Document Detail


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
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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
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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


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