Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2000-2-25
pubmed:abstractText
In this review, the evidence for trapezius muscle activity as a releasing factor for shoulder and neck pain is considered, mainly on the basis of studies in our laboratory. Two lines of evidence are produced, (i) vocational studies in an occupational setting, where muscle activity pattern is recorded by surface EMG and a clinical examination of the shoulder region of the subjects performed; and (ii) laboratory studies where muscle activity patterns and pain development are recorded in an experimental situation with mental stress and minimal physical activity. The vocational studies demonstrate pain development in the shoulder and neck despite very low muscle activity recorded, making it very difficult to assume muscular involvement for all cases with such complaints. However, the hypothesis of pain development through overexertion of a subpopulation of low-threshold motor units also makes it difficult to draw a firm negative conclusion. The laboratory experiments, on the other hand, show that trapezius activity patterns in response to stress have many features that would be expected if muscle activation induces pain symptoms. It is further noted that the trapezius is the only muscle with activity patterns that show these features. Possibly, we observe the effects of parallel physiological phenomena, e.g., a systemic autonomic activation that induces pain symptoms and also facilitates the motor response of some muscles. Evidence of autonomic activation of trapezius is presented by the observation of low-level, rhythmic EMG activity during sleep. However, this is not firm evidence for the above hypothesis, which at present best serves as a basis for further experimentation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0333-1024
pubmed:author
pubmed:issnType
Print
pubmed:volume
19 Suppl 25
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1-8
pubmed:dateRevised
2008-2-11
pubmed:meshHeading
pubmed:year
1999
pubmed:articleTitle
Muscle activity as a releasing factor for pain in the shoulder and neck.
pubmed:affiliation
Division of Organization and Work Science, Norwegian University of Science and Technology, Trondheim, Norway.
pubmed:publicationType
Journal Article, Review