VEIERSTED KB, WESTGAARDRH, ANDERSEN P. Electromyographic evaluation of muscular work pattern as a predictor of trapezius myalgia. Scand J Work En viron Health 1993;19:284-90. Electromyographic (EMG) measurements and interviews concerning muscular pain and disability were performed prospectively every 10th week on 30 healthy new female employees of a chocolate manufacturing plant. The static muscle activity and rate of short unconscious interruptions in EMG activity (EMG gaps) of the trapezius muscle during repetitive work tasks were evaluated as possible risk factors for patient status with trapezius myalgia. At the start of employment, the static and median contraction levels were significantly higher in future patients than in the rest of the subjects (nonpatients). In subsequent recordings these values were reduced to the level of the nonpatients. Throughout the study, the future patients had a lower frequency of EMG gaps than the nonpatients. A regression analysis showed a significant value for a low rate of EMG gaps to predict future patient status.Key terms: muscle activity pauses, neck and shoulder disorder, prospective design, repetitive work load, static work load.Occupations with maintained po stures and repetiti ve work tasks are commonly coupled to a high pre valence of neck and shoulder di so rders ( I , 2). Crosssectional studies have shown that pat ients with trapezius myalgia use their muscles at a higher static level than healthy subj ec ts do (3-5). Subjects who ha ve suffered mu scle pain on a previou s occasion, but not during a recording sess ion, have also shown a higher static electromyographic (EMG) level than subj ec ts without sy mptoms (6) . Subjects who hav e experienced muscular pa in ha ve dem onstrated fewer short, uncon sc iou s interruptions in EMG activ ity (EM G "gaps," with a duration of 0.2-2 s) during repetitive work task s than healthy subjects (6). A previous prospective study of the relation bet ween muscular effort during work and subs eque nt pain used video recordings as indirect measurements of mu scle lo ad (7). It found th at relative time with elevated shoulders and a flexed neck was a risk fa ctor.Th e present report is the fir st pr ospecti ve study wi th direct measurements of oc cupati onal mu scular activi ty and an asse ssment of mu scular pain. The development of mu scular pain and subjectively assessed risk factors for trapezius myalgia among workers with rep etitive light manu al wor k in the sa me manufacturing plant ha ve been described elsewhere (2, 8).
284Th e main purpose of thi s paper was to analyze the ass ocia tion between the le vel and pattern of mu scl e usage du ring the performance of a stereotyped job and the development of trapezius myalgia.
Subjects and methods
Subje ctsFifty-five fem ale workers hired consec utively by a chocolate manufacturing company were included in the study as the y started their employ me nt. Except for three subjects who declined to participate , all of the subjects signed an in formed consent form. The study was ...