Short Interventions to Prevent Trapezius Muscle Fatigue in Computer Work

NCT ID: NCT03863340

Last Updated: 2019-03-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-03-14
• Study Completion Date: 2016-09-05

Brief Summary

This study is expected to demonstrate that during experimental days of seated computer work sustained and focalized low-level muscle activity contributes to the development of long-lasting fatigue effects (and thus possible disorder). On days with and without frequent interruptions, signs of fatigue and the activity pattern of the trapeze muscle are registered and compared using electromyographic registrations of the trapezius muscle.

Detailed Description

30 healthy adults without chronic neck pain participated in a laboratory study designed to simulate two full workdays of computer work. Within each session, participants performed five 50-min working activities separated by 10-min breaks: i) Use a computer keyboard to type a text presented on the left side of the screen; ii) do the typing task with the desk height set10 cm above elbow height; iii) play the computer game Spider Solitaire implemented in Windows 10; iv) Stroop test (This test consists of reading the name of a color whose text is in a color different from the name. The color name was then selected from a multiple-choice panel displaying color names; v) the same online puzzle game was presented to all participants. Assembling the puzzle was performed by drag and drop actions. The work periods were not disrupted (on the "control day") whereas two short interruptions of 5-min were introduced at 1/3 and 2/3 of each working period on the "intervention day". During these interruptions, participants were asked to perform "muscle disrupting/relaxing" activities. For each experimental session a 30-min lunch break took place between the third and the fourth work periods. The specific sequence of work activity type and disrupting/relaxing activities was randomized across participants; however, for each participant the order of work activities remained the same for the two experimental sessions (control and intervention days). The order of control and intervention days was also randomized between participants.

A set of six measures were performed at specific time intervals during each experiment: before the first work activity, before and after lunch, immediately and 1 hour after the fifth (last) work activity: i) upper trapezius activation, assessed through the temporal EMG profile recorded by a single bipolar signal; and ii) through the spatio-temporal distribution of EMG activity detected by a 2D array of electrodes (64 channels); iii) muscle fatigue, quantified by changes in electrically induced muscle twitch force signals, iv) isometric performance, v) dynamic performance; iii) cognitive and physical load and stress level. In addition, personality traits (anxiety level), perceived workload and musculoskeletal symptoms were evaluated as covariates.

Conditions

Muscle Fatigue; Trapezius Muscle Strain

Study Design

• Intervention Model: SEQUENTIAL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

short interruptions of work tasks

randomly start with or without short interruptions on the first experimental day and without or with them on the second experimental day

Group Type: EXPERIMENTAL

interruptions of work tasks

Intervention Type: BEHAVIORAL

During each activity two interruptions/breaks were selected randomly from a set of ten predetermined actions:

Active break types:

• Move shoulder and upper back
• Swing arms near the body
• Three slow but forceful elevations of the shoulders, a relaxation exercise based on the principles developed by Jacobson
• Stand up and stretch
• Slowly turn head in all possible directions.

Passive break types:

• Tell a couple of jokes
• Stand up and have a drink
• Relaxing the trapezius
• Questions on actual posture and feelings of comfort / discomfort.
• A short rest on the couch

Interventions

interruptions of work tasks

During each activity two interruptions/breaks were selected randomly from a set of ten predetermined actions:

Active break types:

• Move shoulder and upper back
• Swing arms near the body
• Three slow but forceful elevations of the shoulders, a relaxation exercise based on the principles developed by Jacobson
• Stand up and stretch
• Slowly turn head in all possible directions.

Passive break types:

• Tell a couple of jokes
• Stand up and have a drink
• Relaxing the trapezius
• Questions on actual posture and feelings of comfort / discomfort.
• A short rest on the couch

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• healthy experienced computer workers

Exclusion Criteria

• chronic pain (more than 30 days within the last 12 months according to the Nordic Questionnaire (Kuorinka et al 1987);
• pathologies of the neck,
• prior and actual shoulder or neck pain caused by an accident,
• skin disease in the neck or shoulder area,
• BMI > 30,
• sleep disorders (e.g. apnea, restless legs syndrome),
• use of medications such as psychotropic drugs, muscle relaxants or analgesics within the last 3 days prior to the experiment,
• pregnancy.
• any shoulder/neck pain on the day before the experiment.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Turin, Italy

OTHER

Sponsor Role: collaborator

University of Lausanne

OTHER

Sponsor Role: collaborator

University of Michigan

OTHER

Sponsor Role: collaborator

Swiss Federal Institute of Technology

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Thomas Läubli, MD

Role: PRINCIPAL_INVESTIGATOR

Federal Institute of Technology Zurich

Other Identifiers

32003B_160207

Identifier Type: -

Identifier Source: org_study_id