Document Detail

Neck/shoulder disorders in a general population. Natural course and influence of physical exercise: a 5-year follow-up.
MedLine Citation:
PMID:  15990653     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: A 5-year follow-up study was conducted of men and women seeking care for new incidents of neck/shoulder disorders (NSD). OBJECTIVES: To study the natural course of pain and disability caused by NSD during a 5-year follow-up and to investigate the possible influence of regular physical exercise on recovery. SUMMARY OF BACKGROUND DATA: NSD are a major health problem, but their natural course is not very well studied. Several studies have investigated the role of physical exercise on NSD, with inconsistent results. METHODS: At baseline, a total of 439 subjects seeking care for NSD completed a questionnaire, and were interviewed about personal, medical, and occupational history, as well as physical exercise during leisure time. Over 5 years, 4 follow-up assessments were made by postal questionnaire. At all measuring points, pain intensity ratings and disability scores were compared between men and women, and between 3 exercise categories. RESULTS: The highest improvements in pain and disability, both in men and in women, were seen after 3 months. After that, only minor improvements were seen. In some cases, there was deterioration. However, after 5 years, both men and women had significant improvements, men more than women. Only the women were analyzed concerning physical exercise and were pooled into 3 categories according to intensity of exercise. There were no differences in changes in pain intensity and disability scores from baseline between the groups. CONCLUSIONS: A gender difference was seen in the change of pain and disability, with men having higher improvement than women over 5 years. Self-reported physical exercise of any intensity was not associated with higher recovery in women.
Gunilla Pernold; Monica Mortimer; Christina Wiktorin; Ewa Wigaeus Tornqvist; Eva Vingård;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Spine     Volume:  30     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-07-01     Completed Date:  2006-06-20     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E363-8     Citation Subset:  IM    
Division of Occupational Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.
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MeSH Terms
Disability Evaluation*
Follow-Up Studies
Life Style
Middle Aged
Neck Pain / physiopathology*,  rehabilitation
Recovery of Function
Sex Factors
Shoulder Pain / physiopathology*,  rehabilitation

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

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