Document Detail


Effects of long-term home-based exercise on health-related quality of life in patients with chronic neck pain: a randomized study with a 1-year follow-up.
MedLine Citation:
PMID:  22423628     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate whether long-term neck and upper body exercises conducted in economical community-based outpatient clinic and home-based settings could improve health-related quality of life (HRQoL)for individuals affected by chronic neck pain. The effect of baseline HRQoL and neck pain values on training adherence was also studied.
METHODS: Subjects (n = 101, 91 women/10 men, mean age 41.0 ± 9.5 years) with chronic non-specific neck pain were randomized to a combined strength-training and stretching-exercise group (CSSG, n = 49) or to a stretching exercise group (SG, n = 52). HRQoL was assessed at baseline and after 12 months using the RAND-36 questionnaire. Comparisons between groups were performed using bootstrap-type analysis of covariance. The impact of HRQoL and neck pain values on training adherence, determined using participants' exercise logs, was studied using generalized estimating equations.
RESULTS: CSSG showed significant improvements in five and SG in four of eight of the HRQoL dimensions. There were no significant differences between the groups. Adherence to long-term training was only slightly affected by baseline-assessed HRQoL and neck pain values.
CONCLUSIONS: The two training protocols were feasible and equally effective in improving HRQoL. Baseline HRQoL and pain values had only a minor effect on training adherence.
IMPLICATIONS FOR REHABILITATION: • Long-term strength training and stretching are effective in improving HRQoL in people with chronic neck pain. • Baseline HRQoL and neck pain values have little effect on training adherence.
Authors:
Petri Salo; Niina Ylönen-Käyrä; Arja Häkkinen; Hannu Kautiainen; Esko Mälkiä; Jari Ylinen
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2012-03-19
Journal Detail:
Title:  Disability and rehabilitation     Volume:  34     ISSN:  1464-5165     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-01     Completed Date:  2012-12-11     Revised Date:  2013-11-06    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  1971-7     Citation Subset:  IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Central Finland Health Care District, Keskussairaalantie, Jyväskylä, Finland. petri.salo@ksshp.fi
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MeSH Terms
Descriptor/Qualifier:
Adult
Chronic Pain
Exercise*
Female
Follow-Up Studies
Health Status*
Home Care Services
Humans
Male
Middle Aged
Muscle Strength
Neck Muscles
Neck Pain / rehabilitation*
Pain Measurement
Patient Compliance
Quality of Life*
Resistance Training / methods*
Time Factors
Treatment Outcome

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


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