Cervical flexor muscle training reduces pain, anxiety, and depression levels in patients with chronic neck pain by a clinically important amount: A prospective cohort study

Nazari, Goris; Bobos, Pavlos; Billis, Evdokia; MacDermid, Joy C.

doi:10.1002/pri.1712

Cited by 12 publications

(12 citation statements)

References 22 publications

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“…The normal depression level ranges from 0 to 13 points [ 39 ]; in our study, none of the patients suffered from depression at the baseline or post-intervention. Similar results were reported by Nazari, Bobos [ 51 ] regarding the effectiveness of exercise: an average pre-exercise BDI score of 5.5 and an average post-exercise BDI score of 1.6. Meanwhile, Yılmaz, Erdal [ 52 ] reported an average pre-DN score of 12.5 and an average post-DN score of 7.…”

Section: Discussionsupporting

confidence: 89%

Short-Term Effects of Dry Needling with a Standard Exercise Program on Pain and Quality of Life in Patients with Chronic Mechanical Neck Pain

Almushahhim

Nuhmani²,

Joseph³

et al. 2022

JCM

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Background: This study aimed to determine the short-term effects of dry needling (DN) combined with a standard exercise program on pain and quality of life in patients with chronic mechanical neck pain (CMNP). Methods: Thirty-one patients with CMNP were randomly allocated to the experimental and control groups. The experimental group received DN and underwent a standard exercise program (one DN session and six exercise sessions) for two weeks, whereas the control group underwent the same exercise program alone for two weeks. The participants’ scores in the Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), Short Form-36 Quality of Life Scale (SF-36 QOLS), and Beck Depression Inventory (BDI) before and after the intervention were assessed. Results: The control and experimental groups’ post-test NDI, NPRS, SF-36 QOLS, and BDI scores significantly differed from their baseline scores (p ≤ 0.05). The between-group comparison of the post-test scores using Wilcoxon rank-sum test revealed no significant differences between the NDI, NPRS, BDI, and SF-36 QOLS scores of both groups (p ≥ 0.05). Conclusions: One session of trigger point DN (TrP-DN) with exercise and exercise alone showed the same pain and quality-of-life outcomes after a two-week intervention. We did not recognise TrP-DN as an efficient intervention, not because we obtained evidence that it is ineffective, but because there were inadequate high-quality studies on the subject and unavailable data on the minimum quantity of injections required for better DN outcomes in CMNP patients.

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Section: Discussionsupporting

confidence: 89%

Short-Term Effects of Dry Needling with a Standard Exercise Program on Pain and Quality of Life in Patients with Chronic Mechanical Neck Pain

Almushahhim

Nuhmani²,

Joseph³

et al. 2022

JCM

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“…To treat this symptomatic picture, various approaches have been proposed, such as cervical treatments with transcutaneous electrical nerve stimulation 41 (TENS), hot pack 41 (HP), pulsed electro magnetic fields 41 (PEMF), far-infrared radiation 42 (FIR), low-frequency stimulation 42,43 (LFS), acupuncture, 42,43 and physiotherapy. 44,45 Unexpectedly, these treatments [41][42][43][44][45] aimed at treating a predominantly physical symptom, such as the sensation of tension and pain in the neck and shoulders, determined also a psycho-emotional effect, resulting in an improvement in the depressive, anxious and stressful state.…”

Section: Discussionmentioning

confidence: 99%

REAC Neuromodulation Treatments in Depression, Anxiety and Stress. A Comparative Retrospective Study

