O. Vasseljen et al., THE EFFECT OF PAIN REDUCTION ON PERCEIVED TENSION AND EMG-RECORDED TRAPEZIUS MUSCLE-ACTIVITY IN WORKERS WITH SHOULDER AND NECK PAIN, Scandinavian journal of rehabilitation medicine, 27(4), 1995, pp. 243-252
The study was initiated to evaluate the effect of pain-reducing therap
ies on factors previously associated with work-related shoulder and ne
ck pain, namely increased muscle activity in the upper trapezius and p
erceived general tension, Thirty-three women in three groups were asse
ssed before and after an intervention period and by questionnaire 6 mo
nths later, The purpose of this study was primarily to investigate ass
ociations between upper trapezius muscle activity, perceived general t
ension and pain, and secondly, to compare effects of individually base
d physiotherapy and group exercise for workers with shoulder and neck
myalgia, All three groups reported a significant alleviation of pain a
nd perceived general tension,,while the electromyographically (EMG) re
corded upper trapezius muscle activity level remained unchanged or inc
reased, Improvements were similar in all three treatment groups, but i
ndividual-based therapies were rated more beneficial on subjective mea
sures, Significant correlation was found between pain and perceived ge
neral tension (r = 0.66, p < 0.01), while there was no correlation bet
ween pain or perceived general tension and recorded muscle activity.