نشریه علمی پژوهشی طب انتظامی Journal of Police Medicine
Volume 13, Issue 1 (2024)
J Police Med 2024, 13(1) |
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Ethics code: IR.SSRC.REC.1402.282
Clinical trials code: IRCT20240706062342N1
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Fallahnejad A, Moradi Siassar G, Norouzi M. The Effect of Eight Weeks of Corrective Exercises on Modifying Upper
Crossed Syndrome in Police personnel. J Police Med 2024; 13 (1) : e9
URL: http://jpmed.ir/article-1-1275-en.html
URL: http://jpmed.ir/article-1-1275-en.html
1- Department of Physical Education, Faculty of Organizational Resources, University of Applied Police Sciences Amin, , Tehran, Iran
2- Department of Physical Education, Faculty of Organizational Resources, University of Imam Hassan Mojtaba Police Academy, Tehran, Iran
3- Department of Sports Injury and Corrective Exercises, Faculty of Physical Education and Sports Sciences, University of Tehran, Tehran, Iran ,m.norouzi3058@gmail.com
2- Department of Physical Education, Faculty of Organizational Resources, University of Imam Hassan Mojtaba Police Academy, Tehran, Iran
3- Department of Sports Injury and Corrective Exercises, Faculty of Physical Education and Sports Sciences, University of Tehran, Tehran, Iran ,
English Extended Abstract: (425 Views)
Aims: The staff and operational personnel of the police force are at risk of developing musculoskeletal disorders due to prolonged exposure to certain positions. Therefore, the purpose of this study is to examine the effect of eight weeks of corrective exercises on the improvement of Upper Crossed Syndrome among staff and operational personnel of the police force and to compare this syndrome between the two groups.
Materials and methods: In this applied study, which was an experimental interventional study, all 30 selected samples were classified into two groups of 15, consisting of staff and operational personnel, determined by the nature of their jobs, based on the inclusion criteria. All participants were selected through a census sampling method from individuals who visited the Hamadan Province Police Healthcare Center between March 2023 and June 2024 with complaints of cervical spine and shoulder pain. During the pre-test phase, forward head posture and rounded shoulders were assessed using photography, while increased kyphosis was measured using a flexible ruler. Participants then underwent eight weeks of selected corrective exercises. At the end of the protocol, post-test measurements were conducted in the same manner as the pre-test assessments. The dependent t-test was used for statistical analysis, and all data analyses were performed using SPSS software version 27.
Findings: In this study, the staff and operational participants were studied with a mean age of 34.47±3.46 and 38.67±4.22 years, respectively, and a body mass index of 26.34±1.81 and 23.64±0.62 kg/m2, respectively. The results showed that the selected corrective exercises in the staff group reduced the severity of forward head tilt (p=0.005), rounded shoulders (p=0.006), and increased kyphosis (p=0.003). Also, in the operational group, the corrective exercises reduced the severity of forward head tilt (p=0.003), rounded shoulders (p=0.003), and increased kyphosis (p=0.007).
Conclusion: Regular and targeted corrective exercises are effective in reducing the severity of upper cross-over syndrome and musculoskeletal pain in police personnel.
Materials and methods: In this applied study, which was an experimental interventional study, all 30 selected samples were classified into two groups of 15, consisting of staff and operational personnel, determined by the nature of their jobs, based on the inclusion criteria. All participants were selected through a census sampling method from individuals who visited the Hamadan Province Police Healthcare Center between March 2023 and June 2024 with complaints of cervical spine and shoulder pain. During the pre-test phase, forward head posture and rounded shoulders were assessed using photography, while increased kyphosis was measured using a flexible ruler. Participants then underwent eight weeks of selected corrective exercises. At the end of the protocol, post-test measurements were conducted in the same manner as the pre-test assessments. The dependent t-test was used for statistical analysis, and all data analyses were performed using SPSS software version 27.
Findings: In this study, the staff and operational participants were studied with a mean age of 34.47±3.46 and 38.67±4.22 years, respectively, and a body mass index of 26.34±1.81 and 23.64±0.62 kg/m2, respectively. The results showed that the selected corrective exercises in the staff group reduced the severity of forward head tilt (p=0.005), rounded shoulders (p=0.006), and increased kyphosis (p=0.003). Also, in the operational group, the corrective exercises reduced the severity of forward head tilt (p=0.003), rounded shoulders (p=0.003), and increased kyphosis (p=0.007).
