Journal article
Stress management as an adjunct to physical therapy for chronic neck pain
Physical therapy, Vol.92(10), pp.1348-1359
10/2012
DOI: 10.2522/ptj.20110489
PMCID: PMC3461134
PMID: 22700538
Abstract
Chronic neck pain is prevalent in the workplace. Research suggests that psychosocial stress may contribute to the development of neck pain by causing excessive or prolonged muscle activity in some individuals. The purpose of this case report is to describe the rationale, development, and implementation of stress management as an adjunct to standard physical therapist management of chronic neck pain in a female office worker who responded to psychosocial stress with elevated muscle activity prior to treatment.
A 44-year-old female office employee with an 8-year history of chronic neck pain participated in this case report. The patient was selected from a group of research participants who demonstrated elevated electromyographic (EMG) activity of the trapezius muscle in response to simulated occupational stressors. The multidisciplinary intervention consisted of 8 physical therapy sessions, supplemented by 8 stress management sessions that included EMG biofeedback and psychotherapy to facilitate muscle relaxation.
Neck disability decreased by 50%, trait anxiety decreased by 21%, and the duration of trapezius muscle rest in the workplace increased by 56% immediately after the 8-week intervention. These improvements were maintained 6 months after treatment, and the patient reported a complete absence of neck disability at the 2-year follow-up assessment.
A sustained reduction in neck disability was observed for a patient with chronic neck pain after participating in a multidisciplinary intervention that combined physical therapy and stress management approaches to facilitate muscle relaxation in the workplace. Future clinical trials are needed to assess whether stress management is a useful adjunct therapy for patients with chronic neck pain who show elevated muscle activity in response to psychosocial stress.
Details
- Title: Subtitle
- Stress management as an adjunct to physical therapy for chronic neck pain
- Creators
- Angela K Bruflat - Rehabilitation Therapy Program, University of Colorado Hospital, Aurora, Colorado 80045, USAJaclyn E BalterDenise McGuireNathan B FethkeKatrina S Maluf
- Resource Type
- Journal article
- Publication Details
- Physical therapy, Vol.92(10), pp.1348-1359
- DOI
- 10.2522/ptj.20110489
- PMID
- 22700538
- PMCID
- PMC3461134
- NLM abbreviation
- Phys Ther
- ISSN
- 0031-9023
- eISSN
- 1538-6724
- Publisher
- United States
- Grant note
- KL2 TR001080 / NCATS NIH HHS R01AR056704 / NIAMS NIH HHS KL2 RR025779 / NCRR NIH HHS KL2RR025779 / NCRR NIH HHS R01 AR056704 / NIAMS NIH HHS
- Language
- English
- Date published
- 10/2012
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Occupational and Environmental Health; Industrial and Systems Engineering; Injury Prevention Research Center
- Record Identifier
- 9983997304602771
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