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.
Similar content being viewed by others
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
Alexander CM, Harrison PJ (2003) Reflex connections from forearm and hand afferents to shoulder girdle muscles in humans. Exp Brain Res 148:277–282
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
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
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
Basmajian JV, De Luca CJ (1985) Muscles alive: their functions revealed by electromyography. Williams & Wilkins, Baltimore
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
Waersted M, Westgaard RH (1996) Attention-related muscle activity in different body regions during VDU work with minimal physical activity. Ergonomics 39:661–676
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
Winter DA (1990) Biomechanics and motor control of human movement, 2nd edn. Wiley, New York
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
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
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00421-008-0853-0