Skip to main content
Top

2012 | OriginalPaper | Hoofdstuk

8 Trapeziusmyalgie bij beeldschermwerkers: pathofysiologie en implicaties voor preventie en behandeling

Auteurs : Barbara Cagnie, Kristof De Corte, Filip Descheemaeker, Lieven Danneels

Gepubliceerd in: Jaarboek Fysiotherapie Kinesitherapie 2012

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

» Trapeziusmyalgie bij beeldschermwerkers is een vaak voorkomend probleem, dat wordt gekenmerkt door pijn en vermoeidheid ter hoogte van de schouder- en nekregio. In dit artikel wordt, vertrekkend vanuit de klinische symptomen, dieper ingegaan op de histologische en biochemische bevindingen en de onderliggende mechanismen die deze klachten kunnen verklaren. De meest plausibele pathofysiologische mechanismen zijn 1) de cinderellahypothese, 2) Ca2+-accumulatie en 3) verminderde doorbloeding. Kennis van de onderliggende mechanismen heeft belangrijke implicaties voor preventie en behandeling van deze courante aandoening.
Literatuur
go back to reference Andersen LL, Andersen CH, Zebis MK, Nielsen PK, Søgaard K, Sjøgaard G. Effect of physical training on function of chronically painful muscles: a randomized controlled trial. J Appl Physiol. 2008a;105:1796-1801. Andersen LL, Andersen CH, Zebis MK, Nielsen PK, Søgaard K, Sjøgaard G. Effect of physical training on function of chronically painful muscles: a randomized controlled trial. J Appl Physiol. 2008a;105:1796-1801.
go back to reference Andersen LL, Suetta C, Andersen JL, Kjaer M, Sjøgaard G. Increased proportion of megafibers in chronically painful muscles. Pain. 2008b;139:588-593. Andersen LL, Suetta C, Andersen JL, Kjaer M, Sjøgaard G. Increased proportion of megafibers in chronically painful muscles. Pain. 2008b;139:588-593.
go back to reference Cagnie B, De Corte K, Descheemaeker F. Oefentherapie bij nekaandoeningen. Antwerpen: Standaard Uitgeverij; 2007. Cagnie B, De Corte K, Descheemaeker F. Oefentherapie bij nekaandoeningen. Antwerpen: Standaard Uitgeverij; 2007.
go back to reference Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical disfunction. Man Ther 2001;6:3-14. Comerford MJ, Mottram SL. Functional stability re-training: principles and strategies for managing mechanical disfunction. Man Ther 2001;6:3-14.
go back to reference Cools A, Walravens M. Oefentherapie bij schouderaandoeningen. Antwerpen: Standaard Uitgeverij; 2005. Cools A, Walravens M. Oefentherapie bij schouderaandoeningen. Antwerpen: Standaard Uitgeverij; 2005.
go back to reference Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B, Witvrouw EE. Rehabilitation of Scapular Muscle Balance: Which Exercises to Prescribe? Am J Sports Med. 2007;35:1744. Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B, Cagnie B, Witvrouw EE. Rehabilitation of Scapular Muscle Balance: Which Exercises to Prescribe? Am J Sports Med. 2007;35:1744.
go back to reference Costa BR da, Vieira ER. Stretching to reduce work-related musculoskeletal disorders: a systematic review. J Rehabil Med. 2008;40:321-328. Costa BR da, Vieira ER. Stretching to reduce work-related musculoskeletal disorders: a systematic review. J Rehabil Med. 2008;40:321-328.
go back to reference Driessen M, Proper K, Tulder M van, Anema J, Bongers P, Beek A van der. The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: a systematic review. Occup Environ Med. 2010;67:1470-7926. Driessen M, Proper K, Tulder M van, Anema J, Bongers P, Beek A van der. The effectiveness of physical and organisational ergonomic interventions on low back pain and neck pain: a systematic review. Occup Environ Med. 2010;67:1470-7926.
