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Effect of neck flexion angles on neck muscle activity among smartphone users with and without neck pain
Published in Ergonomics, 2019
Suwalee Namwongsa, Rungthip Puntumetakul, Manida Swangnetr Neubert, Rose Boucaut
Participants were allocated into two groups differentiated only by the presence of pain: the control group without neck pain, and the case group with neck pain. For inclusion into the neck pain group, participants had to have experienced pain during smartphone usage for more than 3 months in the past year (Xie et al. 2016). There were three additional inclusion criteria: area of pain, mechanical nature of pain and intensity of cervical symptoms. Relevant symptom area included pain on posterior neck or shoulder, which is the area from the superior nuchal line to the spinous process of the 1st thoracic vertebra. Mechanical characteristics consisted of symptoms provoked by sustained neck posture, neck movement or palpation of cervical musculature (Martínez-Segura et al. 2006). Intensity of pain level required at rest was at least a mild level (3 score or greater) measured using a Visual Analogue Scale (Jensen, Chen, and Brugger 2003).