Changes in cognitive-behavioral factors and muscle activation patterns after interventions for work-related neck-shoulder complaints: Relations with discomfort and disability

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Voerman, G (författare)

Changes in cognitive-behavioral factors and muscle activation patterns after interventions for work-related neck-shoulder complaints: Relations with discomfort and disability

Artikel/kapitelEngelska2007

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2007

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LIBRIS-ID:oai:gup.ub.gu.se/116926
https://gup.ub.gu.se/publication/116926URI
https://research.chalmers.se/publication/116926URI

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Språk:engelska

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Objectives: Knowledge regarding the working mechanism of an intervention is essential for obtaining a better understanding of the intervention and contributes to optimize its outcome. This study aimed at investigating whether changes in cognitive-behavioral factors and muscle activation patterns after myofeedback training and ergonomic counseling were associated with outcome, in subjects with work-related musculoskeletal neck-shoulder complaints. Methods: Seventy-nine symptomatic subjects received either myofeedback with ergonomic counseling (Mfb/EC) or ergonomic counseling alone (EC). Outcome measures discomfort and disability, and process factors catastrophizing, pain control, fear-avoidance beliefs, and muscle activation patterns were assessed at baseline, after the interventions (T0), and at 3 months follow-up (T3). Mixed modeling techniques were used for analysis. Results: Outcome in terms of discomfort and disability was generally comparable between both interventions. Catastrophizing was significantly reduced and fear-avoidance beliefs about work slightly increased after the interventions, but no consistent changes in muscle activation patterns were observed. Changes in discomfort were especially associated with changes in catastrophizing at T0 and T3, but R2 was low (\0.14). Reduced catastrophizing at T0 and T3, and also reduced fear-avoidance beliefs about work at T3, were related to reduced disability (R2 between 0.30 and 0.40). No differences between the two intervention groups were observed. Conclusions: Intervention effects were generally non-specific and findings suggested that cognitive-behavioral factors underlie the outcome of these interventions rather than changes in muscle activation patterns. Emphasizing these factors during therapy may increase the beneficial outcome of occupational interventions.

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsmedicin och miljömedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Health and Environmental Health hsv//eng
Myofeedback
Neck-shoulder complaints
Working mechanism
Coping
Muscle activation
Neck-shoulder complaints

Biuppslag (personer, institutioner, konferenser, titlar ...)

Sandsjö, Leif,1958Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,University of Gothenburg,Chalmers tekniska högskola,Chalmers University of Technology(Swepub:cth)leifsa (författare)
Vollenbroek-Hutten, M (författare)
Larsman, Pernilla,1976Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology,University of Gothenburg(Swepub:gu)xlperi (författare)
Kadefors, Roland,1939Gothenburg University,Göteborgs universitet,Institutionen för arbetsvetenskap,Department of Work Science,University of Gothenburg(Swepub:gu)xkadro (författare)
Hermens, H (författare)
Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

Sammanhörande titlar

Ingår i:Journal of Occupational Rehabilitation17, s. 593-609

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Av författaren/redakt...: Voerman, G; Sandsjö, Leif, 1 ...; Vollenbroek-Hutt ...; Larsman, Pernill ...; Kadefors, Roland ...; Hermens, H

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SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi; och Tillämpad psykol ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Arbetsmedicin oc ...

Artiklar i publikationen: Journal of Occup ...

Av lärosätet: Göteborgs universitet; Chalmers tekniska högskola

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