CORRELATION OF SCAPULAR POSITION AND NECK PAIN AMONG AUTO DRIVERS: Neck Pain Among Auto Drivers

Shanza  Khalid; Faiza  Sharif; Ashfaq  Ahmad; Syed Amir  Gilani

doi:10.54393/tt.v1i1.2

Authors

Shanza Khalid University Institute Of Physical Therapy, University Of Lahore, Lahore, Pakistan
Faiza Sharif University Institute Of Physical Therapy, University Of Lahore, Lahore, Pakistan
Ashfaq Ahmad University Institute Of Physical Therapy, University Of Lahore, Lahore, Pakistan
Syed Amir Gilani University Institute Of Physical Therapy, University Of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/tt.v1i1.2

Abstract

Mechanicalneckpainisalsoreferredasnon-specificneckpain.Itmaydefineaspainwhich is aggravated by movement, relived by rest and that is not associated with serious underlying pathology.Among drivers, complaintsconcerningthemusculoskeletalsystemaremostfrequentlyreportedfromtheneck,shoulderand lower back. The driving sitting position is featured by non-neutral spinal postures, generally a reduction in neutrallumbarlordosisandanincreasedordecreasedneckflexion. Objective: To find out the association of neck pain and scapular position among auto drivers.Methods: It was a cross sectional study. Data was collected by 160 auto drivers on basis of inclusion and exclusion criteria. VAS was used for pain intensity and distance between scapula and spinous process was measured by Vernier caliper. Data was entered and analyzed using IBM SPSS version 21.0^.Descriptive statistics was given in form of mean and standard deviation.Result: The results of current study showed that the mean value of scapular protraction of right side when hands at rest was 6.96, when hands on hip was 7.56 and when 90 degree glenohumeral abduction with internal rotation was 7.19. For visual analog scale scoring for right side when hands at rest the mean score was 5.84 and when hands on hip it was 6.84, and when 90^o degree abduction the score was 6.44. When we discuss about the scapular protraction for the left side when hands were at rest the mean value was 6.87 and when hands on hip it was 7.53 and 90^o glenohumeral abduction with internal rotation was 7.5. Similarly, VAS scoring for left side hands at rest is 5.61, for hands on hip was 6.65 and 90^pglenohumeral abduction.Conclusions:This study explains that there is significant difference on hand in different of three positions in drivers who worked for long hours in abnormal posture. Scapular protraction is high when hand placed at hip, also a VAS for neck pain is high in both right and left side

References

Barr AE, Barbe MF. Inflammation reduces physiological tissue tolerance in the development of work-related musculoskeletal disorders. J. Electro. Kines.2004.14(1):77-85. doi: 10.1016/j.jelekin.2003.09.008

Lee S, Lee D, Park J.Effect of the cervical flexion angle during smart phone use on muscle fatigue of the cervical erector spinae and upper trapezius. J.Phy. thrpy.Sci.2015.27(6):1847-9. doi: 10.1589/jpts.29.921

Ariens GA, Mechelen Wv, Bongers PM, Bouter LM, Wal Gvd. Physical risk factors for neck pain.Scand. J. Work Envi. Hlth.2000.26(1):7-19.DOI: 10.5271/sjweh.504

Kwon JW, Son SM, Lee NK. Changes in upper-extremity muscle activities due to head position in subjects with a forward head posture and rounded shoulders. J. Phy. Thera.Sci.2015. 27(6):1739-42. doi: 10.1589/jpts.27.1739

Ebaugh DD, McClure PW, Karduna AR. Three-dimensional scapulothoracic motion during active and passive arm elevation. Clin. Biomech.2005. 20(7):700-9. doi: 10.1016/j.clinbiomech.2005.03.008

Dahiya J, Ravindra S. A study of neck pain and role of scapular position in computer professionals. In. J. Phy. Occup. Ther. Intern. J.2014.8(4):236-41. https://www.ijsr.net/get_abstract.php?paper_id=SUB154634

