ArticleInternational archives of occupational and environmental health2014
Changes in physical activity and heart rate variability in chronic neck-shoulder pain: monitoring during work and leisure time.
Article in International archives of occupational and environmental health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of High Intensity Interval Exercise on Pain,Disability, and Autonomic Nervous System on Chronic Low Back Pain Patients
Autonomic Recalibration Approach to Myofascial Pain Elimination
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Exercise and Heart Rate Variability in Chronic Musculoskeletal Pain: A Systematic Review.Sports medicine - open · 2025Pooled it
- Ecological Momentary Assessment Methodology in Chronic Pain Research: A Systematic Review.The journal of pain · 2018Pooled it
- Modulation of Heart Rate Variability following PAP Ion Magnetic Induction Intervention in Subjects with Chronic Musculoskeletal Pain: A Pilot Randomized Controlled Study.International journal of environmental research and public health · 2023Trial
- The effect of spinal manipulative therapy and home stretching exercises on heart rate variability in patients with persistent or recurrent neck pain: a randomized controlled trial.Chiropractic & manual therapies · 2021Trial
- Comparison between Two Low Doses of Amitriptyline in the Management of Chronic Neck Pain: A Randomized, Double-Blind, Comparative Study.Pain research & management · 2021Trial
- Beyond the Scale: Health-Related Quality of Life and Weight Loss in a 12-Month Digital Lifestyle Intervention.Obesity facts · 2026Article
- The Relationship between Heart Rate Variability, Pain Intensity, Pain Catastrophizing, Disability, Quality of Life and Range of Cervical Motion in Patients with Chronic Non-Specific Neck Pain: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Association of objectively measured lifting load with low-back pain, stress, and fatigue: A prospective cohort study.Scandinavian journal of work, environment & health · 2024Article
- Effects of consecutive workdays and days off on low back pain, fatigue and stress: prospective cohort study among warehouse and construction workers.Occupational and environmental medicine · 2023Article
- Article
- The Temporal Relationship Between Ecological Pain and Life-Space Mobility in Older Adults With Knee Osteoarthritis: A Smartwatch-Based Demonstration Study.JMIR mHealth and uHealth · 2021Article
- Stress-Related Responses to Alternations between Repetitive Physical Work and Cognitive Tasks of Different Difficulties.International journal of environmental research and public health · 2020Article
- Evaluation of a novel intervention to improve physical activity for adults with whiplash associated disorders: Protocol for a multiple-baseline, single case experimental study.Contemporary clinical trials communications · 2019Article
- Assessing physiological response mechanisms and the role of psychosocial job resources in the physical activity health paradox: study protocol for the Flemish Employees' Physical Activity (FEPA) study.BMC public health · 2019Article
- The relationship between chest pain intensity and physiological indicators after coronary artery bypass grafting: A correlational study.Turk gogus kalp damar cerrahisi dergisi · 2019Article
- Objectively Measured Sitting and Standing in Workers: Cross-Sectional Relationship with Autonomic Cardiac Modulation.International journal of environmental research and public health · 2019Article
- Effects of spinal cord stimulation on heart rate variability in patients with Failed Back Surgery Syndrome.PloS one · 2019Observational
- Targeting the Autonomic Nervous System Balance in Patients with Chronic Low Back Pain Using Transcranial Alternating Current Stimulation: A Randomized, Crossover, Double-Blind, Placebo-Controlled Pilot Study.Journal of pain research · 2019Article
- Presenteeism, stress resilience, and physical activity in older manual workers: a person-centred analysis.European journal of ageing · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesNeck-shoulder pain (NSP) is a common work-related musculoskeletal disorder with unclear mechanisms. Changes in physical activity and autonomic nervous system regulation may be involved in the pathogenesis of chronic NSP. The aim of the current study was to investigate autonomic regulation in relation to physical activity and perceived symptoms during work and leisure time among workers with chronic NSP (n = 29) as compared to a healthy control group (CON, n = 27).
methodsPhysical activity was objectively monitored for 7 days using accelerometry. Beat-to-beat heart rate was collected continuously for 72 h, with simultaneous momentary ratings of pain, stress, and fatigue. Duration of sitting/lying, standing and walking, number of steps, and energy expenditure were used as measures of physical activity. Heart rate variability (HRV) indices were extracted in time and frequency domains as reflecting autonomic regulation. Data were divided into work hours, leisure time, and sleep.
resultsThe NSP group rated higher levels of stress and fatigue at work and leisure, and reduced sleep quality as compared to CON. Elevated heart rate and reduced HRV were found in NSP compared with CON, especially during sleep. The NSP group demonstrated a different pattern of physical activity than CON, with a lower activity level in leisure time. Higher physical activity was associated with increased HRV in both groups.
conclusionChanges in HRV reflected an autonomic imbalance in workers with chronic musculoskeletal pain. This can be explained by reduced physical activity in leisure time. Intervention studies aimed at increasing physical activity may shed further light on the association between autonomic regulation and physical activity in work-related NSP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.