“…Although the hypothesized pathway of arm-wrist-hand symptom development due to workplace and individual stressors via an increased internal loading received only limited support in this study, more evidence for this pathway appears to exist for neck-shoulder symptoms. In line with other studies (20,33), we found higher trapezius activity for workers with a combination of high overcommitment and low reward and a main effect of overcommitment on median trapezius muscle activity, indicating a higher trapezius activity for those who are overcommitted, as reported by Bruno-Garza and co-workers (Bruno Garza JL, Eijckelhof BHW, Huysmans MA, Catalano PJ, Katz JN, Johnson PW, et al The effect of overcommitment and reward on trapezius muscle activity and shoulder, head, neck, and torso postures during computer use in the field. December 2012, submitted for publication).…”