| Comparative study of hands-on therapy with active exercises vs education with active exercises for the management of upper back pain. | |
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MedLine Citation:
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PMID: 16584949 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Mary S Pesco; Etsuo Chosa; Naoya Tajima |
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Publication Detail:
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Type: Controlled Clinical Trial; Journal Article |
Journal Detail:
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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:
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Created Date: 2006-04-04 Completed Date: 2006-07-20 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7807107 Medline TA: J Manipulative Physiol Ther Country: United States |
Other Details:
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Languages: eng Pagination: 228-35 Citation Subset: IM |
Affiliation:
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Department of Occupational Therapy, Kyushu University of Health and Welfare, Nobeoka City, Kyushu, Japan. unkyo31@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cumulative Trauma Disorders / therapy* Exercise Therapy* Female Hot Temperature / therapeutic use Humans Massage Muscle Contraction Musculoskeletal Manipulations* Neck Pain / physiopathology, therapy* Patient Education as Topic* Pliability Posture* Questionnaires Shoulder Pain / physiopathology, therapy* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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