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Electromyographic Biofeedback for Pain Related to Muscle Tension: A Study of Tension Headache, Back, and Jaw Pain

Electromyographic Biofeedback for Pain Related to Muscle Tension: A Study of Tension Headache,... Abstract • We review the literature on the application of electromyographic (EMG) biofeedback to tension-related headaches, back and shoulder pain, and temporomandibular joint (TMJ) pain and present clinical treatment data on 18 patients with tension headaches, eight patients with back and shoulder pain, and six patients with TMJ pain. Electromyographic tension levels declined in all groups of patients; pain declined significantly in 12 of 18 patients with tension headaches and one of eight back pain patients, and decreased slightly in three headache patients, three back and shoulder pain patients, and two patients with TMJ pain. Conclusions suggest that EMG biofeedback is generally more effective in treating tension headaches, but much less effective in the treatment of back, shoulder, or jaw pain, although the numbers of patients are small in the latter two groups. (Arch Surg 112:889-895, 1977) References 1. Miller NE: Learning of visceral and glandular responses . Science 163:434-435, 1969.Crossref 2. Budzynski T, Stoyva J, Adler C: Feedback-induced muscle relaxation: Application to tension headaches . J Behav Ther Exp Psychiatry 1:205-211, 1970.Crossref 3. Wickramasekera I: Electromyographic feedback training and tension headache: Preliminary observations . Am J Clin Hypn 15:83-85, 1972.Crossref 4. Wickramasekera I: The application of verbal instructions and EMG feedback training to the management of tension headaches: Preliminary observations . Headache 13:74-75, 1973.Crossref 5. Budzynski TH, Stoyva JM, Adler CS, et al: EMG biofeedback and tension headache: A controlled-outcome study . Psychosom Med 35:484-496, 1973.Crossref 6. Cox DJ, Fruendlich A, Meyer RG: Differential effectiveness of electromyographic feedback, verbal relaxation instructions and medication placebo with tension headaches . J Consult Clin Psychol 43:892-898, 1975.Crossref 7. Jacobs A, Felton GS: Visual feedback of myoelectric output to facilitate muscle relaxation in normal persons and patients with neck injuries . Arch Phys Med Rehabil 50:34-39, 1969. 8. Budzynski TH, Stoyva JM: A biofeedback technique for teaching voluntary relaxation of the masseter . J Dent Res 52:116-119, 1973.Crossref 9. Mulhall DJ, Todd RW: Deconditioning by the use of the EMG signals . Behav Ther 6:125-127, 1975.Crossref 10. Fowler R: Biofeedback treatment for jaw pain associated with chronic masseter tension. Read before the Symposium on Temporomandibular Joint Problems: Brologic Diagnosis and Treatment, Seattle, November 1973. 11. Brundy J, Brynbaum B, Korein J: Spasmodic torticollis: Treatment by feedback display of the EMG . Arch Phys Med Rehabil 55:403-408, 1974. 12. Fowler R, Kraft G: Tension perception in patients having pain associated with chronic muscle tension . Arch Phys Med Rehabil 55:28-30, 1974. 13. Cleeland CS: Behavioral techniques in the modification of spasmodic torticollis . Neurology 23:1241-1247, 1973.Crossref 14. Fordyce WE: An operant conditioning method for managing chronic pain . Postgrad Med 6:123-128, 1973. 15. Kraft GH: Treatment strategies of operant conditioning in rehabilitation . J Occup Med 17:658-662, 1975. 16. Reinking R, Hutchings D: Tension headaches: What method is most effective? Read before the 7th annual meeting of the Biofeedback Research Society, Colorado Springs, Colo, March 1976. 17. Schwartz GE: Biofeedback, self-regulation, and the patterning of physiological processes . Am Sci 63:314-324, 1975. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Electromyographic Biofeedback for Pain Related to Muscle Tension: A Study of Tension Headache, Back, and Jaw Pain

Archives of Surgery , Volume 112 (7) – Jul 1, 1977

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370070103017
Publisher site
See Article on Publisher Site

Abstract

Abstract • We review the literature on the application of electromyographic (EMG) biofeedback to tension-related headaches, back and shoulder pain, and temporomandibular joint (TMJ) pain and present clinical treatment data on 18 patients with tension headaches, eight patients with back and shoulder pain, and six patients with TMJ pain. Electromyographic tension levels declined in all groups of patients; pain declined significantly in 12 of 18 patients with tension headaches and one of eight back pain patients, and decreased slightly in three headache patients, three back and shoulder pain patients, and two patients with TMJ pain. Conclusions suggest that EMG biofeedback is generally more effective in treating tension headaches, but much less effective in the treatment of back, shoulder, or jaw pain, although the numbers of patients are small in the latter two groups. (Arch Surg 112:889-895, 1977) References 1. Miller NE: Learning of visceral and glandular responses . Science 163:434-435, 1969.Crossref 2. Budzynski T, Stoyva J, Adler C: Feedback-induced muscle relaxation: Application to tension headaches . J Behav Ther Exp Psychiatry 1:205-211, 1970.Crossref 3. Wickramasekera I: Electromyographic feedback training and tension headache: Preliminary observations . Am J Clin Hypn 15:83-85, 1972.Crossref 4. Wickramasekera I: The application of verbal instructions and EMG feedback training to the management of tension headaches: Preliminary observations . Headache 13:74-75, 1973.Crossref 5. Budzynski TH, Stoyva JM, Adler CS, et al: EMG biofeedback and tension headache: A controlled-outcome study . Psychosom Med 35:484-496, 1973.Crossref 6. Cox DJ, Fruendlich A, Meyer RG: Differential effectiveness of electromyographic feedback, verbal relaxation instructions and medication placebo with tension headaches . J Consult Clin Psychol 43:892-898, 1975.Crossref 7. Jacobs A, Felton GS: Visual feedback of myoelectric output to facilitate muscle relaxation in normal persons and patients with neck injuries . Arch Phys Med Rehabil 50:34-39, 1969. 8. Budzynski TH, Stoyva JM: A biofeedback technique for teaching voluntary relaxation of the masseter . J Dent Res 52:116-119, 1973.Crossref 9. Mulhall DJ, Todd RW: Deconditioning by the use of the EMG signals . Behav Ther 6:125-127, 1975.Crossref 10. Fowler R: Biofeedback treatment for jaw pain associated with chronic masseter tension. Read before the Symposium on Temporomandibular Joint Problems: Brologic Diagnosis and Treatment, Seattle, November 1973. 11. Brundy J, Brynbaum B, Korein J: Spasmodic torticollis: Treatment by feedback display of the EMG . Arch Phys Med Rehabil 55:403-408, 1974. 12. Fowler R, Kraft G: Tension perception in patients having pain associated with chronic muscle tension . Arch Phys Med Rehabil 55:28-30, 1974. 13. Cleeland CS: Behavioral techniques in the modification of spasmodic torticollis . Neurology 23:1241-1247, 1973.Crossref 14. Fordyce WE: An operant conditioning method for managing chronic pain . Postgrad Med 6:123-128, 1973. 15. Kraft GH: Treatment strategies of operant conditioning in rehabilitation . J Occup Med 17:658-662, 1975. 16. Reinking R, Hutchings D: Tension headaches: What method is most effective? Read before the 7th annual meeting of the Biofeedback Research Society, Colorado Springs, Colo, March 1976. 17. Schwartz GE: Biofeedback, self-regulation, and the patterning of physiological processes . Am Sci 63:314-324, 1975.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1977

References