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  4. Effects of the Computer Desk Level on the Musculoskeletal Discomfort of Neck and Upper Extremities and EMG Activities in Patients with Spinal Cord Injuries

Effects of the Computer Desk Level on the Musculoskeletal Discomfort of Neck and Upper Extremities and EMG Activities in Patients with Spinal Cord Injuries

Occupational erapy International, 2019 · DOI: https://doi.org/10.1155/2019/3026150 · Published: February 3, 2019

Spinal Cord InjuryOccupational HealthRehabilitation

Simple Explanation

This study aimed to determine how different computer desk heights affect neck and upper body pain, as well as muscle activity, in people with spinal cord injuries. The desk heights were set at 5 cm below the elbow, at the elbow level, and 5 cm above the elbow level. Muscle activity was measured using electromyography (EMG), and subjective discomfort was assessed using the Borg-RPE scale. The study found that the ideal desk height varies depending on the level of spinal cord injury. Individuals with C6 injuries felt less pain with a higher desk, while those with T2-T6 injuries felt less pain with a lower desk.

Study Duration
From January 17 to January 26, 2018
Participants
12 patients diagnosed with ASIA A or B. C6 group (six patients) and T2-T6 groups (six patients).
Evidence Level
Not specified

Key Findings

  • 1
    Patients with C6 spinal cord injuries experienced decreased musculoskeletal discomfort (RPE) as the computer desk height increased.
  • 2
    Patients with T2-T6 spinal cord injuries experienced decreased musculoskeletal discomfort (RPE) as the computer desk height decreased.
  • 3
    Significant differences were found in the interactions of the upper trapezius and wrist extensor muscles with each level of the computer desk in both groups.

Research Summary

This study investigated the impact of computer desk height on musculoskeletal discomfort and muscle activity in patients with spinal cord injuries during computer use. The results indicated that the optimal desk height varies based on the level of spinal cord injury. Those with C6 injuries preferred higher desks, while those with T2-T6 injuries preferred lower desks. The study suggests that computer workstation setups should be customized to meet the individual needs of people with disabilities.

Practical Implications

Customized Workstations

Computer workstations for individuals with spinal cord injuries should be adjusted to their specific needs and injury level.

Ergonomic Guidelines

Current ergonomic guidelines may not be directly applicable to wheelchair users with spinal cord injuries, highlighting the need for tailored recommendations.

Muscle Activity Considerations

The study suggests that upper trapezius and wrist extensor muscles are particularly affected by computer desk height, implying a focus on these muscles in ergonomic interventions.

Study Limitations

  • 1
    Small sample size
  • 2
    Difficult to secure representativeness of the included patients
  • 3
    Simplified short-run typing task

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