| Objective:Poor shoulder and neck posture and neck pain are common sub-health problems of contemporary college students,which have varying degrees of influence on their life.This study focused on the shoulder and neck bad posture and neck pain,to explore the impact of shoulder and neck functional training on the shoulder and neck bad posture and neck pain,and further promote the daily exercise suitable for college students to reduce the occurrence of neck pain,so as to improve the quality of life of college students.Methods:(1)According to the inclusion and exclusion criteria,40 subjects were selected as research objects in a university and randomly divided into experimental group and control group,with 20 in each group.(2)The subjects in the control group did not have any intervention and did not carry out any other therapeutic activities during the experiment;The experimental group underwent shoulder and neck function training for 8 weeks,twice a week,including cervical spine joint motion training,shoulder and neck muscle drafting and neck muscle strength training.(3)All subjects were evaluated before and after the intervention,including pain numerical scoring and neck dysfunction index;Shoulder and neck posture assessment(head extension Angle,round shoulder Angle);Cervical active range of motion(forward flexion,back extension,left flexion,right flexion,left and right rotation);Neck strength(flexion strength,extension strength,left flexion strength,right flexion strength);Cervical spine position perception.(4)The paired sample T-test was used to test the intra-group significance difference,and the independent sample T-test was used to test the inter-group significance difference.P<0.05 was considered as significant difference,and P<0.01 was considered as very significant difference.Results:(1)There was no significant difference in the head extension Angle between the two groups before intervention(P>0.05).After 8 weeks of intervention,the head extension Angle of the experimental group(33.45±6.65)was significantly decreased compared with that before intervention(37.95±6.62)(P<0.05),and the head extension Angle of the experimental group was significantly lower than that of the control group(41.55±8.87).(P<0.05);There was no significant difference in the round shoulder Angle between the two groups before intervention(P>0.05).After 8 weeks of intervention,the round shoulder Angle of the experimental group was(26.7±2),which was significantly decreased compared with that before intervention(35.35±2.33)(P<0.05),and the round shoulder Angle of the experimental group was significantly lower than that of the control group(36.95±3.5),(P<0.05).(2)There was no significant difference in the score of neck pain between the two groups before intervention(P>0.05).After 8-week exercise intervention,the score of neck pain in the experimental group(1.55±0.51)was significantly reduced compared with that before intervention(2.95±0.69)(P<0.05),and the score of neck pain in the experimental group was significantly lower than that in the control group(2.35±0.75).(P<0.05);There was no significant difference in the score of cervical dysfunction index between the two groups before intervention(P>0.05).After 8-week exercise intervention,the score of cervical dysfunction index in the experimental group was(8.20± 1.36),which was significantly reduced compared with that before intervention(11.55±1.40)(P<0.05).The score of cervical dysfunction index in the experimental group was significantly lower than that in the control group(11.15±1.99)(P<0.05).(3)There was no significant difference in cervical joint motion between the two groups before intervention(P>0.05).After 8 weeks of intervention,cervical flexion Angle(55±7.77),extension Angle(57.6±8.05),left flexion Angle(41.5±4.64),right flexion Angle(42.75±5.3),left rotation Angle(80.85±5.53),right rotation Angle(85.45±7.43),Compared with before intervention,it was significantly increased(P<0.05).Moreover,the cervical flexion Angle,posterior extension Angle,left flexion Angle,right flexion Angle and right rotation Angle of the experimental group were significantly higher than those of the control group(45.6±10.10),posterior extension Angle(51.45±7.46),left flexion Angle(37.05±5.05),right flexion Angle(37.95±5.43)and right rotation Angle(77.85±5.45),(P<0.05),but there was no significant difference in left rotation Angle between the two groups(P>0.05).(4)There was no significant difference in the cervical strength between the two groups before intervention(P>0.05).After 8 weeks of intervention,the experimental group had the anterior cervical flexion force(64.48±3.89),the posterior cervical extension force(86.89±3.77),the left cervical flexion force(55.8612.76)and the right cervical flexion force(56.08±2.53).Compared with before intervention,it was significantly increased(P<0.05).In addition,the anterior cervical flexion force,posterior cervical extension force,left cervical flexion force and right cervical flexion force of the experimental group were significantly higher than those of the control group(45.6±1.99),posterior cervical extension force(53.5±2.19),left cervical flexion force(41.95±1.7),and right cervical flexion force(43.16±2.08)(P<0.05).(5)There was no significant difference in cervical position perception between the two groups before intervention(P>0.05).After 8-week exercise intervention,the cervical position perception index of the experimental group(3.35±0.51)was significantly reduced compared with that before intervention(3.75±0.63)(P<0.05),and the cervical position perception index of the experimental group was significantly lower than that of the control group(5.1±0.65).(P<0.05).Conclusions:Through the intervention of shoulder and neck exercise training in the experimental group,the head extension Angle and round shoulder Angle decreased,neck pain score decreased,cervical joint motion increased,neck strength increased,cervical position awareness improved.The method used in this study is simple and easy to operate,easier for college students to adhere to and implement,so it is worth further promotion. |