Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study Protocol for a Randomized, Parallel, Clinical Trial

Abstract

Background: Chronic nonspecific neck pain is the most frequent form of neck pain. It is more prevalent in women, and a costly public health issue. It is commonly associated with biomechanical, functional, proprioceptive, and postural impairments. The aim of this trial is to compare the effects of global postural exercises versus specific therapeutic exercises on neck pain, disability, mobility, pressure pain threshold, kinesiophobia, pain catastrophizing, postural control, and neuromuscular efficiency in women with chronic nonspecific neck pain. Methods and analysis: This study is a randomized, parallel-group and single blinded clinical trial. Sixty-two women with nonspecific chronic neck pain were recruited from the community of Guarda, Portugal, and randomly assigned to one of two intervention groups: (1) global postural reeducation (GPR group), (2) specific therapeutic exercises (STE group). The intervention was carried out over 4 weeks, with two sessions per week (eight sessions), and applied by a physiotherapist and paired with a daily individual at-home-exercise program. Primary outcomes are neck pain intensity and disability (Numerical Pain Rating Scale, Neck Disability Index). Secondary outcomes are cervical mobility and pressure pain threshold (CROM, algometry), attitude to pain (kinesiophobia, pain catastrophizing), standing postural control (Center of Pressure (COP) displacements), and neuromuscular efficiency (electromyography). There are four points of evaluation where the outcomes were assessed twice before the intervention, 1 week apart, and the two post-intervention assessments will be carried out after four and eight sessions. The objective was to increase scientific knowledge of different exercise modalities, such as global postural reeducation, in musculoskeletal disorders. Trial registration: ClínicalTrials.gov (NCT04402463), prospectively registered (data 22 May 2020).

Relationship between Kinesiophobia and Ankle Joint Position Sense and Postural Control in Individuals with Chronic Ankle Instability—A Cross-Sectional Study

“…Psychological variables play a role in developing chronic health disorders that impact proprioceptive function, muscle strength, and functional ability [ 14 , 15 , 16 ]. Kinesiophobia, also called “fear of movement or activity,” is defined as an excessive fear of physical movement, expecting or feeling of vulnerability to painful injury [ 17 ].…”

A Multidisciplinary Approach to Swallowing Rehabilitation in Patients with Forward Head Posture

“…There are studies stating that individuals with FHP who received a combination of upper thoracic spine mobilization and mobility exercises demonstrated better overall short-term outcomes in terms of the CVA in standing position [ 52 , 53 ].…”

Efectos de la reeducación postural global y el ejercicio terapéutico sobre el dolor de cuello, la discapacidad, el control postural y eficiencia neuromuscular de los músculos flexores cervicales superficiales en mujeres con dolor de cuello crónico inespecífico

“…Esta tesis se ha desarrollado con la intención de realizar 3 artículos, uno ya publicado https://doi.org/10.3390/ijerph182010704.) [161], y dos en proceso de publicación, para dar respuesta a los siguientes objetivos de investigación (generales y específicos):…”

“…En este capítulo, esta tesis doctoral aborda los materiales y métodos utilizados en nuestro ensayo clínico, simples ciegos, de grupos paralelos, siguiendo nuestro protocolo publicado [161].…”

“…Siguiendo los parámetros de la práctica clínica habitual y considerando estudios previos de RPG, según algunas revisiones sistemáticas [137,138], y los protocolos de STE en dolor de cuello [92,127,131], las intervenciones se proporcionaron en ocho sesiones durante una intervención de cuatro semanas (dos visitas por semana) acompañado de un ejercicio individual diario en casa [161] .…”