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Deep tissue hyperalgesia after computer work.
Vegard Strøm1, Cecilie Røe2,3, Dagfinn Matre1
1National Institute of Occupational Health, 0033, Oslo, Norway.
Scandinavian Journal of Pain
|June 20, 2018
Summary
Computer work can cause shoulder and neck pain by inducing muscle hyperalgesia, suggesting peripheral sensitization. This effect, measured by reduced pressure pain thresholds (PPTs), may involve central sensitization in those with chronic pain.
Area of Science:
- Neuroscience
- Pain Research
- Ergonomics
Background:
- Computer use is widespread, often leading to shoulder and neck pain.
- Peripheral and central sensitization are implicated in chronic pain development.
- Previous work showed simulated computer tasks induce shoulder and neck pain.
Purpose of the Study:
- To investigate if 90-minute computer work induces deep tissue muscle hyperalgesia.
- To assess changes in pressure pain thresholds (PPTs) as an indicator of hyperalgesia.
- To explore the role of sensitization in computer-related pain.
Main Methods:
- 22 subjects with chronic pain and 26 healthy subjects performed a 90-minute standardized computer task.
- Pressure pain thresholds (PPTs) were measured in shoulder and forearm muscles before and after the task.
- PPTs were assessed using a pressure algometer at multiple sites.
Main Results:
- PPTs significantly decreased in shoulder and forearm muscles after computer work in both groups.
- The pain group showed reduced PPTs in the inactive forearm as well.
- No significant intergroup differences in PPT changes were observed, except for the inactive forearm.
Conclusions:
- 90 minutes of computer work can induce deep tissue hyperalgesia, indicating peripheral sensitization.
- Reduced PPTs in distant areas suggest potential central sensitization in chronic pain patients.
- Frequent breaks during demanding computer tasks may prevent pain chronification.
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