Hogg-Johnson S, Van Der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al. The burden and determinants of neck pain in the general population. Euro. Spi. J. 2008. 17(1):39-51. doi: 10.1097/BRS.0b013e31816454c8

Kibler WB, Sciascia A. Current concepts: scapular dyskinesis. Bri.J.Spor.Med. 2010. 44(5):300-5. doi: 10.1136/bjsm.2009.058834

Kibler BW, Sciascia A, Wilkes T. Scapular dyskinesis and its relation to shoulder injury. J. Ame. Acad. Orthop. Surg. 2012. 20(6):364-72. doi: 10.5435/JAAOS-20-06-364

Cagnie B, Struyf F, Cools A, Castelein B, Danneels L, O'Leary S. The relevance of scapular dysfunction in neck pain: a brief commentary.J. Ortho.Spo.Phy.Thera. 2014. 44(6):435-9. doi: 10.2519/jospt.2014.5038

HelgadoTTir H, Kristjansson E, Mottram S, Karduna A, Jonsson Jr H. Altered scapular orientation during arm elevation in patients with insidious onset neck pain and whiplash-associated disorder. J. Ortho. Spo. Phy. Thera.2010. 40(12):784-91. doi: 10.2519/jospt.2010.3405

Szeto GP, Straker L, Raine S.A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl. Ergono.2002. 33(1):75-84. doi: 10.1016/s0003-6870(01)00043-6

Struyf F, Nijs J, Mottram S, Roussel NA, Cools AM, Meeusen R.Clinical assessment of the scapula: Rev. liter. Br. J. Spor. Med.2014. 48(11):883-90. doi: 10.1136/bjsports-2012-091059

Kim YM. Effects of the use of the hold relax technique to treat female VDT workers with work-related neck-shoulder complaints. Kor.J. Occup. Envir. Med.2009.21(1):18-27. https://doi.org/10.13066/kspm.2013.8.3.433

Selvam PS, Arun B. A Study of Neck Pain and Role of Scapular Position in Drivers. In. J. Phy. Occup. Ther. Intern. J.2016. 10(4):174. doi:10.5958/0973-5674.2016.00141.6

Vincent Jeyaraj D ea. Correlation of the Scapular Position and Neck Pain in Auto

Drivers. J. Physiother. Res.2018.2(No.1:2). https://www.imedpub.com/articles/correlation-of-the-scapular-position-and-neck-pain-in-auto-drivers.pdf

Lee S, Lee S. Mediating effect of coping behavior on the relationship between driving stress and traffic accident risk. Korean J. Indus. Organ. Psychol.2011. 24:673-93.https://doi.org/10.24230/kjiop.v24i4.673-693

Caneiro JP, O'Sullivan P, Burnett A, Barach A, O'Neil D, Tveit O, et al. The influence of different sitting postures on head/neck posture and muscle activity.Manu. ther. 2010. 15(1):54-60.

Mansfield N, Sammonds G, Nguyen L. Driver discomfort in vehicle seats–Effect of changing road conditions and seat foam composition. App.Ergon.2015. 50:153-9. Doi: 10.1016/j.apergo.2015.03.010

Noda M, Malhotra R, DeSilva V, Sapukotana P, DeSilva A, Kirkorowicz J, et al. Occupational risk factors for low back pain among drivers of three-wheelers in Sri Lanka. Int.J.Occup. Envir. Hlth. 2015. 21(3):216-24. doi: 10.1179/2049396714Y.0000000071

Rehn B, Bergdahl I, Ahlgren C, From C, Järvholm B, Lundström R, et al. Musculoskeletal symptoms among drivers of all-terrain vehicles. J. Sound Vibr.2002. 253(1):21-9. doi:10.1186/1471-2474-5-1

Bernhard B.A critical review of epidemiological evidence for work-related musculoskeletal disorders of the neck, upper extremity and low back. Musc.Disord.Workp. fact.1997. 1-591. doi:10.26616/nioshpub97141