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| Does the use of electrotherapies increase the effectiveness of neck stabilization exercises for improving pain, disability, mood, and quality of life in chronic neck pain? A randomized, controlled, single blind study [with consumer summary] |
| Yesil H, Hepguler S, Dundar U, Taravati S, Isleten B |
| Spine 2018 Oct 15;43(20):E1174-E1183 |
| clinical trial |
| 7/10 [Eligibility criteria: No; 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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STUDY DESIGN: This study was a prospective, randomized, controlled study. OBJECTIVE: The aim of this study was to determine if transcutaneous electrical nerve stimulation (TENS) or interferential current (IFC) increase the effectiveness of neck stabilization exercises on pain, disability, mood, and quality of life for chronic neck pain (CNP). SUMMARY OF BACKGROUND DATA: Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Electrotherapies; such as IFC and TENS have been applied solo or combined with exercise for management of neck pain; however, the efficacy of these combinations are unclear. METHODS: A total of 81 patients with CNP were included in this study. Patients were randomly assigned into 3 groups regarding age and gender. First group had neck stabilization exercise (NSE), second group had TENS+NSE and third group had IFC+NSE. Pain levels (visual analogue scale (VAS)), limits of cervical range of motion (ROM), quality of life (Short Form-36), mood (Beck Depression Inventory), levels of disability (Neck Pain and Disability Index) and the need for analgesics of all patients were evaluated prior to treatment, at 6th and 12th week follow-up. Physical therapy modalities were applied for 15 sessions in all groups. All participants had group exercise accompanied by a physiotherapist for 3 weeks and an additional 3 weeks of home exercise program. RESULTS: According to the intra-group assessment, the study achieved its purpose of pain reduction, ROM increase, improvement of disability, quality of life, mood, and reduction in drug use in all three treatment groups (p < 0.05). However, clinical outcomes at 6th and 12 th week had no significant difference among the three groups (p > 0.05). CONCLUSION: To conclude, TENS and IFC therapies are effective in the treatment of CNP patients. However they have no additional benefit or superiority over NSE. LEVEL OF EVIDENCE: 2.
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