Effects of a Wearable Postural Feedback Device on Scapular Muscle Endurance, Trunk Proprioception and Postural Awareness in Sedentary Office Workers

Condition(s) studied

Investigational drug(s) / intervention(s)

Wearable Postural Feedback Device: Participants assigned to the intervention group will use a wearable postural feedback device for 12 weeks, 5 days per week, 60 minutes per day during working hours. During the first week, device use will be gradually increased (20, 30, 40, 50, and 60 minutes/day) to facilitate adaptation, followed by 60 minutes/day for the remaining 11 weeks. The device is individually calibrated to each participant's neutral posture and provides real-time vibrotactile feedback whenever a deviation from the calibrated posture is detected, promoting immediate postural correction during daily work activities.

Study summary

This study aims to investigate the effects of a wearable postural feedback device on scapular muscle endurance, trunk proprioception, thoracic kyphosis angle, and postural awareness in sedentary office workers. A total of 70 sedentary office workers aged 25-45 years will be randomly allocated to either the wearable postural feedback device group or the control group using block randomization. Participants in the intervention group will use the wearable postural feedback device for 12 weeks (5 days per week, 60 minutes per day), while the control group will maintain their usual working routine without receiving any intervention. Outcome assessments will be performed at baseline, immediately after the 12-week intervention, and at the end of a 4-week follow-up period (Week 16).

The primary outcome measures are scapular muscle endurance, trunk proprioception, thoracic kyphosis angle, and postural awareness. The primary research question is whether the use of a wearable postural feedback device improves these outcomes in sedentary office workers compared with no intervention. It is hypothesized that participants using the wearable postural feedback device will demonstrate greater improvements in scapular muscle endurance, trunk proprioception, thoracic kyphosis angle, and postural awareness than those in the control group.

Eligibility

Primary outcome measure(s)

• Scapular Muscle Endurance — Baseline, immediately after the 12-week intervention (Week 12), and at the end of the 4-week follow-up period (Week 16).
  Scapular muscle endurance will be assessed using the Scapular Muscle Endurance (SME) Test. Participants will stand with both shoulders and elbows positioned at 90° of flexion while maintaining the scapulae in a neutral position. A handheld dynamometer will be used to apply a constant force of 1 kg (10 N). Participants will maintain the test position as long as possible. The test will be terminated if the force cannot be maintained, the upper extremity position changes, the supporting bar falls, or the participant reports pain. Performance will be recorded in seconds, with longer durations indicating greater scapular muscle endurance.
• Trunk Proprioception — Baseline, immediately after the 12-week intervention (Week 12), and at the end of the 4-week follow-up period (Week 16).
  Trunk proprioception will be assessed using the Active Trunk Reposition Sense Test with the GYKO inertial sensor. The sensor will be positioned at the thoracolumbar region according to the standardized protocol. Participants, with their eyes closed, will actively reproduce a previously demonstrated trunk position. The absolute repositioning error will be recorded in degrees (°). Lower values indicate better trunk proprioception.
• Thoracic Kyphosis Angle — Baseline, immediately after the 12-week intervention (Week 12), and at the end of the 4-week follow-up period (Week 16).
  Thoracic kyphosis angle will be assessed using the Commander® Echo Wireless Inclinometer (JTECH Medical, USA). Measurements will be performed according to a standardized thoracic spine assessment protocol. Thoracic kyphosis angle will be recorded in degrees (°). Lower values indicate a reduction in thoracic kyphosis and improved thoracic spinal alignment.
• Postural Awareness — Baseline, immediately after the 12-week intervention (Week 12), and at the end of the 4-week follow-up period (Week 16).
  Postural awareness will be assessed using the Postural Awareness Scale (PAS). The PAS is an 11-item self-reported questionnaire with a total score ranging from 11 to 77. Higher scores indicate greater postural awareness

Trial sites (1)

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