Myotel: Adressing Motor Behavior in Neck Shoulder Pain by Assessing and Feedback Semg in the Daily (work) Environment

INTRODUCTION Subjects with chronic pain differ in motor behavior especially with a decreased ability to relax their muscles. As subjects are often not aware of this, feedback on the absence of muscle relaxation during daily activities might be of potential. A myofeedback system has been developed that assesses muscle relaxation in an ambulant way during daily activities and provides continuous feedback to the subject. Positive effects were shown in several studies in subject with neck-shoulder pain. To improve access to the service and increase its efficiency, the system was further developed into a tele-treatment system (RSMT). With this system, subjects can view their muscle activation patterns on a PDA. Besides, the PDA automatically sends the data via GPRS to a secured sever, which is remotely accessible for the therapist, anytime and anywhere. This enables remote (e-) counseling. The objective of this study was to examine the RMST on technical efficacy for clinical use and explore changes in clinical outcome.