Active neck muscle training in the treatment of chronic neck pain in women -: A randomized controlled trial
Active neck muscle training in the treatment of chronic neck pain in women -: A randomized controlled trial
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DOI：
10.1001/jama.289.19.2509
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发表时间：
2003-05-21
影响因子：
120.7
通讯作者：
Airaksinen, O
中科院分区：
文献类型：
--
作者：
Ylinen, J;Takala, EP;Airaksinen, O
背景 通常建议慢性颈部疼痛患者进行积极的体育锻炼；目的 评估强化等长颈部力量训练和较轻的颈部肌肉耐力训练对患有慢性、非特异性颈部疼痛的女性的疼痛和残疾的功效。 设计 2000 年 2 月至 2002 年 3 月期间进行的审查员盲法随机对照试验。 背景 参与者是从芬兰南部和东部的职业卫生保健系统中招募的。 患者 总共 180 名年龄在 25 岁到 53 岁之间的女性上班族慢性、非特异性颈部疼痛。 干预措施 患者被随机分配到 2 个训练组或对照组，每组 60 名患者。耐力训练组进行了动态颈部练习，包括从仰卧和俯卧位置抬起头部。力量训练组用松紧带进行高强度等长颈部强化和稳定性练习。两组训练组均用哑铃进行肩部和上肢的动态练习。建议各组定期进行有氧运动和伸展运动，每周3次。主要指标通过视觉分析、对数量表、颈肩疼痛和残疾指数以及Vernon颈部残疾指数来评估颈部疼痛和残疾。中间结果测量包括通过短期抑郁量表以及最大等长颈部力量和运动范围测量来评估情绪。结果在 12 个月的随访中，与对照组相比，两个训练组的颈部疼痛和残疾均有所减轻（P
Context Active physical training is commonly recommended for patients with chronic neck pain; however, its efficacy has not been demonstrated in randomized studies.Objective To evaluate the efficacy of intensive isometric neck strength training and lighter endurance training of neck muscles on pain and disability in women with chronic, nonspecific neck pain.Design Examiner-blinded randomized controlled trial conducted between February 2000 and March 2002.Setting Participants were recruited from occupational health care systems in southern and eastern Finland.Patients A total of 180 female office workers between the ages of 25 and 53 years with chronic, nonspecific neck pain.Interventions Patients were randomly assigned to either 2 training groups or to a control group, with 60 patients in each group. The endurance training group performed dynamic neck exercises, which included lifting the head up from the supine and prone positions. The strength training group performed high-intensity isometric neck strengthening and stabilization exercises with an elastic band. Both training groups performed dynamic exercises for the shoulders and upper extremities with dumbbells. All groups were advised to do aerobic and stretching exercises regularly 3 times a week.Main Outcome Measures Neck pain and disability were assessed by a visual ana, log scale, the neck and shoulder pain and disability index, and the Vernon neck disability index. Intermediate outcome measures included mood assessed by a short depression inventory and by maximal isometric neck strength and range of motion measures.Results At the 12-month follow-up visit, both neck pain and disability had decreased in both training groups compared with the control group (P