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Published in: European Journal of Applied Physiology 4/2010

01-03-2010 | Original Article

Muscle oxygenation and glycolysis in females with trapezius myalgia during stress and repetitive work using microdialysis and NIRS

Authors: Gisela Sjøgaard, Lars Rosendal, Jesper Kristiansen, Anne K. Blangsted, Jørgen Skotte, Britt Larsson, Björn Gerdle, Bengt Saltin, Karen Søgaard

Published in: European Journal of Applied Physiology | Issue 4/2010

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Abstract

The aim of this investigation was to study female workers active in the labour market for differences between those with trapezius myalgia (MYA) and without (CON) during repetitive pegboard (PEG) and stress (STR) tasks regarding (1) relative muscle load, (2) trapezius muscle blood flow, (3) metabolite accumulation, (4) oxygenation, and (5) pain development. Among 812 female employees (age 30–60 years) at 7 companies with high prevalence of neck/shoulder complaints, clinical examination identified 43 MYA and 19 CON. At rest, during PEG, and STR the trapezius muscle was measured using (1) EMG and MMG, (2) microdialysis, and (3) NIRS. Further, subjective pain ratings were scored (VAS). EMGrms in %MVE (Maximal Voluntary EMG-activity), was significantly higher among MYA than CON during PEG (11.74 ± 9.09 vs. 7.42 ± 5.56%MVE) and STR (5.47 ± 5.00 vs. 3.28 ± 1.94%MVE). MANOVA showed a group and time effect regarding data from the microdialysis: for MYA versus CON group differences demonstrated lower muscle blood flow and higher lactate and pyruvate concentrations. Potassium and glucose only showed time effects. NIRS showed similar initial decreases in oxygenation with PEG in both groups, but only in CON a significant increase back to baseline during PEG. VAS score at rest was highest among MYA and increased during PEG, but not for CON. The results showed significant differences between CON and MYA regarding muscle metabolism at rest and with PEG and STR. Higher relative muscle load during PEG and STR, insufficient muscle blood flow and oxygenation may account for the higher lactate, pyruvate and pain responses among MYA versus CON.
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Metadata
Title
Muscle oxygenation and glycolysis in females with trapezius myalgia during stress and repetitive work using microdialysis and NIRS
Authors
Gisela Sjøgaard
Lars Rosendal
Jesper Kristiansen
Anne K. Blangsted
Jørgen Skotte
Britt Larsson
Björn Gerdle
Bengt Saltin
Karen Søgaard
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
European Journal of Applied Physiology / Issue 4/2010
Print ISSN: 1439-6319
Electronic ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-009-1268-2

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