go back to reference Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87:408-417. Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87:408-417.
go back to reference Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006;15:834-848. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006;15:834-848.
go back to reference Gerdle B, Lemming D, Kristiansen J, Larsson B, Peolsson M, Rosendal L. Biochemical alterations in the trapezius muscle of patients with chronic whiplash associated disorders (WAD) - A microdialysis study. Eur J Pain. 2008;12:82-93. Gerdle B, Lemming D, Kristiansen J, Larsson B, Peolsson M, Rosendal L. Biochemical alterations in the trapezius muscle of patients with chronic whiplash associated disorders (WAD) - A microdialysis study. Eur J Pain. 2008;12:82-93.
go back to reference Gissel H. The role of Ca2+ in muscle cell damage. Ann N Y Acad Sci. 2005;1066:166-180. Gissel H. The role of Ca2+ in muscle cell damage. Ann N Y Acad Sci. 2005;1066:166-180.
go back to reference Hagg GM. Human muscle fibre abnormalities related to occupational load. Eur J Appl Physiol. 2000;83:159-165. Hagg GM. Human muscle fibre abnormalities related to occupational load. Eur J Appl Physiol. 2000;83:159-165.
go back to reference Henneman E, Somjen G, Carpentier D. Excitability and inhibitability of motoneurons of different sizes. J Neurophysiol. 1965;28:599-620. Henneman E, Somjen G, Carpentier D. Excitability and inhibitability of motoneurons of different sizes. J Neurophysiol. 1965;28:599-620.
go back to reference Jensen BR, Jørgensen K, Huijing PA, Sjøgaard G. Soft tissue architecture and intramuscular pressure in the shoulder region. Eur J Morphol. 1995;33:205-220. Jensen BR, Jørgensen K, Huijing PA, Sjøgaard G. Soft tissue architecture and intramuscular pressure in the shoulder region. Eur J Morphol. 1995;33:205-220.
go back to reference Jull G, Sterling. M. Bring back the biopsychosocial model for neck pain disorders. Manual Ther. 2009;14: 117-118. Jull G, Sterling. M. Bring back the biopsychosocial model for neck pain disorders. Manual Ther. 2009;14: 117-118.
go back to reference Juul-Kristensen B, Kadefors R, Hansen K, Byström P, Sandsjö L, Sjøgaard G. Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study. Eur J Appl Physiol. 2006;96:136-145. Juul-Kristensen B, Kadefors R, Hansen K, Byström P, Sandsjö L, Sjøgaard G. Clinical signs and physical function in neck and upper extremities among elderly female computer users: the NEW study. Eur J Appl Physiol. 2006;96:136-145.
go back to reference Kadi F, Waling K, Ahlgren C, Sundelin G, Holmner S, Butler-Browne GS, Thornell LE. Pathological mechanisms implicated in localized female trapezius myalgia. Pain. 1998;78:191-196. Kadi F, Waling K, Ahlgren C, Sundelin G, Holmner S, Butler-Browne GS, Thornell LE. Pathological mechanisms implicated in localized female trapezius myalgia. Pain. 1998;78:191-196.
go back to reference Larsson B, Björk J, Kadi F, Lindman R, Gerdle B. Blood Supply and Oxidative Metabolism in Muscle Biopsies of Female Cleaners With and Without Myalgia. Clin J Pain. 2004;20:440. Larsson B, Björk J, Kadi F, Lindman R, Gerdle B. Blood Supply and Oxidative Metabolism in Muscle Biopsies of Female Cleaners With and Without Myalgia. Clin J Pain. 2004;20:440.
go back to reference Lindman R, Hagberg M, Angqvist K, Soderlund K, Hultman E, Thornell LE. Changes in muscle morphology in chronic trapezius myalgia. Scand J Work Environm Health. 1991;17:347-355. Lindman R, Hagberg M, Angqvist K, Soderlund K, Hultman E, Thornell LE. Changes in muscle morphology in chronic trapezius myalgia. Scand J Work Environm Health. 1991;17:347-355.
