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Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain

BACKGROUND: Many adults experience bothersome neck/shoulder pain. While research and treatment strategies often focus on the upper trapezius, other neck/shoulder muscles may be affected as well. The aim of the present study is to evaluate the prevalence and anatomical location of muscle tenderness i...

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Autores principales: Andersen, Lars L, Hansen, Klaus, Mortensen, Ole S, Zebis, Mette K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3161919/
https://www.ncbi.nlm.nih.gov/pubmed/21777478
http://dx.doi.org/10.1186/1471-2474-12-169
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author Andersen, Lars L
Hansen, Klaus
Mortensen, Ole S
Zebis, Mette K
author_facet Andersen, Lars L
Hansen, Klaus
Mortensen, Ole S
Zebis, Mette K
author_sort Andersen, Lars L
collection PubMed
description BACKGROUND: Many adults experience bothersome neck/shoulder pain. While research and treatment strategies often focus on the upper trapezius, other neck/shoulder muscles may be affected as well. The aim of the present study is to evaluate the prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain. METHODS: Clinical neck/shoulder examination at two large office workplaces in Copenhagen, Denmark. 174 women and 24 men (aged 25-65 years) with nonspecific neck/shoulder pain for a duration of at least 30 days during the previous year and a pain intensity of at least 2 on a modified VAS-scale of 0-10 participated. Exclusion criteria were traumatic injuries or other serious chronic disease. Using a standardized finger pressure of 2 kg, palpable tenderness were performed of eight anatomical neck/shoulder locations in the left and right side on a scale of 'no tenderness', 'some tenderness' and 'severe tenderness'. RESULTS: In women, the levator scapulae, neck extensors and infraspinatus showed the highest prevalence of severe tenderness (18-30%). In comparison, the prevalence of severe tenderness in the upper trapezius, occipital border and supraspinatus was 13-19%. Severe tenderness of the medial deltoid was least prevalent (0-1%). In men, the prevalence of severe tenderness in the levator scapulae was 13-21%, and ranged between 0-8% in the remainder of the examined anatomical locations. CONCLUSIONS: A high prevalence of tenderness exists in several anatomical locations of the neck/shoulder complex among adults with nonspecific neck/shoulder pain. Future research should focus on several neck/shoulder muscles, including the levator scapulae, neck extensors and infraspinatus, and not only the upper trapezius. TRIAL REGISTRATION: ISRCTN60264809
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spelling pubmed-31619192011-08-26 Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain Andersen, Lars L Hansen, Klaus Mortensen, Ole S Zebis, Mette K BMC Musculoskelet Disord Research Article BACKGROUND: Many adults experience bothersome neck/shoulder pain. While research and treatment strategies often focus on the upper trapezius, other neck/shoulder muscles may be affected as well. The aim of the present study is to evaluate the prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain. METHODS: Clinical neck/shoulder examination at two large office workplaces in Copenhagen, Denmark. 174 women and 24 men (aged 25-65 years) with nonspecific neck/shoulder pain for a duration of at least 30 days during the previous year and a pain intensity of at least 2 on a modified VAS-scale of 0-10 participated. Exclusion criteria were traumatic injuries or other serious chronic disease. Using a standardized finger pressure of 2 kg, palpable tenderness were performed of eight anatomical neck/shoulder locations in the left and right side on a scale of 'no tenderness', 'some tenderness' and 'severe tenderness'. RESULTS: In women, the levator scapulae, neck extensors and infraspinatus showed the highest prevalence of severe tenderness (18-30%). In comparison, the prevalence of severe tenderness in the upper trapezius, occipital border and supraspinatus was 13-19%. Severe tenderness of the medial deltoid was least prevalent (0-1%). In men, the prevalence of severe tenderness in the levator scapulae was 13-21%, and ranged between 0-8% in the remainder of the examined anatomical locations. CONCLUSIONS: A high prevalence of tenderness exists in several anatomical locations of the neck/shoulder complex among adults with nonspecific neck/shoulder pain. Future research should focus on several neck/shoulder muscles, including the levator scapulae, neck extensors and infraspinatus, and not only the upper trapezius. TRIAL REGISTRATION: ISRCTN60264809 BioMed Central 2011-07-22 /pmc/articles/PMC3161919/ /pubmed/21777478 http://dx.doi.org/10.1186/1471-2474-12-169 Text en Copyright ©2011 Andersen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Andersen, Lars L
Hansen, Klaus
Mortensen, Ole S
Zebis, Mette K
Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
title Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
title_full Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
title_fullStr Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
title_full_unstemmed Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
title_short Prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
title_sort prevalence and anatomical location of muscle tenderness in adults with nonspecific neck/shoulder pain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3161919/
https://www.ncbi.nlm.nih.gov/pubmed/21777478
http://dx.doi.org/10.1186/1471-2474-12-169
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