Short Interventions to Prevent Trapezius Muscle Fatigue in Computer Work

Study Overview
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Brief Summary
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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
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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.

Official Title
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Trapezius Muscle Fatigue of Long Duration: a Likely Neuromuscular Control Issue

Conditions
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Muscle Fatigue, Trapezius Muscle Strain

Intervention / Treatment
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* Behavioral: interruptions of work tasks


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Sequential Assignment
Interventional Model Description: Randomized controlled laboratory experiment. 30 subjects are randomly assigned to two full day experiments either starting with the conditions including additional short interventions or without them.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: short interruptions of work tasks<br>randomly start with or without short interruptions on the first experimental day and without or with them on the second experimental day | Behavioral: interruptions of work tasks<br>* 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<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EMG profile recorded by a single bipolar electrode: Rest-time | Rest-time (percentage of time below 5% of the standard activity level). The percentage of registration time without any rest time is called sustained low level muscle activity. | Continuously from the beginning to 370 min (end) of the simulated working activity of both the control and intervention day | 
| Spatio-temporal distribution of EMG activity: Area of muscle activity | The spatio-temporal distribution of EMG activity is detected by a 2D array of electrodes (64 channels) and the following outcomes are determined: Area of muscle active region (n. of channels) | Continuously from the beginning to 370 min (end) of the simulated working activity of both the control and intervention day | 
| Muscle fatigue: Change of muscle twitch | 3-D muscle twitch acceleration pattern measured at the acromion | Change between 30 min before the beginning of the simulated working activity and 30 min after the end of the simulated working activity of both the control and intervention day | 
| Muscle fatigue: Change of dynamic force control accuracy | Force control accuracy (mean squared error between the produced force (N) and the target force (N)) in an isometric dynamic tracking task | Change between 30 min before the beginning of the simulated working activity and 30 min after the end of the simulated working activity of both the control and intervention day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EMG profile recorded by a single bipolar electrode: Static activity | p10 (level of the 10th percentile of the trapezius muscle activity) as an indicator of static activity primarily associated with continuous activity of the same pool of motor units. | Continuously from the beginning to 370 min (end) of the simulated working activity of both the control and intervention day | 
| Spatio-temporal distribution of EMG activity: Magnitude of activity | The spatio-temporal distribution of EMG activity is detected by a 2D array of electrodes (64 channels) and the following outcomes are determined: Magnitude of activity of muscle active regions (RMS sEMG). | Continuously from the beginning to 370 min (end) of the simulated working activity of both the control and intervention day | 
| Spatio-temporal distribution of EMG activity: Number of active epochs | The spatio-temporal distribution of EMG activity is detected by a 2D array of electrodes (64 channels) and the following outcomes are determined: Number of active epochs | Continuously from the beginning to 370 min (end) of the simulated working activity of both the control and intervention day | 
| Muscle fatigue: Change of static force control | Force control accuracy (mean squared error between the produced force (N) and the target force (N)) in isometric isotonic low level contraction | Change between 30 min before the beginning of the simulated working activity and 30 min after the end of the simulated working activity of both the control and intervention day | 
| Muscle fatigue: Change of force control in ramp contraction | Force control accuracy (mean squared error between the produced force (N) and the target force (N)) in isometric ramp contraction. | Change between 30 min before the beginning of the simulated working activity and 30 min after the end of the simulated working activity of both the control and intervention day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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muscle fatigue, work-related disorders, trapezius myalgia, sustained working task, high-density EMG