Worsening of neck and shoulder complaints in humans are correlated with frequency parameters of electromyogram recorded 1-year earlier |
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Authors: | Lundblad I Elert J Gerdle B |
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Institution: | Occupational Health Care, Scania Partner AB, S?dert?lje, Sweden. |
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Abstract: | The aim was to investigate whether output and electromyogram (EMG) variables obtained from an isokinetic endurance test of
the shoulder flexor muscles of 23 women with neck and shoulder problems in a car and truck industry correlated with improvement
or worsening of complaints 1 year later. Each subject performed 100 maximal isokinetic shoulder forward flexions at 60° · s−1. Surface EMG of the trapezius, deltoid, biceps brachii and infraspinatus muscles and mechanical output (peak torque) were
determined for each contraction. The EMG was used to determine mean frequency f
mean and the ratio between the signal amplitudes of the EMG of the passive relaxation and active flexion parts of each contraction
cycle (SAR). The subjects also rated the degree of fatigue they experienced throughout the test. The magnitude of the shift
in f
mean was correlated with whether improvement or worsening occurred for complaints in the neck and or shoulders; a significant
relationship (r
2 = 0.44; P = 0.001) existed between the total frequency shift of the four muscles and the variables measuring improvement in complaints.
In the multivariate predictions other f
mean variables and perception of fatigue were also of significance. The present study would indicate that a high degree of f
mean shift correlates with improvement in neck and shoulder complaints 1 year later. One possible reason could be that f
mean reflects the muscle morphology and/or a pathological situation for the type-1 muscle fibres.
Accepted: 27 May 1998 |
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Keywords: | Electromyogram Mean frequency Neck and shoulder problems Prospective study Signal amplitude ratio |
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