Conclusion: Regular and targeted corrective exercises are effective in reducing the severity of upper cross-over syndrome and musculoskeletal pain in police personnel.
Article number: e9
Keywords: Police Officer, Musculoskeletal Disorders, Musculoskeletal Abnormalities, Rehabilitation Exercises.
Article Type: Original Research |
Subject:
Police Related Trauma
Received: 2024/06/27 | Accepted: 2024/07/2 | Published: 2024/07/10
Received: 2024/06/27 | Accepted: 2024/07/2 | Published: 2024/07/10
References
1. Paudel, L., N. Manandhar, and S.K. Joshi, Work-related musculoskeletal symptoms among traffic police: a review. International Journal of Occupational Safety and Health, 2018. 8(2): p. 4-12. [DOI:10.3126/ijosh.v8i2.23330]
2. Marins, E.F., et al., Frequency of musculoskeletal symptoms among police officers: systematic review. BrJP, 2020. 3: p. 164-169. [DOI:10.5935/2595-0118.20200034]
3. Umer, W., et al., The prevalence of musculoskeletal symptoms in the construction industry: a systematic review and meta-analysis. International archives of occupational and environmental health, 2018. 91: p. 125-144. [DOI:10.1007/s00420-017-1273-4] [PMID]
4. Anyfantis, I. and A. Biska, Musculoskeletal disorders among Greek physiotherapists: Traditional and emerging risk factors. Safety and health at work, 2018. 9(3): p. 314-318. [DOI:10.1016/j.shaw.2017.09.003] [PMID] [PMCID]
5. Holmes, M., et al., The effects of police duty belt and seat design changes on lumbar spine posture, driver contact pressure and discomfort. Ergonomics, 2013. 56(1): p. 126-136. [DOI:10.1080/00140139.2012.739206] [PMID]
6. Larsen, L.B., N. Ramstrand, and E.I. Fransson, Psychosocial job demand and control: multi-site musculoskeletal pain in Swedish police. Scandinavian Journal of Public Health, 2019. 47(3): p. 318-325. [DOI:10.1177/1403494818801507] [PMID]
7. ZakerJafari, H.R. and M.H. YektaKooshali, Work-related musculoskeletal disorders in Iranian dentists: a systematic review and meta-analysis. Safety and health at work, 2018. 9(1): p. 1-9. [DOI:10.1016/j.shaw.2017.06.006] [PMID] [PMCID]
8. Zad, S.S. and P. Patil, Effectiveness of Janda's approach in upper cross syndrome in medical students. Annals of the Romanian Society for Cell Biology, 2021. 25(6): p. 17385-17399.
9. Larsen, L.B., et al., Multi-site musculoskeletal pain in Swedish police: associations with discomfort from wearing mandatory equipment and prolonged sitting. International archives of occupational and environmental health, 2018. 91: p. 425-433. [DOI:10.1007/s00420-018-1292-9] [PMID] [PMCID]
10. Larsen, L.B., R. Tranberg, and N. Ramstrand, Effects of thigh holster use on kinematics and kinetics of active duty police officers. Clinical biomechanics, 2016. 37: p. 77-82. [DOI:10.1016/j.clinbiomech.2016.06.009] [PMID]
11. Filtness, A., E. Mitsopoulos-Rubens, and C.M. Rudin-Brown, Police officer in-vehicle discomfort: appointments carriage method and vehicle seat features. Applied ergonomics, 2014. 45(4): p. 1247-1256. [DOI:10.1016/j.apergo.2014.03.002] [PMID]
12. Fiaz, M.W., et al., Prevalence of musculoskeletal pain in traffic police wardens of Lahore, Pakistan. Rawal Medical Journal, 2018. 43(1): p. 61-63.
13. Kramer, J.F., et al., An upper body musculoskeletal assessment instrument for patients with work-related musculoskeletal disorders: a pilot study. Journal of Hand Therapy, 2001. 14(2): p. 115-121. [DOI:10.1016/S0894-1130(01)80041-7] [PMID]
14. Da Costa, B.R. and E.R. Vieira, Risk factors for work‐related musculoskeletal disorders: a systematic review of recent longitudinal studies. American journal of industrial medicine, 2010. 53(3): p. 285-323. [DOI:10.1002/ajim.20750] [PMID]
15. Rahman, A., Work relatedmusculoskeletal disorders among the shopkeepers. 2015, Bangladesh Health Professions Institute, Faculty of Medicine, the University ….
