Musculoskeletal Disorder
Conditions
Keywords
spine, pain threshold
Brief summary
The goal of this randomized controlled study is to assess the short term effect of wearing a ties on musculoskeletal system. In this scope viscoelastic properties and the mechanosensitivity of the muscles, and cervical range of motion will be measured. In addition to these measurements activity limitation due to wearing a tie and trunk mobility will be assessed.
Detailed description
A total of at least 54 volunteers who satisfies the eligibility criteria of the study will be recruited to the study. Following to the recruitment process participants will be randomly assigned to the one of the two groups. Participants in the control group will go on to their daily activities. Participants in the study group will be asked to wear a tie for one working day.
Interventions
OTHERWearing a tie
Individuals in the study group will be asked to wear a tie during one office working day.
Sponsors
Bitlis Eren University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
Interventions and assessment will be performed by separate researchers.
Intervention model description
Control group will go on their routine daily activities. Study group will wear a tie during one office working day.
Eligibility
Sex/Gender
MALE
Age
18 Years to 25 Years
Healthy volunteers
Yes
Inclusion criteria
* Age of 18 to 25 years * Given a signed consent * Low level of physical activity * Having a BMI between 18 kg/m2 and 25 kg/m2 * No pain in neck, upper and lower back (numerical pain rating scale below 3 points)
Exclusion criteria
* Having a systemic or metabolic disease * Having a mental disorder * Chronic drug use * Any condition that may result in muscle atrophy * Musculoskeletal surgery history in last 3 months * Having a cervical, thoracal or lumbar radiculopathy or myelopathy * Having a whiplash syndrome or fibromyalgia * Having performed any strenuous exercises within the 24 h prior to measurements
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Change in the Viscoelastic Properties of the Muscles | Change from baseline pain at eight hours and one day | The effect of wearing a tie on the viscoelastic properties of participants' upper trapezius, cervical, thoracic, and lumbar paravertebral muscles will be measured using the myotonometer (MyotonPRO). Tonus measurement of the trapezius muscle will be taken from the upper, middle and lower part of the muscle. Evaluation of cervical muscle tone will be conducted 2 cm to the right and left of the C4 spinous process. The measurement will be taken on the semispinalis capitis muscle while the individual lies face down on the treatment bed. Muscle tone measurements for the thoracic and lumbar regions will be taken on the paravertebral muscles at the T3, T7, T11, L1 and L4 levels. |
| The Change in the Pressure Pain Threshold of the Spine and Upper Trapezius | Change from baseline mechanosensitivity at eight hours and one day | The potential impact of wearing a tie on individuals' pain thresholds will be evaluated using an analog algometer. Pain threshold measurements will be taken at the upper trapezius muscle, C6, T6, and L4 vertebral spinous processes. The algometer will be positioned perpendicular to the measurement areas. Three measurements will be taken for each region, with a half-minute interval between measurements. The average of the three measurements will be calculated and recorded. A change of 20-25% in the algometric measurement values will be considered significant. |
| Cervical Range of Motion | Change from baseline cervical range of motion at immediate, eight hours and one day | The effect of wearing a tie on participants' cervical range of motion will be measured using a 10-inch standard manual goniometer. For measuring cervical flexion and extension range of motion, the pivot point of the goniometer will be placed at the external auditory meatus. The fixed arm of the goniometer will be held vertically, and the moving arm will follow along the base of the nostrils. To measure cervical rotation range of motion, measurements will be taken from behind the participants. The pivot point of the goniometer will be placed at the vertex, while the fixed arm will be kept parallel to the acromion and the moving arm will follow along with their nose. Lateral flexion range of motion will be taken in front of the participants. The pivot point of the goniometer will be placed over the sternal notch, with its fixed arm parallel to the acromion and its moving arm will follow along tip of the participants' nose. Each range of motion measurement will be performed three times. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Trunk Lateral Bending Mobility | Change from baseline cervical range of motion at immediate, eight hours and one day | The potential effect of wearing a tie on trunk lateral bending mobility will be assessed using the fingertip-to-floor test. In the fingertip-to-floor test, individuals will be asked to stand barefoot and adjacent to a platform of 20 cm in height without bending their knees, toes, or arms, and to bend laterally towards their toes. Then, the distance from the ground to the tip of the middle finger will be measured using a measuring tape. The measurement will be repeated twice, and the average of the measurements will be taken. |
| Activity Limitation | Change from baseline activity limitation at eight hours | The activities that individuals find difficult due to wearing a tie will be assessed using a visual analog scale. Individuals will be asked to rate three activities they find difficult while wearing a tie on a scale from 0 to 10. A score of 0 indicates no difficulty, while a score of 10 indicates that performing the activity is nearly impossible. |
| Neck Circumference | At baseline | While the participant looking straight ahead, with relaxed shoulders (not hunched), middle and lower neck circumference will be measured with the measuring tape. |
| Global Rating of Change | Change from baseline global rating of change at eight hours | In the study group, the Global Rating of Change Scale (GROC) will be used to assess the changes experienced by individuals after wearing a tie. The scale ranges from -7 to +7 and consists of a total of 15 points. A score of -7 indicates a much worse condition, while a score of +7 indicates a much better condition. |
| Trunk Forward Bending Mobility | Change from baseline cervical range of motion at immediate, eight hours and one day | The potential effect of wearing a tie on trunk flexion mobility will be assessed using the fingertip-to-floor test. In the fingertip-to-floor test, individuals will be asked to stand barefoot and adjacent to a platform of 20 cm in height without bending their knees, toes, or arms, and to lean forward towards their toes. Then, the distance from the ground will be measured using a measuring tape. The measurement will be repeated twice, and the average of the measurements will be taken. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactÖmer Dursun, Asst. Prof.
Backup ContactErhan Dincer, M.Sc.
Outcome results
None listed