| A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. | |
| | |
MedLine Citation:
|
PMID: 15626966 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
STUDY DESIGN: A randomized controlled trial with single-blind outcome assessments. OBJECTIVE: To evaluate the efficacy of a neck exercise program in patients with chronic neck pain. SUMMARY OF BACKGROUND DATA: The effect of exercise for patients with chronic neck pain has been investigated in a number of studies. The efficacy is, however, questionable. METHODS: A total of 145 patients were randomly allocated into an exercise (n = 67) and a nonexercise (control) group (n = 78). Patients in the control group were given infrared irradiation and neck care advice. In addition to infrared irradiation and advice, patients in the exercise group had undergone an exercise program with activation of the deep neck muscles and dynamic strengthening of the neck muscles for 6 weeks. Subjective pain and disability and isometric neck muscle strength were measured at baseline, 6 weeks, and 6 months. Analysis was by intention-to-treat. RESULTS: At week 6, the exercise group had a significantly better improvement in disability score (P = 0.03), subjective report of pain (P = 0.01), and in isometric neck muscle strength (P = 0.57-0.00) in most of the directions than the control group. However, significant differences between the two groups were found only in the subjective report of pain and patient satisfaction at the 6-month follow-up. CONCLUSIONS: At week 6, patients with chronic neck pain can benefit from the neck exercise program with significant improvement in disability, pain, and isometric neck muscle strength in different directions. However, the effect of exercise was less favorable at 6 months. |
| | |
Authors:
|
Thomas T W Chiu; Tai-Hing Lam; Anthony J Hedley |
Related Documents
:
|
10990236 - Home based exercise therapy for older patients with knee osteoarthritis: a randomized c... 20091596 - Exercises for prevention of recurrences of low-back pain. 21041966 - Electromyographic analysis of transversus abdominis and lumbar multifidus using wire el... 6451926 - Back and leg complaints in relation to muscle strength in young men. 21619946 - Autoimmune diseases and rehabilitation. 12070206 - Effects of respiratory muscle unloading on exercise-induced diaphragm fatigue. |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Spine Volume: 30 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2005 Jan |
Date Detail:
|
Created Date: 2004-12-31 Completed Date: 2006-02-21 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: E1-7 Citation Subset: IM |
Affiliation:
|
Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong. rstchiu@polyu.edu.hk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Analgesics / therapeutic use Chronic Disease Disability Evaluation Exercise Therapy / methods* Female Follow-Up Studies Humans Isometric Contraction Male Middle Aged Neck Muscles / physiology Neck Pain / drug therapy, rehabilitation, therapy* Pain Measurement Patient Satisfaction Self Medication Sick Leave Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Analgesics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Successful thyrotropin-releasing hormone therapy for emotional incontinence and amnesia resulting fr...
Next Document: Course of spinal solitary osteochondromas.