Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-10T05:35:01.513Z Has data issue: false hasContentIssue false

The Cervico-Brachial Pain Syndrome: Muscle Activity and Pain Relief

Published online by Cambridge University Press:  06 October 2014

Ann Bissett*
Affiliation:
Royal Newcastle Hospital
Kenneth R. Mitchell
Affiliation:
University of Newcastle
Gabor Major
Affiliation:
Royal Newcastle Hospital
*
Royal Newcastle Hospital, Newcastle, N.S.W. 2300
Get access

Abstract

The investigators explored whether electromyographic (EMG) mediated biofeedback would help patients with cervico-brachial pain syndrome (CBPS) reduce muscle contraction and aid in pain relief. Twenty seven volunteer subjects with medically diagnosed CBPS were randomly assigned to two groups. The experimental group received EMG biofeedback mediated muscle relaxation of the neck for five, 40 minute sessions. The participants in the other group acted as "wait list" controls, and in turn, received treatment at the end of the study. Pre and post intervention measures consisted of EMG recordings of neck muscle activity; self-report measures of neck and general body relaxation, level of pain intensity, depression, anxiety and functional impairment. The results indicated that neck muscle activity, as measured by EMG, was significantly lower at the end of training. Associated with this reduction were a significant increase in self-reported neck and body relaxation and a significant reduction in the average intensity level of pain experienced by subjects over the pre to post intervention period. No changes were reported for the other measures.

Type
Articles
Copyright
Copyright © The Author(s) 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Bland, J.H., & Nakano, K.K. (1981). Neck pain. In Kelley, W.N., Harris, E.D., Ruddy, S., & Sledge, C. (Eds.), Textbook of rheumatology (Vol 1) (pp. 411440). Philadelphia: W.B. Saunders Company.Google Scholar
Flor, H., Haag, G., Turk, D.C., & Koehler, H. (1983). Efficacy of EMG biofeedback, pseudotherapy, and conventional medical treatment for chronic rheumatic back pain. Pain, 17, 2131.CrossRefGoogle ScholarPubMed
Jacobs, A., & Felton, G.S. (1969). Visual feedback of myoelectric output to facilitate muscle relaxation in normal persons and patients with neck injuries. Archives of Physical Medicine and Rehabilitation, 50, 3439.Google Scholar
Jette, A.M. (1980). Functional capacity evaluation: An empirical approach. Archives of Physical Medicine and Rehabilitation 61, 8589.Google Scholar
Lippold, O. (1967). Electromyography. In Venables, P. & Martin, I. (Eds.), A manual of psychophysiological methods (pp. 245299). New York: Wiley.Google Scholar
Mitchell, K.R. & Munnings, A.(1983). Oste-arthritis: Issues of measurement and management. Proceedings of the Fourth National Conference in Behavioural Medicine, Cumberland College of Health Sciences, Sydney, Australia.Google Scholar
Mitchell, K.R. & Wallis, B. (1984). Patterns of illness behaviour and perceived coping in chronic low back and neck pain patients. Proceedings of the First International Conference on Illness Behaviour, Adelaide, Australia.Google Scholar
Mitchell, K.R. & White, R. (1975). The prevention and self management of anxiety: Self operated manual. Sydney: Psychological Behaviour Associated Press.Google Scholar
Mitchell, K.R. & White, R.G. (1977). Basic Relaxation. Sydney: Psychological Behaviour Associated Press.Google Scholar
Peck, C.L., & Kraft, G.H. (1977). Electromyographic biofeedback for pain related to muscle tension. Archives of Surgery, 112, 889895.CrossRefGoogle ScholarPubMed
Turner, J.A., & Chapman, C.R. (1982). Psychological interventions for chronic pain: A critical review. 1. Relaxation training and biofeedback. Pain, 12, 121.Google Scholar
Turk, D.C., Meichenbaum, D., & Genest, M. (1983). Pain and behavioral medicine. New York: The Guildford Press.Google Scholar
Weisenberg, M. (1977). Pain and pain control. Psychological bulletin, 84, 1008, 1044.Google Scholar