16. Seidi, F., et al., Comprehensive corrective exercise program improves alignment, muscle activation and movement pattern of men with upper crossed syndrome: randomized controlled trial. Scientific reports, 2020. 10(1): p. 20688. [DOI:10.1038/s41598-020-77571-4] [PMID] [PMCID]
17. Daneshmandi, H. and M. Mansore, the effect of eight weeks comprehensive corrective exercises on upper Crossed syndrome. 40 female college students with forward head, forward shoulder, and kyphosis. Two Quarterly Researches in Sport Medicine and Technology, 2014. 4(12): p. 76-88.
18. Harman, K., C.L. Hubley-Kozey, and H. Butler, Effectiveness of an exercise program to improve forward head posture in normal adults: a randomized, controlled 10-week trial. Journal of Manual & Manipulative Therapy, 2005. 13(3): p. 163-176. [DOI:10.1179/106698105790824888]
19. Ahmadi, H., A. Yalfani, and F. Gandomi, The Effect of Eight-Week Corrective Exercises Carried out in Water on Pain, Neck Flexors Endurance and Upper Extremity Range of Motion in Patient with Upper Crossed Syndrome. Journal of Shahid Sadoughi University of Medical Sciences, 2019. [DOI:10.18502/ssu.v27i3.1193]
20. Thigpen, C.A., et al., Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. Journal of Electromyography and kinesiology, 2010. 20(4): p. 701-709. [DOI:10.1016/j.jelekin.2009.12.003] [PMID]
21. Ahmadi, H., A. Yalfani, and F. Gandomi, Effect of eight weeks of Corrective exercises carried out in Water on Static and Semi dynamic balance on students with Upper crossed syndrome) Janda approach. The Scientific Journal of Rehabilitation Medicine, 2020. 9(3): p. 286-296.
22. Cuccia, A.M. and C. Carola, The measurement of craniocervical posture: A simple method to evaluate head position. International journal of pediatric otorhinolaryngology, 2009. 73(12): p. 1732-1736. [DOI:10.1016/j.ijporl.2009.09.011] [PMID]
23. Seidi, F., et al., The effect of a 10-week selected corrective exercise program on postural thoracic kyphosis deformity. Sport Sciences and Health Research, 2013. 5(1): p. 5-22.
24. Rajabi, R., F. Seidi, and F. Mohamadi, Which method is accurate when using the flexible ruler to measure the lumbar curvature angle"? deep point or mid-point of arch. World Applied Sciences Journal, 2008. 4(6): p. 849-52.
25. Lundon, K.M., A.M. Li, and S. Bibershtein, Interrater and intrarater reliability in the measurement of kyphosis in postmenopausal women with osteoporosis. Spine, 1998. 23(18): p. 1978-1985. [DOI:10.1097/00007632-199809150-00013] [PMID]
26. Yaghoubitajani, Z., et al., Online supervised versus workplace corrective exercises for upper crossed syndrome: a protocol for a randomized controlled trial. Trials, 2021. 22(1): p. 1-12. [DOI:10.1186/s13063-021-05875-5] [PMID] [PMCID]
27. Mogharrabi-Manzari, M., G. Ghasemi, and H. Negahban, The effect of eight-week shoulder girdle, pelvic girdle and combined corrective exercises on maximal voluntary ventilation in female students with upper crossed syndrome: a randomized clinical trial. Journal of Rehabilitation Sciences & Research, 2021. 8(2): p. 51-56.
28. Miri, H., et al., Comparison of the effect of comprehensive corrective exercises with and without posture training on upper cruciate syndrome in female students. medical journal of mashhad university of medical sciences, 2018. 61(5): p. -.
29. Bayattork, M., et al., The effectiveness of a comprehensive corrective exercises program and subsequent detraining on alignment, muscle activation, and movement pattern in men with upper crossed syndrome: protocol for a parallel-group randomized controlled trial. Trials, 2020. 21: p. 1-10. [DOI:10.1186/s13063-020-4159-9] [PMID] [PMCID]
30. Erick, P.N. and D.R. Smith, A systematic review of musculoskeletal disorders among school teachers. BMC musculoskeletal disorders, 2011. 12: p. 1-11. [DOI:10.1186/1471-2474-12-260] [PMID] [PMCID]
31. Gera, C., et al., Efficacy of various exercises in the management of upper crossed syndrome. Comparative Exercise Physiology, 2023: p. 1-8.
