171725 20260603114406.0 doi 10.3390/healthcare14101427 sideral 149535 ART-2026-149535 eng Müller-Thyssen Uriarte, Julián Universidad de Zaragoza (orcid)0000-0002-9105-827X Associations Between Active Myofascial Trigger Points, Electromyographic Activity and Kinesiophobia in Chronic Non-Specific Neck Pain 2026 Introduction: Chronic non-specific neck pain (CNSNP) is a prevalent condition where active myofascial trigger points (A-MTrPs) are commonly detected in cervical muscles and may be associated with altered electromyographic activity (EMGact). However, their association with EMGact during functional tasks remains unclear. Objectives: This study aimed to explore this relationship, hypothesizing that A-MTrPs in cervical muscles would be associated with altered EMGact. Methods: An analytical cross-sectional exploratory study was conducted in 52 patients with CNSNP. Surface EMGact of the sternocleidomastoid (SCM), anterior scalene (AS), and upper trapezius (UT) muscles was recorded during the craniocervical flexion test (CCFT) and an isometric shoulder abduction task (ABD-90). Linear mixed-effects models were constructed to identify factors associated with EMGact. Age, pain intensity, pain duration, analgesic dose, anti-inflammatory dose, and kinesiophobia score were included as covariates, while gender, physical activity level, and the presence or absence of A-MTrPs were included as categorical factors. Results: At the 22 mmHg CCFT level, analgesic consumption was positively associated with peak EMGact and average AS activation (B = 0.791 and B = 0.223, respectively) and with SCM peak EMG act (B = 0.510). At the same level, kinesiophobia was associated with average SCM EMGact (B = 0.231). At the 26 mmHg CCFT level, average AS activation remained positively associated with analgesic consumption (B = 0.148) and SCM without A-MTrPs was associated with lower EMGact compared to SCM with A-MTrPs. At the 30 mmHg CCFT level, kinesiophobia was negatively associated with average EMGact of AS. In the UT muscle, during ABD-90, kinesiophobia was negatively associated with both peak (B = −0.378) and average EMGact (B = −0.132). Conclusions: The presence of A-MTrPs may be related to SCM EMGact during CCFT in individuals with CNSNP, while analgesic consumption and kinesiophobia also could be associated with cervical muscles EMGact during functional tasks. Access copy available to the general public Unrestricted info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Lucha-López, María Orosia Universidad de Zaragoza (orcid)0000-0002-9930-3903 Hidalgo-García, César Universidad de Zaragoza (orcid)0000-0001-7667-2178 Sánchez-Rodríguez, Rocío Universidad de Zaragoza Vicente-Pina, Lucía Universidad de Zaragoza (orcid)0009-0006-7975-4594 Ferrández-Laliena, Loreto Universidad de Zaragoza (orcid)0000-0002-6604-2751 Monti-Ballano, Sofía Universidad de Zaragoza Vauchelles Barré, Pierre Tricás-Moreno, José Miguel Universidad de Zaragoza (orcid)0000-0002-3583-5206 1003 027 Universidad de Zaragoza Dpto. Anatom.Histolog.Humanas Area Anatom.Embriol.Humana 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 14, 10 (2026), 1427 [20 pp.] Healthcare (Basel) Healthcare (Switzerland) 2227-9032 986315 http://zaguan.unizar.es/record/171725/files/texto_completo.pdf Versión publicada 2364916 http://zaguan.unizar.es/record/171725/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:171725 articulos driver 2026-06-03-11:04:07 ARTICLE