go back to reference Lindman RF, Eriksson AF, Thornell LE. Fiber type composition of the human male trapezius muscle: enzyme-histochemical characteristics. Am J Anat. 1991;189:236-244. Lindman RF, Eriksson AF, Thornell LE. Fiber type composition of the human male trapezius muscle: enzyme-histochemical characteristics. Am J Anat. 1991;189:236-244.
go back to reference Lindman RF, Eriksson AF, Thornell LE. Fiber type composition of the human female trapezius muscle: enzyme-histochemical characteristics. Am J Anat. 1991;190:385-392. Lindman RF, Eriksson AF, Thornell LE. Fiber type composition of the human female trapezius muscle: enzyme-histochemical characteristics. Am J Anat. 1991;190:385-392.
go back to reference Mackey AL, Andersen LL, Frandsen U, Suetta C, Sjøgaard G. Distribution of myogenic progenitor cells and myonuclei is altered in women with vs. those without chronically painful trapezius muscle. J Appl Physiol. 2010;109:1920-1929. Mackey AL, Andersen LL, Frandsen U, Suetta C, Sjøgaard G. Distribution of myogenic progenitor cells and myonuclei is altered in women with vs. those without chronically painful trapezius muscle. J Appl Physiol. 2010;109:1920-1929.
go back to reference Madeleine P. Functional adaptations in work-related pain conditions. In: Graven-Nielsen T, Arendt Nielsen L, Mense S, eds., Fundamentals of musculoskeletal pain. Seattle: IASP press; 2008:401-416. Madeleine P. Functional adaptations in work-related pain conditions. In: Graven-Nielsen T, Arendt Nielsen L, Mense S, eds., Fundamentals of musculoskeletal pain. Seattle: IASP press; 2008:401-416.
go back to reference Mahieu N, Witvrouw E. Oefentherapie bij peesaandoeningen. Antwerpen: Standaard Uitgeverij; 2006. Mahieu N, Witvrouw E. Oefentherapie bij peesaandoeningen. Antwerpen: Standaard Uitgeverij; 2006.
go back to reference Nijs J, Wilgen P van. Pijneducatie, een praktische handleiding voor (para)medici. Houten: Bohn Stafleu van Loghum; 2011. Nijs J, Wilgen P van. Pijneducatie, een praktische handleiding voor (para)medici. Houten: Bohn Stafleu van Loghum; 2011.
go back to reference Parent-Thirion A, Fernandez Macias E, Hurley J, Vermeylen G. Fourth European Working Conditions Survey. Wyattville Road: Loughlinstown; 2005. Parent-Thirion A, Fernandez Macias E, Hurley J, Vermeylen G. Fourth European Working Conditions Survey. Wyattville Road: Loughlinstown; 2005.
go back to reference Samani A, Holtermann A, Sogaard K, Madeleine P. Active pauses induce more variable electromyographic pattern of the trapezius muscle activity during computer work. J Electromyogr Kinesiol. 2009;19(6):e430-e43. Samani A, Holtermann A, Sogaard K, Madeleine P. Active pauses induce more variable electromyographic pattern of the trapezius muscle activity during computer work. J Electromyogr Kinesiol. 2009;19(6):e430-e43.
go back to reference Sjøgaard G, Kiens B, Jørgensen K, Saltin B. Intramuscular pressure, EMG and blood flow during low-level prolonged static contraction in man. Acta Physiol Scand. 1986;128:475-484. Sjøgaard G, Kiens B, Jørgensen K, Saltin B. Intramuscular pressure, EMG and blood flow during low-level prolonged static contraction in man. Acta Physiol Scand. 1986;128:475-484.
go back to reference Visser B, Dieën JH van. Pathophysiology of upper extremity muscle disorders. J Electromyogr Kinesiol. 2006;16:1-16. Visser B, Dieën JH van. Pathophysiology of upper extremity muscle disorders. J Electromyogr Kinesiol. 2006;16:1-16.
Metagegevens
Titel
8 Trapeziusmyalgie bij beeldschermwerkers: pathofysiologie en implicaties voor preventie en behandeling
Auteurs
Barbara Cagnie
Kristof De Corte
Filip Descheemaeker
Lieven Danneels
Copyright
2012
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-8756-4_8