Barcessat¹,

Bittencourt²,

Gonçalves³

et al. 2020

PRBM

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Introduction The purpose of this retrospective study was to compare the effects of two different modalities of administration of the neuro psycho physical optimization (NPPO) neuromodulation treatment, applied with radio electric asymmetric conveyer (REAC) biotechnology devices. Both the modalities are aimed at improving the strategies to deal with and optimize the allostatic response to environmental stressors and exposome. This allows to reduce the dysfunctional adaptive behavior patterns, which underlie many neuropsychological symptoms and pathologies, and to improve the symptoms of depression, anxiety and stress. Materials and Methods From a population of subjects experiencing at least two of the three symptoms depression, anxiety and stress, the selection of pre and post-treatment Depression, Anxiety, Stress 21 items scale (DASS 21) data was made proceeding with a reverse chronological recruitment mechanism, until reaching 150 subjects for each of the 2 groups. The first group was treated with the neuro psycho physical optimization treatment (NPPO), which is the punctiform modality of administration on the auricle pavilion, and the second group was treated with the neuro psycho physical optimization treatment, which is the area modality of administration applied by the planar probe on the cervicobrachial area (NPPO-CB). Results The Wilcoxon signs test confirmed the differences in scores in pre and post-treatment DASS-21. The comparison between the two groups data and the comparison across groups data showed that NPPO and NPPO-CB have the same efficacy in reducing the symptoms of depression, anxiety and stress, after a single treatment cycle. Statistical significance was set at p <0.05. Discussion This is the first efficacy descriptive comparison between the two different modalities of administration of the NPPO treatment, as different options for the same clinical indication.

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“…It is a preventable and treatable mental health disorder characterized by sadness, hopelessness, irritability, guilt, fatigue, changes in appetite, and contemplation of death or suicide for at least 2 weeks (The National Institute of Mental Health, 2018). Depression is a significant risk factor for disability and chronic pain in patients with LBP (Parreira et al, 2018;Pinheiro et al, 2015), neck pain (Nazari, Bobos, Billis, & MacDermid, 2018), knee pain (Phyomaung et al, 2014), traumatic injury (Alexiou, Roushias, Varitimidis, & Malizos, 2018;Archer et al, 2015), and postoperative patients (Wahlman et al, 2014;Wilson et al, 2017). Screening for and proactively treating depression can significantly influence an individual's outcome and quality of life (Breland, Mignogna, Kiefer, & Marsh, 2015; The National Institute of Mental Health, 2018; Thota et al, 2012).…”

Section: Patient Health Questionnaire (Phq)mentioning

confidence: 99%

Assessing psychosocial profile in the physical therapy setting

Wyngaarden

Noehren

Archer

2019

J Appl Biobehavioral Res

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Purpose Physical therapists play a crucial role in managing persistent pain and disability. Since psychosocial factors are important predictors of poor patient outcomes, it is essential that clinicians understand how to utilize validated instruments to assess psychosocial profile in the clinical setting. The following article reviews the psychometric properties and clinical application of the Keele Subgroups for Targeted Treatment Back Screening Tool (SBT), Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO‐YF), Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK), Pain Self‐Efficacy Questionnaire (PSEQ), and Patient Health Questionnaire (PHQ). Results Multidimensional screening tools, such as the SBT and OSPRO‐YF, are useful prognostic indicators of long‐term disability and the presence of yellow flags that may be contributing to patient presentation, respectively. This can guide both the treatment and administration of specific, unidimensional psychosocial assessment tools. The following cutoffs are identified as moderate elevation of psychosocial profile which can be used to inform clinical practice: PCS ≥20, TSK >37, PSEQ ≥40, and PHQ‐9 ≥10. Conclusion Valid and reliable unidimensional and multidimensional psychosocial assessment tools provide important prognostic information to inform a patient's psychosocial profile and subsequently improve clinical efficiency and patient outcomes.

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Cervical flexor muscle training reduces pain, anxiety, and depression levels in patients with chronic neck pain by a clinically important amount: A prospective cohort study

Abstract: Deep and superficial flexor muscle training along with home-based exercises is likely to reduce chronic neck pain and anxiety/depression levels by a clinically relevant amount. Future larger scaled randomized controlled trials are warranted to further support these findings.

Cited by 12 publications

References 22 publications

Short-Term Effects of Dry Needling with a Standard Exercise Program on Pain and Quality of Life in Patients with Chronic Mechanical Neck Pain

Short-Term Effects of Dry Needling with a Standard Exercise Program on Pain and Quality of Life in Patients with Chronic Mechanical Neck Pain

REAC Neuromodulation Treatments in Depression, Anxiety and Stress. A Comparative Retrospective Study

Assessing psychosocial profile in the physical therapy setting

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