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The influence of biofeedback training on trapezius activity and rest during occupational computer work: a randomized controlled trial

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Abstract

The aim of this study was to investigate effects of biofeedback training on trapezius activity and rest (gaps) during occupational computer work. A randomized controlled trial with 164 computer workers was performed. Two groups working with computer mouse more than 50% (n = 64) and less than 25% (n = 49) of their work time performed five sessions with unilateral electromyographical (EMG) biofeedback from the dominant trapezius during computer work. A third group working with computer mouse more than 50% of their work time (n = 51) served as controls. Bipolar EMG from the bilateral upper trapezius muscles during normal computer work was recorded. Changes in discomfort/pain were not recorded. The biofeedback training reduced activity (P < 0.05), and increased the frequency of short (P < 0.05) and long (P < 0.05) gaps, and the relative rest time (P < 0.05) of the trapezius during computer work. By improving trapezius inactivity during computer work, biofeedback training may have the potential to prevent trapezius myalgia in computer workers.

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References

  • Alexander CM, Harrison P (2002) The bilateral reflex control of the trapezius muscle in humans. Exp Brain Res 142:418–424. doi:10.1007/s00221-001-0951-2

    Article  PubMed  CAS  Google Scholar 

  • Alexander CM, Harrison PJ (2003) Reflex connections from forearm and hand afferents to shoulder girdle muscles in humans. Exp Brain Res 148:277–282

    PubMed  CAS  Google Scholar 

  • Alexander CM, Miley R, Harrison PJ (2005) Functional modulation of shoulder girdle stability. Exp Brain Res 161:417–422. doi:10.1007/s00221-004-2083-y

    Article  PubMed  CAS  Google Scholar 

  • Alexander CM, Miley R, Stynes S, Harrison PJ (2007) Differential control of the scapulothoracic muscles in humans. J Physiol 580:777–786. doi:10.1113/jphysiol.2006.126276

    Article  PubMed  CAS  Google Scholar 

  • Balci R, Aghazadeh F (2003) The effect of work-rest schedules and type of task on the discomfort and performance of VDT users. Ergonomics 46:455–465. doi:10.1080/0014013021000047557

    Article  PubMed  Google Scholar 

  • Basmajian JV, De Luca CJ (1985) Muscles alive: their functions revealed by electromyography. Williams & Wilkins, Baltimore

    Google Scholar 

  • Blangsted AK, Hansen K, Jensen C (2003) Muscle activity during computer-based office work in relation to self-reported job demands and gender. Eur J Appl Physiol 89:352–358. doi:10.1007/s00421-003-0805-7

    Article  PubMed  Google Scholar 

  • Blangsted AK, Søgaard K, Christensen H, Sjøgaard G (2004) The effect of physical and psychosocial loads on the trapezius muscle activity during computer keying tasks and rest periods. Eur J Appl Physiol 91:253–258. doi:10.1007/s00421-003-0979-z

    Article  PubMed  Google Scholar 

  • Blatter BM, Bongers PM (2002) Duration of computer use and mouse use in relation to musculoskeletal disorders of neck or upper limb. Int J Ind Ergon 30:295–306. doi:10.1016/S0169-8141(02)00132-4

    Article  Google Scholar 

  • Brandt LPA, Andersen JH, Lassen CF, Kryger A, Overgaard E, Vilstrup I et al (2004) Neck and shoulder symptoms and disorders among Danish computer workers. Scand J Work Environ Health 30:399–409

    PubMed  Google Scholar 

  • Faucett J, Garry M, Nadler D, Ettare D (2002) A test of two training interventions to prevent work-related musculoskeletal disorders of the upper extremity. Appl Ergon 33:337–347. doi:10.1016/S0003-6870(02)00006-6

    Article  PubMed  Google Scholar 

  • Galinsky T, Swanson NG, Sauter SL, Hurrell JJ, Schleifer LM (2000) A field study of supplementary rest breaks for data-entry operators. Ergonomics 43:622–638. doi:10.1080/001401300184297

