{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:30:06Z","timestamp":1782779406640,"version":"3.54.5"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,8,27]],"date-time":"2017-08-27T00:00:00Z","timestamp":1503792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004928","name":"Danske Fysioterapeuter","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004928","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Previous studies have indicated that neck pain patients feel increased symptoms following upper limb activities, and altered axioscapular muscle function has been proposed as a contributing factor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pain sensitivity and muscle activity, during arm movements, were assessed in neck pain patients and controls. Patients with ongoing insidious\u2010onset neck pain (<jats:styled-content style=\"fixed-case\">IONP<\/jats:styled-content>,<jats:italic> N<\/jats:italic>\u00a0=\u00a016) and whiplash\u2010associated disorders (<jats:styled-content style=\"fixed-case\">WAD<\/jats:styled-content>,<jats:italic> N<\/jats:italic>\u00a0=\u00a09) were included along with sex\u2010 and age\u2010matched controls (<jats:italic>N<\/jats:italic>\u00a0=\u00a025). Six series of repeated arm abductions were performed during electromyographic (<jats:styled-content style=\"fixed-case\">EMG<\/jats:styled-content>) recordings from eight bilateral muscles. The first and last three series were separated by 8 min and 42 s, respectively. Each series consisted of three slow and three fast movements. Pressure pain thresholds (<jats:styled-content style=\"fixed-case\">PPT<\/jats:styled-content>s) were recorded bilaterally from neck, head and arm at baseline, after the third and sixth movement series. Pain intensity was recorded on an electronic visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Larger pain areas and higher <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> scores were found in patients compared with controls (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001), and in patients, the <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> scores increased in the course of movements (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.02). <jats:styled-content style=\"fixed-case\">PPT<\/jats:styled-content>s were lower in patients compared with controls at all sites (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.03), and these decreased during arm movements in the <jats:styled-content style=\"fixed-case\">IONP<\/jats:styled-content> group (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.03), while increasing at head and neck sites in controls (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.04). During the slow movements, increasing serratus anterior <jats:styled-content style=\"fixed-case\">EMG<\/jats:styled-content> activity was found in the series with short breaks in\u2010between for the <jats:styled-content style=\"fixed-case\">WAD<\/jats:styled-content> group compared with <jats:styled-content style=\"fixed-case\">IONP<\/jats:styled-content> and controls (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Axioscapular movement caused different responses in pain sensitivity and muscle activity between neck pain patient groups compared with controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>Neck pain patients report increased symptoms following upper limb activities. This study shows that repeated arm movements caused differentiated responses in pain sensitivity and muscle activity between subgroups of neck pain patient and asymptomatic controls. Such findings may be of great clinical significance when planning rehabilitation for this patient population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.1088","type":"journal-article","created":{"date-parts":[[2017,8,28]],"date-time":"2017-08-28T04:23:06Z","timestamp":1503894186000},"page":"1763-1771","source":"Crossref","is-referenced-by-count":24,"title":["Altered pain sensitivity and axioscapular muscle activity in neck pain patients compared with healthy controls"],"prefix":"10.1002","volume":"21","author":[{"given":"S.W.","family":"Christensen","sequence":"first","affiliation":[{"name":"Department of Health Science and Technology, SMI Aalborg University Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.P.","family":"Hirata","sequence":"additional","affiliation":[{"name":"Department of Health Science and Technology, SMI Aalborg University Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Graven\u2010Nielsen","sequence":"additional","affiliation":[{"name":"Center for Neuroplasticity and Pain (CNAP) SMI, Dept. 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