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European Journal of Applied Physiology

, Volume 118, Issue 7, pp 1481–1492 | Cite as

Association of electromyographic activation patterns with pain and functional disability in people with chronic neck pain

  • Sharon M. H. TsangEmail author
  • Grace P. Y. Szeto
  • Y. F. Xie
  • Raymond Y. W. Lee
Original Article

Abstract

Purpose

This study examined the activation patterns of the cervical and thoracic muscles in people with and without chronic neck pain during functional activities and their associations with pain intensity and functional disability.

Methods

Thirty-four adults with chronic neck pain and 34 asymptomatic adults were recruited. They were requested to perform active cervical movements and an upper limb lifting task. Electromyographic activation patterns (EMG) of bilateral upper trapezius, cervical erector spinae, sternocleidomastoid, and thoracic erector spinae were recorded during these tasks. Correlation and multiple regression analysis were used to examine the associations between EMG variables and severity of pain and functional disability.

Results

When performing the cervical movements, the neck pain group displayed lower EMG activity levels, especially in the cervical and thoracic extensors. In addition, significantly prolonged activation was observed in seven of the ten muscles during the upper limb lifting task. The changes in EMG amplitude and activation duration were found to be significantly correlated with severity of pain (R2 = 0.716) and functional disability (R2 = 0.623).

Conclusions

Significant differences in the activation patterns of multiple cervical and thoracic muscles were found in individuals with neck pain compared with those without neck pain. These were significantly associated with their degree of pain and functional limitation. The findings of this study highlight the importance of assessing and optimising the neuromuscular activation of these muscles in the rehabilitation of those suffering from chronic neck pain.

Keywords

Chronic neck pain Muscle activation Pain intensity Functional disability Cervical movements Upper limb lifting task 

Abbreviations

AS

Asymptomatic

CES

Cervical erector spinae

CMD

Coefficient of multiple determination

Cx

Cervical spine

EMG

Electromyography

ICC

Intraclass correlation coefficient

MCS

Mental Component Score

MIVC

Maximal isometric voluntary contraction

NDI

Neck Disability Index

NP

Neck pain

NPQ

Northwick Park Disability Questionnaire

NPRS

Numeric Pain Rating Scale

PCS

Physical Component Score

SCM

Sternocleidomastoid

SENIAM

Surface electromyography for the non-invasive assessment of muscles

SF-12

Short Form 12 health survey

SMIVC

Sub-maximal isometric voluntary contraction

TES4

Thoracic erector spinae at 4th thoracic spine level

TES9

Thoracic erector spinae at 9th thoracic spine level

Tx

Thoracic spine

UTr

Upper trapezius

Notes

Author contributions

All authors contributed to the preparation and revision of the manuscript. All authors have reviewed and agreed on the revision made in the manuscript.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Rehabilitation ScienceThe Hong Kong Polytechnic UniversityHunghomHong Kong
  2. 2.School of Health and Rehabilitation SciencesUniversity of QueenslandBrisbaneAustralia
  3. 3.Faculty of TechnologyUniversity of PortsmouthPortsmouthUK

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