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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Fältnamn	Indikatorer	Metadata
000		04381naa a2200433 4500
001		oai:gup.ub.gu.se/116926
003		SwePub
008		240528s2007 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:research.chalmers.se:3b527dff-d16e-467c-809a-8ee938b3f014
024	7	a https://gup.ub.gu.se/publication/1169262 URI
024	7	a https://research.chalmers.se/publication/1169262 URI
040		a (SwePub)gud (SwePub)cth
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Voerman, G4 aut
245	1 0	a Changes in cognitive-behavioral factors and muscle activation patterns after interventions for work-related neck-shoulder complaints: Relations with discomfort and disability
264	1	c 2007
520		a 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.
650	7	a SAMHÄLLSVETENSKAPx Psykologix Tillämpad psykologi0 (SwePub)501022 hsv//swe
650	7	a SOCIAL SCIENCESx Psychologyx Applied Psychology0 (SwePub)501022 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Arbetsmedicin och miljömedicin0 (SwePub)303032 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Occupational Health and Environmental Health0 (SwePub)303032 hsv//eng
653		a Myofeedback
653		a Neck-shoulder complaints
653		a Working mechanism
653		a Coping
653		a Muscle activation
653		a Neck-shoulder complaints
700	1	a Sandsjö, Leif,d 1958u Gothenburg 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 Technology4 aut0 (Swepub:cth)leifsa
700	1	a Vollenbroek-Hutten, M4 aut
700	1	a Larsman, Pernilla,d 1976u Gothenburg University,Göteborgs universitet,Psykologiska institutionen,Department of Psychology,University of Gothenburg4 aut0 (Swepub:gu)xlperi
700	1	a Kadefors, Roland,d 1939u Gothenburg University,Göteborgs universitet,Institutionen för arbetsvetenskap,Department of Work Science,University of Gothenburg4 aut0 (Swepub:gu)xkadro
700	1	a Hermens, H4 aut
710	2	a Göteborgs universitetb Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa4 org
773	0	t Journal of Occupational Rehabilitationg 17, s. 593-609q 17<593-609
856	4 8	u https://gup.ub.gu.se/publication/116926
856	4 8	u https://research.chalmers.se/publication/116926

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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 ...

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