Myofeedback training and intensive muscular strength training to decrease pain and improve work ability among female workers on long-term sick leave with neck pain: a randomized controlled trial
Artikel i vetenskaplig tidskrift, 2011

Abstract The theoretical framework is that muscle tension in the neck is related to insufficient muscular rest and is a risk factor for chronic pain and reduced work ability. Promoting muscle strength and muscle rest may increase work ability and reduce neck pain. Objectives To test whether myofeedback training or intensive strength training leads to decreased pain and increased work ability in women on long-term sick leave. Methods This is a randomized controlled trial of two 1-month interventions with myofeedback or muscular strength training in the home environment. Female human service organization workers (n = 60) on long-term (>60 days) sick leave and with chronic neck pain were followed with self-reported and laboratory-observed data of health, pain, muscular activation, and work ability, at baseline, immediately after the intervention and 3 months after baseline. Results For both intervention groups, pain was lowered over time compared with the control group. Decreased pain and muscular activity was associated with increased self-rated work ability and with laboratory-observed work ability at 3-month follow-up. Decreased pain was also associated with increased self-rated work ability at 1-month follow-up. Muscular strength training was associated with increased self-rated work ability and mental health. Myofeedback was associated with increased observed work ability and self- rated vitality. Conclusions The two interventions showed positive results, suggesting that they could be developed for use in health care practice to address pain and work ability. The intensive muscular strength training program, which is both easy to conduct at home and easy to coach, was associated with increased work ability.

Electromyography

Middle Aged

Humans

Biofeedback

Hand Strength/physiology

Health Status

Treatment Outcome

Resistance Training/*methods

Skeletal/physiology

*Sick Leave

Occupational Diseases/physiopathology/*rehabilitation

Psychology

Female

Occupational Therapy/*methods

Neck Pain/physiopathology/*rehabilitation

Adult

Muscle

*Relaxation Therapy

Författare

Lotta Dellve

Göteborgs universitet

Linda Ahlstrom

Göteborgs universitet

Andreas Jonsson

Göteborgs universitet

Leif Sandsjö

Göteborgs universitet

M. Forsman

Agneta Lindegård Andersson

Christina Ahlstrand

Göteborgs universitet

Roland Kadefors

Göteborgs universitet

Mats Hagberg

Göteborgs universitet

International Archives of Occupational and Environmental Health

0340-0131 (ISSN) 1432-1246 (eISSN)

Vol. 84 335-46

Ämneskategorier

MEDICIN OCH HÄLSOVETENSKAP

DOI

10.1007/s00420-010-0568-5