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Autonomic regulation, physical activity and perceived stress in subjects with musculoskeletal pain: 24-hour ambulatory monitoring
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0002-2741-1868
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
2012 (English)In: International Journal of Psychophysiology, ISSN 0167-8760, E-ISSN 1872-7697, Vol. 86, no 3, p. 276-282Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to investigate autonomic nervous system regulation, physical activity (PA) and perceived stress and energy during daily activities in subjects with chronic muscle pain in the neck-shoulders (trapezius myalgia) (n = 23) and symptom-free controls (n = 22). Subjects underwent 24-h objective ambulatory monitoring of heart rate variability (HRV) and PA, and reported their perceived stress and energy in a diary. Standard HRV measures were extracted in time and frequency domains. The volume and pattern of different types of activities were quantified in terms of intensity and duration of walking, and time spent sitting, standing and lying during the 24-h measurement. Results showed shortened inter beat-intervals (higher heart rate) and reduced HRV in the pain group, most pronounced during sleep (p < 0.05). For overall PA, the pain group showed increased lying time, compared to controls (p < 0.05). A different activity pattern was found in the pain group, with reduced leisure time PA and increased PA during morning hours, in comparison with controls (p < 0.05). Both groups demonstrated low levels of perceived stress, whereas reduced energy was observed in the pain group (p < 0.05). In conclusion, monitoring of 24-h HRV demonstrated diminished HRV among persons with chronic neck-shoulder pain. This reflected aberration in autonomic regulation, suggesting reduced parasympathetic activation and increased sympathetic tone as an element in maintenance of chronic muscle pain.

Place, publisher, year, edition, pages
2012. Vol. 86, no 3, p. 276-282
Keywords [en]
Daily physical activity; Ambulatory monitoring; Heart rate variability; Trapezius myalgia
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-13210DOI: 10.1016/j.ijpsycho.2012.09.017ISI: 000312521700011Scopus ID: 2-s2.0-84870253720OAI: oai:DiVA.org:hig-13210DiVA, id: diva2:560931
Available from: 2012-10-16 Created: 2012-10-16 Last updated: 2018-03-13Bibliographically approved

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Hallman, DavidLyskov, Eugene

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