Research Clinical Rheumatology, 21(3), 447-463.
• Referans27 Lee, H., Nicholson, L., & Adams, R. (2004). Cervical range of motion associations with subclinical neck pain. Spine, 29(1), 33-40.
• Referans28 Marcus, M., Gerr, F., Monteilh, C., Ortiz , D., Gentry, E., Cohen, S., . . . Kleinbaum, D. (2002). A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. American journal of industrial medicine, 41(4), 236-249.
• Referans29 Meaza, H., Temesgen, M., Redae, G., Hailemariam, T., & Alamer, A. (2020). Prevalence of Musculoskeletal Pain Among Academic Staff of Mekelle University, Ethiopia. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, 13. doi:10.1177/1179544120974671
• Referans30 Mohan, V., Justine, M., Jagannathan, M., Aminudin, S., & Johari, S. (2015). Preliminary study of the patterns and physical risk factors of work-related musculoskeletal disorders among academicians in a higher learning institute. Journal of Orthopaedic Science, 20(2), 410-417.
• Referans31 Nejati, P., Lotfian, S., Moezy, A., Moezy, A., & Nejati, M. (2014). The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Medical journal of the Islamic Republic of Iran, 28, 26.
• Referans32 Noack-Cooper, K., Sommerich, C., & Mirka, G. (2009). College students and computers: assessment of usage patterns and musculoskeletal discomfort. Work, 32(3), 285-298.
• Referans33 Özdinç, S., Kayabınar, E., Özen, T., Turan, F., & Yılmaz, S. (2019). Musculoskeletal problems in academicians and related factors in Turkey. Journal of back and musculoskeletal rehabilitation, 32(6), 833-839.
• Referans34 Price, D., McGrath, P., Rafii, A., & Buckingham, B. (1983). The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain, 17(1), 45-56.
• Referans35 Punnett, L., & Wegman, D. (2004). Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. Journal of electromyography and kinesiology, 14(1), 13-23.
• Referans36 Sadeghian, F., Raei, M., Ntani, G., & Coggon, D. (2013). Predictors of incident and persistent neck/shoulder pain in Iranian workers: a cohort study. PLoS One, 8(2), e57544.
• Referans37 Shikdar, A., & Al-Kindİ, M. (2007). Office ergonomics: deficiencies in computer workstation design. International Journal of Occupational Safety and Ergonomics, 13(2), 215-223.
• Referans38 Shuai, J., Li, P., Liu, F., & Wang , S. (2014). Assessing the effects of an educational program for the prevention of work-related musculoskeletal disorders among school teachers. BMC public health, 14(1), 1-9.
• Referans39 Springer, T. (1982). VDT workstations: a comparative evaluation of alternatives. Applied ergonomics, 13(3), 211-212.
• Referans40 Ulger, O., Demirel, A., Oz, M., & Tamer, S. (2017). The effect of manual therapy and exercise in patients with chronic low back pain: Double blind randomized controlled trial. Journal of back and musculoskeletal rehabilitation, 30(6), 1303-1309.
• Referans41 Vernon, H. (2008). The Neck Disability Index: state-of-the-art, 1991-2008. Journal of manipulative and physiological therapeutics, 31(7), 491-502.
• Referans42 Wall, M., Rıel, M., Aghjna, J., Burdurf, A., & Snuders, C. (1992). Improving the sitting posture of CAD/CAM workers by increasing VDU monitor working height. Ergonomics, 35(4), 427-436.
• Referans43 Yakut, H., & Yakut, Y. (2011). Evaluation of musculoskeletal injuries, fatigue, and job satisfaction of physiotherapists in Turkey. Turkısh Journal Of Physıotherapy Rehabılıtatıon, 22(2), 74-80.
• Referans44 Yıldız, M., Tuna, H., & Kokino, S. (2005). Kronik boyun ağrılı olgularda spinal mobilite, ağrı ve özürlülük ilişkisinin değerlendirilmesi. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 51(4), 127-130.
• Referans45 Yıldız, Z., & Süzen, A. (2019). BOYUN EKLEM HAREKETİ AÇISI TESPİTİ İÇİN ÖLÇÜM CİHAZININ GELİŞTİRİLMESİ. Çevrimiçihttps://www.researchgate.net/publication/336374430_BOYUN_EKLEM_HAREKETI_ACISI_TESPITI_ICIN_OLCUM_CIHAZININ_GELISTIRILMESI.
• Referans46 Yip, C., Chiu, T., & Poon, A. (2008). The relationship between head posture and severity and disability of patients with neck pain. Manual therapy, 13(2), 148-154.
• Referans47 Ylinen, J., Takala, E.-P., Kautiainen, H., Nykänen, M., Häkkinen, A., Pohjolainen, T., . . . Airaksinen, O. (2004). Association of neck pain, disability and neck pain during maximal effort with neck muscle strength and range of movement in women with chronic non-specific neck pain. European journal of pain, 8(5), 473-478.