32. Mousavi, S.H., et al., Comparison of the Effect and Follow-up of Eight-Week Corrective Exercises With and Without the Myofascial Release on Forward Head and Forward Shoulder Deformity. The Scientific Journal of Rehabilitation Medicine, 2021. 10(4): p. 738-755. [DOI:10.32598/SJRM.10.4.21]
33. Amjad, F., et al., Effectiveness of McKenzie traction and exercises on neck pain secondary to upper crossed syndrome. Journal of Health, Medicine and Nursing, 2020. 74: p. 55-65.
34. Fathollahnejad, K., A. Letafatkar, and M. Hadadnezhad, The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC musculoskeletal disorders, 2019. 20: p. 1-8. [DOI:10.1186/s12891-019-2438-y] [PMID] [PMCID]
35. Abdolahzadeh, M. and H. Daneshmandi, The Effect of an 8-week NASM Corrective Exercise Program on Upper Crossed Syndrome. Journal of Sport Biomechanics, 2019. 5(3): p. 156-167. [DOI:10.32598/biomechanics.5.3.3]
36. Sohrabi, S., et al., The effect of eight weeks of Iyengar yoga with an emphasis on spine and shoulder exercises on the upper cross syndrome in middle-aged women. Journal of Modern Rehabilitation, 2020. [DOI:10.18502/jmr.v14i3.7714]
37. Clark, M., S. Lucett, and D.T. Kirkendall, NASM's essentials of sports performance training. 2010: Lippincott Williams & Wilkins.
38. Mujawar, J.C. and J.H. Sagar, Prevalence of upper cross syndrome in laundry workers. Indian journal of occupational and environmental medicine, 2019. 23(1): p. 54-56. [DOI:10.4103/ijoem.IJOEM_169_18] [PMID] [PMCID]
39. Page, P., Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes. International journal of sports physical therapy, 2011. 6(1): p. 51.
40. Page, P., C.C. Frank, and R. Lardner, Assessment and treatment of muscle imbalance. (No Title), 2010. [DOI:10.5040/9781718211445]
41. Hajihosseini, E., et al., The effect of 6 weeks strength training, stretching and comprehensive corrective exercises on forward head incorrect posture. Modern Rehabilitation, 2016. 9(5): p. 38-48.
42. Seidi, F., The effect of a 12-week corrective exercises program on Forward head and shoulder deformities. Studies in Sport Medicine, 2014. 5(14): p. 31-44.
43. Oliveira, A.C. and A.G. Silva, Neck muscle endurance and head posture: a comparison between adolescents with and without neck pain. Manual therapy, 2016. 22: p. 62-67. [DOI:10.1016/j.math.2015.10.002] [PMID]
44. Jia, B. and M.A. Nussbaum, Influences of continuous sitting and psychosocial stress on low back kinematics, kinetics, discomfort, and localized muscle fatigue during unsupported sitting activities. Ergonomics, 2018. 61(12): p. 1671-1684. [DOI:10.1080/00140139.2018.1497815] [PMID]
45. Yadegaripour, M., et al., The study of relationship between core stability and back discomfort and muscle activity during laptop work in the sitting position. Anesthesiology and Pain, 2019. 10(2): p. 62-74.
46. Hidalgo‐Peréz, A., et al., Effectiveness of a motor control therapeutic exercise program combined with motor imagery on the sensorimotor function of the cervical spine: A randomized controlled trial. International journal of sports physical therapy, 2015. 10(6): p. 877.
47. Chandarana, P., S. Rathod, and D. Sorani, Prevalence of upper crossed syndrome in college going students-an observational study. International Journal of Health Sciences and Research, 2022. 12(3): p. 179-186. [DOI:10.52403/ijhsr.20220325]
48. Nitayarak, H. and P. Charntaraviroj, Effects of scapular stabilization exercises on posture and muscle imbalances in women with upper crossed syndrome: A randomized controlled trial. Journal of back and musculoskeletal rehabilitation, 2021. 34(6): p. 1031-1040. [DOI:10.3233/BMR-200088] [PMID]
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