National Research Centre for the Working Environment, Lersø Parkalle 105, DK 2100 Copenhagen Ø, Denmark.
BMC Musculoskelet Disord. 2011 Jul 22;12:169. doi: 10.1186/1471-2474-12-169.
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.
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'.
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.
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.
ISRCTN60264809.
许多成年人都会经历颈部/肩部不适。虽然研究和治疗策略通常集中在上斜方肌，但其他颈部/肩部肌肉也可能受到影响。本研究旨在评估患有非特异性颈部/肩部疼痛的成年人中肌肉压痛的患病率和解剖位置。
在丹麦哥本哈根的两个大型办公场所进行临床颈部/肩部检查。174 名女性和 24 名男性（年龄 25-65 岁），在过去一年中至少有 30 天出现非特异性颈部/肩部疼痛，疼痛强度至少为改良视觉模拟量表（VAS）的 2 分。排除标准为创伤性损伤或其他严重慢性疾病。使用标准化的 2 公斤指压法，在左侧和右侧的八个解剖学颈部/肩部位置上进行压痛检查，压痛程度分为“无压痛”、“有些压痛”和“严重压痛”。
在女性中，斜方肌上部、颈伸肌和冈下肌的严重压痛患病率最高（18-30%）。相比之下，上斜方肌、枕骨缘和冈上肌的严重压痛患病率为 13-19%。三角肌内侧部的严重压痛患病率最低（0-1%）。在男性中，斜方肌上部的严重压痛患病率为 13-21%，而其余检查部位的严重压痛患病率为 0-8%。
患有非特异性颈部/肩部疼痛的成年人的颈部/肩部复合体的几个解剖部位存在较高的压痛患病率。未来的研究应集中在几个颈部/肩部肌肉上，包括斜方肌上部、颈伸肌和冈下肌，而不仅仅是上斜方肌。
ISRCTN60264809。
