Prognostic factors for the effects of two interventions for work-related neck-shoulder complaints: myofeedback training and ergonomic counselling.
OBJECTIVE
To explore prognostic factors for the effects of two interventions (myofeedback training in combination with ergonomic counselling (Mfb/EC) and ergonomic counselling alone (EC)) on discomfort and disability in work-related neck-shoulder complaints.


METHODS
Thirty-six females completed the interventions. Discomfort and disability were assessed at baseline, immediately after the intervention, and at 3-month follow-up. Potential sociodemographic and psychological prognostic factors were assessed using questionnaires. Data were analysed using multiple regression and general linear modelling.


RESULTS
Changes in discomfort were best predicted by baseline discomfort levels. Changes in disability were predicted by baseline disability levels, patient profile, and coping strategy 'ignoring sensations'. A significant difference between the Mfb/EC and EC group was found for coping strategy 'ignoring sensations', which appeared to be a predictor for changes in disability at 3-month follow-up in the Mfb/EC group only.


CONCLUSIONS
Subjects with high levels of initial discomfort and disability and specific psychological patient profiles benefit most from interventions. Myofeedback training contributes a specific quality to those who ignore pain sensations.
Voerman
Gerlienke E
GE
Roessingh Research and Development, P.O. Box 310, 7500 AH Enschede, The Netherlands. g.voerman@rrd.nl
Vollenbroek-Hutten
Miriam M R
MM
Sandsjö
Leif
L
Kadefors
Roland
R
Hermens
Hermie J
HJ
D001676:Biofeedback, Psychology; D003376:Counseling; D006804:Ergonomics; D005260:Female; D006801:Humans; D016014:Linear Models; D008875:Middle Aged; D019547:Neck Pain / Q000534:rehabilitation*; D009784:Occupational Diseases / Q000534:rehabilitation*; D011379:Prognosis; D012044:Regression Analysis; D020069:Shoulder Pain / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome