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Progressive Individualized EMG Biofeedback Training for Women
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, CBF. Högskolan i Gävle, Centrum för belastningsskadeforskning.
Borås Universitet. (MedTech/Schook of Engineering)
Umeå Universitet. (Department of Community Medicine and Rehabilitation)
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Arbetshälsovetenskap. Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, CBF.ORCID-id: 0000-0001-7543-4397
2012 (Engelska)Konferensbidrag, Enbart muntlig presentation (Övrigt vetenskapligt)
Abstract [en]

INTRODUCTION: The use of EMG biofeedback in workplace ergonomic intervention is well established. Its systematic application in tailored neck pain rehabilitation is, however, less developed.

AIM: To introduce a tailored and gradually progressive biofeedback training program for trapezius myalgia and to assess the feasibility and the subjective experience of the program.

METHODS: The study  sample was a subgroup in an ongoing randomized controlled trial (RCT) to evaluate 11- weeks of individualized neck pain rehabilitation in women  with  at least six weeks of work related nonspecific neck pain (target number of participants 105, ISRCTN49348025). The intervention period included 27 treatment sessions. The treatment decision model for the individualization of the RCT included five main treatment components of which biofeedback training was one. Each subject  was assigned two treatment components at minimum. Criterion for being assigned biofeedback training was a diagnosis of trapezius myalgia and a cut off level of pain pressure threshold, defined by previous cross sectional data. The biofeedback treatment program consisted of eight standardized exercises with  gradual progression of difficulty level followed by functional training in specific tasks individualized for each subject. The latter were disentangled with the Problem Elicitation Technique  (Bakker et al. 1995) and indicated the a ctivities that  were most important to the individual and most difficult to do because of the neck pain. In the functional training, principles of motor learning  were applied in order to enhance retention of the training tasks and transfer to new tasks and environments. The ability to perform three  standardized biofeedback exercises and the elinica I applicability of the individualized program was evaluated by subjects and therapists (n=4).

RESULTS: Preliminary result from the therapist evaluation shows a positive opinion about  the biofeedback program. To date, 60% of the 105 subjects planned for the RCT have been recruited. Based on the number of subjects fulfilling the criterion so far for biofeedback training, we expect the final sample to be around 18 subjects. Results will be ready in June 2012.

CONCLUSION: This study will provide valuable information on the feasibility and applicability of gradually progressive biofeedback training as part of an intervention program addressing work related non-specific neck pain.

REFERENCE:

Bakker C., van der Linden S., van Santen-Hoeufft M., Bolwijn  P., Hidding A. Problem elicitation to assess patient priorities in ankylos ing spondylitis and fibromyalgia. J. Rheumatol. 1995 Jul;22(7):1304-1

 

Ort, förlag, år, upplaga, sidor
2012. s. 75-
Nyckelord [en]
EMG biofeedback, rehabilitation, neckpain
Nationell ämneskategori
Annan medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:hig:diva-12831ISBN: 978-0-646-58228-3 (tryckt)OAI: oai:DiVA.org:hig-12831DiVA, id: diva2:553188
Konferens
International society of electrophysiology and kinesiology, ISEK 2012, 19-21 July 2012, Brisbane, Australia
Tillgänglig från: 2012-09-18 Skapad: 2012-09-10 Senast uppdaterad: 2018-04-05Bibliografiskt granskad

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Svedmark, ÅsaBjörklund, Martin

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