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Evolving dynamics of neck muscle activation patterns in dental students : a longitudinal study

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorAlmeida, Manuel Barbosa de
dc.contributor.authorMoreira, Marion
dc.contributor.authorMiranda-Oliveira, Paulo
dc.contributor.authorMoreira, José
dc.contributor.authorFamília, Carlos
dc.contributor.authorVaz, João R.
dc.contributor.authorMoleirinho-Alves, Paula
dc.contributor.authorOliveira, Raúl
dc.date.accessioned2026-03-30T15:27:21Z
dc.date.available2026-03-30T15:27:21Z
dc.date.issued2024-09
dc.description.abstractCervical pain has been linked to increased motor unit activity, potentially associated with the initiation and progression of chronic neck pain. Therefore, this study aimed to compare the time-course changes in cervical superficial muscle activation patterns among dental students with and without neck pain throughout their initial semester of clinical training. We used an online Nordic Musculoskeletal Questionnaire for group allocation between neck pain (NP) (n = 21) and control group (CG) (n = 23). Surface electromyography (sEMG) of the sternocleidomastoid and upper bilateral trapezius was recorded before starting their clinical practice and after their first semester while performing a cranio-cervical flexion test (CCFT) in five increasing levels between 22 mmHg and 30 mmHg. After the first semester, both the CG (p < 0.001) and NP (p = 0.038) groups showed decreased sternocleidomastoid activation. The NP group exhibited a concomitant increase in upper trapezius coactivation (p < 0.001), whereas the muscle activation pattern in asymptomatic students remained unchanged (p = 0.980). During the first semester of clinical training, dental students exhibited decreased superficial flexor activity, but those with neck pain had increased co-contraction of the upper trapezius, likely to stabilize the painful segment. This altered activation pattern could be associated with further dysfunction and symptoms, potentially contributing to chronicity.eng
dc.identifier.citationAlmeida MBd, Moreira M, Miranda-Oliveira P, Moreira J, Família C, Vaz JR, Moleirinho-Alves P, Oliveira R. Evolving Dynamics of Neck Muscle Activation Patterns in Dental Students: A Longitudinal Study. Sensors. 2024; 24(17):5689. https://doi.org/10.3390/s24175689
dc.identifier.doi10.3390/s24175689
dc.identifier.issn1424-8220
dc.identifier.urihttp://hdl.handle.net/10400.26/62545
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/s24175689
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectcervical pain
dc.subjectdentistry students
dc.subjectelectromyography
dc.subjectcranio-cervical flexion test
dc.subjectactivation pattern
dc.subjectmotor control
dc.titleEvolving dynamics of neck muscle activation patterns in dental students : a longitudinal studyeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue17
oaire.citation.startPage5689
oaire.citation.titleSensors
oaire.citation.volume24
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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