Work from home has increased greatly during the COVID-19 pandemic, and concerns have been raised that this would change physical behaviours. In the present study, 11 Brazilian office workers (five women, six men; mean [SD] age 39.3 [9.6] years) wore two triaxial accelerometers fixed on the upper back and right thigh continuously for five days, including a weekend, before COVID-19 (September 2019), and again while working at home during COVID-19 (July 2020). We determined time used in five behaviours: sedentary, standing, light physical activity (LPA), moderate-to-vigorous activity (MVPA), and time-in-bed. Data on these behaviours were processed using Compositional Data Analysis, and behaviours observed pre-COVID19 and during-COVID19 were compared using repeated-measures MANOVA. On workdays during-COVID19, participants spent 667 min sedentary, 176 standing, 74 LPA, 51 MVPA and 472 time-in-bed; corresponding numbers pre-COVID were 689, 180, 81, 72 and 418 min. Tests confirmed that less time was spent in bed pre-COVID19 (log-ratio −0.12 [95% CI −0.19; −0.08]) and more time in MVPA (log-ratio 0.35, [95% CI 0.08; 0.70]). Behaviours during the weekend changed only marginally. While small, this study is the first to report objectively measured physical behaviours during workdays as well as weekends in the same subjects before and during the COVID-19 pandemic.
This study aims to investigate the cross-sectional association between objectively measured total time and temporal patterns of static standing (short bouts: 0–5 min; moderate bouts: >5–10 min; and long bouts: >10 min) during work and leisure and low back pain (LBP) among 698 blue-collar workers. Workers reported LBP on a 0–10 scale. The association between time spent on static standing and LBP was tested with linear regression. A positive association with LBP intensity was found for long bouts of static standing (β = 0.27) during total day (work + leisure), and total static standing time at leisure (β = 0.12). No significant associations were found for static standing during work and LBP intensity. These findings indicate that particularly long bouts of static standing over the entire day contribute to LBP in blue-collar workers. Practitioner Summary: The association between LBP and static standing time was investigated. This study indicates that prolonged time standing during total day and standing during leisure are positively associated with LBP among blue-collar workers. Therefore, practitioners should consider long periods of standing as a potential risk factor for LBP.
1 March 2018 in Brazilian Journal of Physical Therapy
To evaluate within- and between-days reliability of two normalization methods of surface electromyography (sEMG) recordings of the trapezius muscle. Nineteen women were allocated into 2 groups (healthy and with neck-shoulder pain). The sEMG was recorded in two sessions with 7 days in between sessions. The four portions of the trapezius muscle (the clavicular and acromial fibers of the upper trapezius, the middle and the lower trapezius) were evaluated during maximal and submaximal isometric voluntary contractions. The within- and between-days reliability of both maximal and submaximal contractions were assessed through Intraclass Correlation Coefficient (ICC(2,1) was used for within-day analyses of both maximal and submaximal contractions, and for between-days analyses of maximal contractions while ICC(2,3) was used for between-days analyses of submaximal contractions), Coefficient of Variation, Standard Error of Measurement, and Bland-Altman analysis. In general, submaximal contractions presented higher within-day reliability, with higher ICC values (e.g., middle trapezius - mean of 0.97), smaller Coefficient of Variation and Standard Error of Measurement ranges compared to maximal contractions (ICC values, e.g. for middle trapezius - mean of 0.94) in both groups. The same pattern was observed for between-days analyses, with submaximal contractions presenting higher ICC values (e.g., middle trapezius - mean of 0.84), smaller Coefficient of Variation and Standard Error of Measurement ranges than maximal contractions (ICC values, e.g. for middle trapezius - mean of 0.73) in both groups. Submaximal contractions are recommended for normalization procedures of trapezius sEMG, in both subjects with neck-shoulder pain and healthy individuals.
In this study, we evaluated the peak torque, functional torque ratios, and torque curve profile of the shoulder rotators in overhead athletes with impingement symptoms so as to examine possible alterations in response to sports training and shoulder pain. Twenty-one overhead athletes with impingement symptoms were compared with 25 overhead athletes and 21 non-athletes, none of whom were symptomatic for impingement. The participants performed five maximal isokinetic concentric and eccentric contractions of medial and lateral shoulder rotations at 1.57 rad · s−1 and 3.14 rad · s−1. Isokinetic peak torque was used to calculate the eccentric lateral rotation-to-concentric medial rotation and the eccentric medial rotation-to-concentric lateral rotation ratios. An analysis of the torque curve profiles was also carried out. The eccentric lateral rotation-to-concentric medial rotation torque ratio of asymptomatic athletes was lower than that of non-athletes at both test velocities. The concentric medial rotation isokinetic peak torque of the asymptomatic athletes, at 3.14 rad · s−1, was greater than that of the non-athletes, and the peak appeared to occur earlier in the movement for athletes than non-athletes. These findings suggest that there may be adaptations to shoulder function in response to throwing practice. The eccentric medial rotation-to-concentric lateral rotation torque ratio was altered neither by the practice of university-level overhead sports nor impingement symptoms.