{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T06:59:54Z","timestamp":1784271594011,"version":"3.55.0"},"reference-count":58,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Nonspecific chronic neck pain (ns\u2010CNP) is a common cause of disability among office workers. However, the effectiveness of tissue release and stretching strategies in managing pain and fatigue of neck muscles in employees affected by ns\u2010CNP has not been assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010nine employees who suffered from ns\u2010CNP were randomly assigned to stretching, tissue release interventions or control group (<jats:italic>n<\/jats:italic>\u2009=\u200913). Neck pain and fatigue in neck extensors, upper trapezius, and sternocleidomastoid muscles were measured during 40 min of typing with a 45\u2010degree head flexion at baseline and immediately after a 6\u2010week intervention using visual analog scale and surface electromyography.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pain significantly decreased after 6 weeks of both interventions (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). There were no significant within\u2010group differences for right cervical muscle fatigue in the intervention groups, but a significant difference was noted in the control group at the 25th and 40th minutes (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Additionally, a significant difference was observed between the release and control group at the 30th, 35th, and 40th minutes (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Left cervical muscle fatigue significantly decreased at the 25th and 40th minutes only for the release group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). A significant difference was observed between the release and control groups at the 40th minute for the right upper trapezius (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Only the stretching group showed a significant difference with the control in the left sternocleidomastoid at the 10th and 15th minutes, and the release group with the control in the last 5\u2010min. Stretching and release interventions could control neck pain and muscle fatigue in the 45\u2010degree head flexion position.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.70748","type":"journal-article","created":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T13:36:06Z","timestamp":1745242566000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effect of Tissue Stretching and Release Strategies on Neck Muscles Fatigue and Pain Intensity in Office Workers Affected by Chronic Neck Pain: A Rater\u2010Blind, Semi\u2010Experimental Study"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6660-2565","authenticated-orcid":false,"given":"Sinaz","family":"Niazi","sequence":"first","affiliation":[{"name":"Sports Injuries and Corrective Exercises Department, Sport Sciences Faculty Razi University Kermanshah Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8607-3803","authenticated-orcid":false,"given":"Farzaneh","family":"Gandomi","sequence":"additional","affiliation":[{"name":"Sports Injuries and Corrective Exercises Department, Sport Sciences Faculty Razi University Kermanshah Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5517-791X","authenticated-orcid":false,"given":"Parviz","family":"Soufivand","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Clinical Research Development Center, Imam Reza Hospital Kermanshah University of Medical Sciences Kermanshah Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5228-2703","authenticated-orcid":false,"given":"Leila","family":"Ghazaleh","sequence":"additional","affiliation":[{"name":"Department of Exercise Physiology, Faculty of Sport Sciences Alzahra University Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2022.09.007"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a001116"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/1798434"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ergon.2014.12.013"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.shaw.2015.12.004"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-10893-8"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.5812\/mejrh.42031"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10803548.2020.1765112"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.37506\/ijpot.v14i1.3429"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apergo.2020.103311"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0234511"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09594-y"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000608"},{"key":"e_1_2_12_15_1","volume-title":"Determinants and Physiological Consequences of Respiratory Muscle Fatigue: A Comprehensive Comparison of the Inspiratory and Expiratory Muscles","author":"Hardy T. 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