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November 2026

Sex Differences in Neck Muscle Mechanical Responses to Writing at a Fixed-Height University Desk

Authors: Andrea Jezkova 1, 2, Zuzana Hudakova 3, Jaromir Dolezal 4, Lenka Lhotska 1, 4, Lucie Loukotova 5, Hana Kynstova 6

Affiliations:

  1. Department of Natural Sciences, Faculty of Biomedical Engineering, Czech Technical University in Prague, nam Sitna 3105, 272 01 Kladno, Czech Republic
  2. Department of Physiotherapy, Faculty of Health Studies, Jan Evangelista Purkyne University in Usti nad Labem, Socialni Pece 3652/13, 400 96 Usti nad Labem, Czech Republic
  3. Department of Physiotherapy, Faculty of Health, Catholic University in Ruzomberok, A. Hlinka Square 48, 034 01 Ruzomberok, Slovakia
  4. Czech Institute of Informatics, Robotics and Cybernetics, Czech Technical University in Prague, Jugoslavskych Partyzanu 1580/3, Dejvice, 160 00 Praha, Czech Republic
  5. Department of Mathematics, Faculty of Science, Jan Evangelista Purkyne University in Usti nad Labem, Pasteurova 3632/15, 400 96 Usti nad Labem, Czech Republic
  6. Department of Occupational Therapy, Faculty of Health Studies, Jan Evangelista Purkyne University in Usti nad Labem, Socialni Pece 3652/13, 400 96 Usti nad Labem, Czech Republic

Journal: Muscles - October 2026, Volume 5, Issue 4, Article no. 77 (DOI: 10.3390/muscles5040077)

Introduction: Musculoskeletal disorders associated with muscular strain on the neck and shoulders affect women in administration more often than men. Ergonomic guidelines have historically been derived from male models, often ignoring biomechanical differences between the sexes. This study aims to quantify the acute mechanical response of the neck muscles of men and women to a standardized writing task at university desks of the same height and 0° inclination.

Methods: The research involved 57 healthy university students (34 women, 23 men; age 19–24 years). Muscle tone (F), stiffness (S), and viscoelastic decrement (D) in the sternocleidomastoideus muscle (SCM), trapezius muscle (UT), and semispinalis capitis muscle (SSC) were assessed by the non-invasive MyotonPRO device before and after 20 min of continuous writing.

Results: In the entire cohort, a significant change before and after exercise was found only in the UT decrement (p = 0.021). Gender differences were found in the change in muscle tone (ΔF), SCM (p = 0.031), and SSC (p = 0.039). On average, SCM tone increased slightly in men (+0.120 Hz) and decreased in women (−0.294 Hz), while SSC tone decreased in men (−0.374 Hz) and increased in women (+0.450 Hz).

Conclusions: A twenty-minute writing task at a university desk with a fixed height was associated with measurable acute changes in selected mechanical properties of the neck muscles and with differences between the sexes in the direction of change in the tone of SCM and SSC. The clinical relevance of these findings remains unclear and should be validated in larger studies with detailed anthropometric and ergonomic evaluation and longer follow-up.

 

Keywords: ergonomics, gender differences, muscle stiffness, musculoskeletal disorders, MyotonPRO device, neck pain, static load, women’s health

This study demonstrates that a 20 min writing task performed at a fixed-height university desk with a 0° desktop inclination leads to measurable acute changes in selected mechanical properties of the neck muscles. A statistically significant change in the logarithmic decrement of the trapezius muscle was observed across the entire cohort, while the mechanical responses of the SCM and SSC differed significantly between women and men. These findings suggest that even a relatively short period of continuous writing may affect the mechanical properties of the cervical muscles and that this response may differ between sexes. The results support the importance of considering sex-specific differences and individual ergonomic characteristics when evaluating the effects of prolonged static tasks in academic settings. Further studies with larger samples, detailed ergonomic assessments, and longer or repeated exposures are needed to determine the clinical significance and longer-term implications of these findings.

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