Investigation of the Effects of a Neuromuscular Control-Focused Posture Training Program on Neck and Upper Back Muscle Activation in Butchers: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 50
- Locations
- 2
- Primary Endpoint
- Pittsburgh Sleep Quality Index
Study Overview
Brief Summary
The aim of this study was to evaluate the effect of a neuromuscular posture training program implemented in butchers on neck pain, posture quality and upper back muscle control.
Detailed Description
The study population consists of butchers in Istanbul. Butchers will be included in the study after obtaining their informed consent. Participants will be randomized and divided into two equal groups. These groups will be designated as exercise and control groups. All participants will receive ergonomic training, while those in the exercise group will additionally receive neuromuscular exercises. At the beginning and end of the study, all participants will be assessed using the Visual Analog Scale, Neck Disability Index, Deep Cervical Flexor Endurance Test, Lateral Scapular Slide Test, Disabilities of the Arm, Shoulder, and Hand - Short Version, and Pittsburgh Sleep Quality Index.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 25 Years to 55 Years (Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Being over 18 years of age
- •Actively working as a butcher in Istanbul
- •Actively participating in the profession for at least 5 years
- •Not having experienced acute trauma to the neck or back region within the last 3 months
- •Being physically capable of participating in neuromuscular posture training
- •Signing the Informed Voluntary Consent Form
Exclusion Criteria
- •Persons with the following characteristics will not be included in the study:
- •Being under 18 years of age
- •Not actively practicing butchery
- •Having undergone surgery to the neck, spine, or shoulder region within the last 6 months
- •Serious neurological conditions such as acute cervical disc herniation, radiculopathy, or myelopathy
- •Systemic diseases such as cancer or serious cardiovascular disease
- •Severe balance disorder/vestibular disorder
- •Health condition that would prevent the safe continuation of exercise practice
Arms & Interventions
control
only those who received ergonomics training
Intervention: ergonomics training (Other)
exercise
those who received exercise along with ergonomics training
Intervention: ergonomics training (Other)
exercise
those who received exercise along with ergonomics training
Intervention: ergonomics training + exercise (Other)
Outcomes
Primary Outcomes
Pittsburgh Sleep Quality Index
Time Frame: 12 weeks
This index evaluates sleep quality and disturbance over the past month. It contains a total of 24 questions. 19 of these questions are answered by the person's self-assessment, and 5 of them are answered by the roommate who shares the same room with the person. The 5 questions answered by the person's roommate are not included when calculating the score. In scoring, the lowest (0) and the highest (21) points are obtained. A score of 4 and above indicates poor sleep quality
Quick-Arm, Shoulder and Hand Disabilities Survey functional scale
Time Frame: 12 weeks
The Quick Arm, Shoulder and Hand Disabilities Survey score is calculated as follows: At least 10 out of the 11 items must be answered. Each answered question will have a maximum value of 5. These values are then transformed into a score of 100 by subtracting 1 and multiplying by 25. This transformation is done to compare the scores with other scales ranging from 0 to 100. A high score indicates significant dysfunction. Quick Arm, Shoulder and Hand Disabilities Survey Score = \[(Sum of responses / n) - 1\] X 25 n: the number of questions answered.
Neck Pain Disability Index Questionnaire
Time Frame: 12 weeks
The scale includes 10 titles. It includes pain sensitivity, heavy lifting, personal hygiene, reading, sleep, headache, concentration, work, driving, social activities. There are 6 answer options according to the severity of the limitation or pain. Scoring is between 0 and 5. The highest score is 50 and the least is 0. The neck disability level classification according to the total score is as follows 0-4: no restrictions 5-14: mild limitation 15-24: moderate limitation 25-34: severe limitation 34 and up: completely restricted
Pittsburgh Sleep Quality Index
Time Frame: 10 weeks
This index evaluates sleep quality and disturbance over the past month. It contains a total of 24 questions. 19 of these questions are answered by the person's self-assessment, and 5 of them are answered by the roommate who shares the same room with the person. The 5 questions answered by the person's roommate are not included when calculating the score. In scoring, the lowest (0) and the highest (21) points are obtained. A score of 4 and above indicates poor sleep quality
Quick-Arm, Shoulder and Hand Disabilities Survey functional scale
Time Frame: 10 weeks
The Quick Arm, Shoulder and Hand Disabilities Survey score is calculated as follows: At least 10 out of the 11 items must be answered. Each answered question will have a maximum value of 5. These values are then transformed into a score of 100 by subtracting 1 and multiplying by 25. This transformation is done to compare the scores with other scales ranging from 0 to 100. A high score indicates significant dysfunction. Quick Arm, Shoulder and Hand Disabilities Survey Score = \[(Sum of responses / n) - 1\] X 25 n: the number of questions answered.
Neck Pain Disability Index Questionnaire
Time Frame: 10 weeks
The scale includes 10 titles. It includes pain sensitivity, heavy lifting, personal hygiene, reading, sleep, headache, concentration, work, driving, social activities. There are 6 answer options according to the severity of the limitation or pain. Scoring is between 0 and 5. The highest score is 50 and the least is 0. The neck disability level classification according to the total score is as follows 0-4: no restrictions 5-14: mild limitation 15-24: moderate limitation 25-34: severe limitation 34 and up: completely restricted
Secondary Outcomes
No secondary outcomes reported
Investigators
Doç.Dr.Ömer Şevgin
Assoc.Prof.Dr.
Uskudar University