MUSCLE PAIN AND COPING WITH WORKING LIFE IN NORWAY - A REVIEW

This paper reviews ongoing research initiated by the Norwegian Researc h Council for Science and Humanities aimed at improving Health and Liv ing Conditions (HEMIL). Attempts to classify muscle pain states are re viewed, and the pathophysiology and psychophysiology of the condition are evaluated. The psychological aspects are emphasized, in particular relationships to coping resources, coping strategies and to what exte nt the individual feels able to cope with the environment. Also review ed are multidisciplinary approaches to treatment, aimed at both psycho logical and physical aspects. Interventions involving physical as well as psychological training seem to have the best effects. The contribu tion from physical load is moderate, except for static muscle work. Th ere is a growing concern that the response from the welfare society ma y produce attitudes that are counterproductive for prevention and trea tment. Do we over-react and impose disease concepts on regular complai nts that may be a part of normal life?