Document Detail

Comparative study of hands-on therapy with active exercises vs education with active exercises for the management of upper back pain.
MedLine Citation:
PMID:  16584949     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of this study was to compare hands-on therapy, including heat, massage, and active exercises with postural education that emphasized increased self-efficacy and postural self-awareness along with education about the physiology of the disorder, and prescribed daily active exercises. SUBJECTS: Twenty-four randomly selected women, 12 custodians and 12 students, with neck and shoulder pain and stiffness. METHODS: All subjects received a medical examination and x-ray before the study to rule out any pre-existing neurologic deficits and an evaluation that included history taking and self-reporting of pain according to a numeric pain scale. Student participants received education and exercise instructions to be continued daily. The custodial workers received once-per-week hands-on treatment. RESULTS: Data were compared using a nonparametric analysis (Wilcoxon signed rank test) and showed evidence of statistically significant reductions in neck, shoulder, and back stiffness and shoulder muscle tension for most of the study subjects. CONCLUSION: Treatment of repetitive stress injuries that combines maintenance of daily active exercises prescribed and modeled by a professional therapist, which emphasize postural awareness to correct poor posture and provide a basic physiological understanding of the disorder, is as crucial to reducing upper back and neck pain and stiffness as hands-on therapy with active exercise provided in a clinical setting.
Mary S Pesco; Etsuo Chosa; Naoya Tajima
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of manipulative and physiological therapeutics     Volume:  29     ISSN:  1532-6586     ISO Abbreviation:  J Manipulative Physiol Ther     Publication Date:    2006 Mar-Apr
Date Detail:
Created Date:  2006-04-04     Completed Date:  2006-07-20     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7807107     Medline TA:  J Manipulative Physiol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  228-35     Citation Subset:  IM    
Department of Occupational Therapy, Kyushu University of Health and Welfare, Nobeoka City, Kyushu, Japan.
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MeSH Terms
Cumulative Trauma Disorders / therapy*
Exercise Therapy*
Hot Temperature / therapeutic use
Muscle Contraction
Musculoskeletal Manipulations*
Neck Pain / physiopathology,  therapy*
Patient Education as Topic*
Shoulder Pain / physiopathology,  therapy*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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