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| Progressive shoulder-neck exercise on cervical muscle functions in middle-aged and senior patients with chronic neck pain [with consumer summary] |
| Lin I-H, Chang K-H, Liou T-H, Tsou C-M, Huang Y-C |
| European Journal of Physical and Rehabilitation Medicine 2018 Feb;54(1):13-21 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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BACKGROUND: Although neck pain is a common musculoskeletal disorder, there is no consensus on suitable exercise methods for middle-aged and senior patients with chronic neck pain. Therefore, this study investigated the effectiveness of a 6-week shoulder-neck exercise intervention program on cervical muscle function improvement in >= 45-year old patients with chronic neck pain. AIM: To evaluated the effects of progressive shoulder-neck exercise on cervical muscle functions of middle-aged and senior patients with chronic neck pain. DESING: A randomized controlled Single-blind trial. SETTING: Rehabilitation department of a hospital. POPULATION: A total of 72 subjects aged >= 45 years with chronic neck pain were randomly allocated to either a experimental group (n = 36; age 57.3 +/- 8.74 years) or a control group (n = 36; age 58.15 +/- 8.17 years). METHODS: The control group received only traditional physiotherapy, whereas the experimental group participated in a 6-week shoulder-neck exercise program consisting of cranio-cervical flexion and progressive resistance exercises in addition to receiving traditional physiotherapy. The muscle functions of subjects in both groups were tested before the experiment and also after the intervention program. The pretest and posttest measured the cranio-cervical flexion test (CCFT) and the superficial cervical muscle strength. RESULTS: After the intervention, the experimental group had a 56.48point improvement in the performance index of the CCFT (p < 0.001), a 1.71-kg improvement in superficial neck flexor strength (p < 0.001), and a 2.52-kg improvement in superficial neck extensor strength (p < 0.001), indicating that in 6-week intervention significantly influenced the improvement of cervical muscle functions. CONCLUSIONS: This study confirmed that the 6-week progressive shoulder-neck exercise program can effectively improve cervical muscle function in middle-aged and senior patients with chronic neck pain.
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