    Article  PubMed  CAS  Google Scholar 

  • Galinsky T, Swanson N, Sauter S, Dunkin R, Hurrell J, Schleifer L (2007) Supplementary breaks and stretching exercises for data entry operators: a follow-up field study. Am J Ind Med 50:519–527. doi:10.1002/ajim.20472

    Article  PubMed  Google Scholar 

  • Gerr F, Marcus M, Ensor C, Kleinbaum D, Cohen S, Edwards A et al (2002) A prospective study of computer users: study design and incidence of muskuloskeletal symptoms and disorders. Am J Ind Med 41:221–235. doi:10.1002/ajim.10066

    Article  PubMed  Google Scholar 

  • Hägg G (1991) Static work loads and occupational myalgia—a new explanation model. In: Anderson PA, Hobart DJ, Danoff JV (eds) Electromyographical kinesiology. Elsevier, Amsterdam, pp 141–144

    Google Scholar 

  • Hägg G (1997) New SEMG feed-back principle for gap training. In: Hermens HJ, Hägg G, Fredrics B (eds) Proceedings of the Second General SENIAM Workshop. Roessingh Research and development, Enschede, pp 88–91

    Google Scholar 

  • Henning RA, Jacques P, Kissel GV, Sullivan AB, AlterasWebb SM (1997) Frequent short rest breaks from computer work: effects on productivity and well-being at two field sites. Ergonomics 40:78–91. doi:10.1080/001401397188396

    Article  PubMed  CAS  Google Scholar 

  • Hermens HJ, Hutten MMR (2002) Muscle activation in chronic pain: its treatment using a new approach of myofeedback. Int J Ind Ergon 30:325–336. doi:10.1016/S0169-8141(02)00134-8

    Article  Google Scholar 

  • IJmker S, Huysmans MA, Blatter BM, van der Beek AJ, van Mechelen W, Bongers PM (2007) Should office workers spend fewer hours at their computer? A systematic review of the literature. Occup Environ Med 64:211–222. doi:10.1136/oem.2006.026468

    Article  PubMed  CAS  Google Scholar 

  • Jensen C (2003) Development of neck and hand-wrist symptoms in relation to duration of computer use at work. Scand J Work Environ Health 29:197–205

    PubMed  Google Scholar 

  • Jensen C, Borg V, Finsen L, Hansen K, Juul-Kristensen B, Christensen H (1998) Job demands, muscle activity and musculoskeletal symptoms in relation to work with the computer mouse. Scand J Work Environ Health 24:418–424

    PubMed  CAS  Google Scholar 

  • Jensen C, Finsen L, Sogaard K, Christensen H (2002) Musculoskeletal symptoms and duration of computer and mouse use. Int J Ind Ergon 30:265–275. doi:10.1016/S0169-8141(02)00130-0

    Article  Google Scholar 

  • Juul-Kristensen B, Sogaard K, Stroyer J, Jensen C (2004) Computer users’ risk factors for developing shoulder, elbow and back symptoms. Scand J Work Environ Health 30:390–398

    PubMed  Google Scholar 

  • Laursen B, Jensen BR, Nemeth G, Sjogaard G (1998) A model predicting individual shoulder muscle forces based on relationship between electromyographic and 3D external forces in static position. J Biomech 31:731–739. doi:10.1016/S0021-9290(98)00091-8

    Article  PubMed  CAS  Google Scholar 

  • Madeleine P, Lundager B, Voigt M, Arendt-Nielsen L (2003) The effects of neck-shoulder pain development on sensory-motor interactions among female workers in the poultry and fish industries A prospective study. Int Arch Occup Environ Health 76:39–49

    PubMed  Google Scholar 

  • Madeleine P, Vedsted P, Blangsted AK, Sjogaard G, Sogaard K (2006) Effects of electromyographic and mechanomyographic biofeedback on upper trapezius muscle activity during standardized computer work. Ergonomics 49:921–933. doi:10.1080/00140130600665828

    Article  PubMed  Google Scholar 

  • McLean L, Tingley M, Scott RN, Rickards J (2001) Computer terminal work and the benefit of microbreaks. Appl Ergon 32:225–237. doi:10.1016/S0003-6870(00)00071-5

    Article  PubMed  CAS  Google Scholar 

  • Mork PJ, Westgaard RH (2006) Low-amplitude trapezius activity in work and leisure and the relation to shoulder and neck pain. J Appl Physiol 100:1142–1149. doi:10.1152/japplphysiol.01111.2005

    Article  PubMed  Google Scholar 

  • Palmerud G, Kadefors R, Sporrong H, Jarvholm U, Herberts P, Hogfors C et al (1995) Voluntary redistribution of muscle-activity in human shoulder muscles. Ergonomics 38:806–815

    PubMed  CAS  Google Scholar 

  • Palmerud G, Sporrong H, Herberts P, Kadefors R (1998) Consequences of trapezius relaxation on the distribution of shoulder muscle forces: an electromyographic study. J Electromyogr Kinesiol 8:185–193. doi:10.1016/S1050-6411(97)00033-3

    Article  PubMed  CAS  Google Scholar 

  • Paoli P, Merllié D (2001) Third European survey on working conditions 2000. European Foundation for the Improvement of Living and Working Conditions, Dublin, Ireland pp 1–72

  • Sandsjö L, Melin B, Rissén D, Dohns I, Lundberg U (2000) Trapezius muscle activity, neck and shoulder pain, and subjective experiences during monotonous work in women. Eur J Appl Physiol 83:235–238. doi:10.1007/s004210000284

    Article  PubMed  Google Scholar 

  • Stuckey SJ, Jacobs A, Goldfarb J (1986) Emg biofeedback-training, relaxation training, and placebo for the relief of chronic back pain. Percept Mot Skills 63:1023–1036

    PubMed  CAS  Google Scholar 

  • Veiersted KB, Westgaard RH, Andersen P (1990) Pattern of muscle activity during stereotyped work and its relation to muscle pain. Int Arch Occup Environ Health 62:31–41. doi:10.1007/BF00397846

    Article  PubMed  CAS  Google Scholar 

  • Veiersted KB, Westgaard RH, Andersen P (1993) Electromyographic evaluation of muscular work pattern as a predictor of trapezius myalgia. Scand J Work Environ Health 19:284–290

    PubMed  CAS  Google Scholar 

  • Voerman GE, Vollenbroek-Hutten MMR, Hermens HJ (2006) Changes in pain, disability, and muscle activation patterns in chronic whiplash patients after ambulant myofeedback training. Clin J Pain 22:656–663. doi:10.1097/01.ajp.0000210911.88041.df

    Article  PubMed  Google Scholar 

  • Voerman GE, Sandsjo L, Vollenbroek-Hutten MMR, Larsman P, Kadefors R, Hermens HJ (2007) Effects of ambulant myofeedback training and ergonomic counselling in female computer workers with work-related neck-shoulder complaints: a randomized controlled trial. J Occup Rehabil 17:137–152. doi:10.1007/s10926-007-9066-3

    Article  PubMed  Google Scholar 

  • Vollenbroek-Hutten MMR, Hermens H, Voerman G, Sandsjo L, Kadefors R (2006) Are changes in pain induced by myofeedback training related to changes in muscle activation patterns in patients with work-related myalgia? Eur J Appl Physiol 96:209–215. doi:10.1007/s00421-004-1212-4

    Article  PubMed  Google Scholar 

  • Waersted M, Westgaard RH (1996) Attention-related muscle activity in different body regions during VDU work with minimal physical activity. Ergonomics 39:661–676

    PubMed  CAS  Google Scholar 

  • Wahlström J, Hagberg M, Johnson P, Svensson J, Rempel D (2002) Influence of time pressure and verbal provocation on physiological and psychological reactions during work with a computer mouse. Eur J Appl Physiol 87:257–263. doi:10.1007/s00421-002-0611-7

    Article  PubMed  Google Scholar 

  • Winter DA (1990) Biomechanics and motor control of human movement, 2nd edn. Wiley, New York

    Google Scholar 

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Holtermann, A., Søgaard, K., Christensen, H. et al. The influence of biofeedback training on trapezius activity and rest during occupational computer work: a randomized controlled trial. Eur J Appl Physiol 104, 983–989 (2008). https://doi.org/10.1007/s00421-008-0853-0

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