Effects of neck coordination exercise on sensorimotor function in chronic neck pain: A randomized controlled trial

Rudolfsson, Thomas; Djupsjöbacka, Mats; Häger, Charlotte; Björklund, Martin

doi:10.2340/16501977-1869

Cited by 33 publications

(38 citation statements)

References 42 publications

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“…Studies selected for meta-analysis were those that comprised outcome measures utilised by more than two Studies not included in meta-analysis were those examining balance [24,27,35,36,[38][39][40]43] (due to the heterogeneity of the balance measurements) and a further two studies because their published data were not in a format appropriate for meta-analysis (displayed in a graph [25] and median and interquartile ranges of nonnormative data [26]). Authors were contacted for rawdata and did not respond.…”

Section: Resultsmentioning

confidence: 99%

Effects of manual therapies on stability in people with musculoskeletal pain: a systematic review

et al. 2020

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Introduction: Chronic musculoskeletal pain is associated with reduced balance performance and falls risk. Manual therapies are commonly used interventions for musculoskeletal pain. There is emerging evidence that manual therapies may improve balance. The aim of this systematic review was to examine the effectiveness of manual therapies for musculoskeletal pain on measures of static and dynamic stability.Methods: Six electronic databases were searched using pre-defined eligibility criteria and two independent reviewers assessed all identified records. Risk of bias was assessed using the 12-item Cochrane Risk of Bias assessment by two authors independently and any discrepancies resolved through consensus. Meta-analysis was conducted when three or more studies used the same outcome measures including gait speed, timed up and go test, step test and sit-to-stand test.Results: Twenty-six studies were included in the analysis. Both spinal and extremity musculoskeletal pain conditions were represented. Manual therapies included manipulation, mobilisation and massage. The most common intervention compared to manual therapy was exercise. Outcome measures included both clinical and objective measures of stability. Overall the risk of bias was reported as generally low or unclear.Conclusion: Improvement in stability measures were reported in studies comparing manual therapy in the short term, but not long-term follow-up. There was no clear association between significant pain reduction and measures of stability. Further prospective studies are recommended to investigate whether manual therapies should be part of an integrative healthcare plan for risk of falls management and when a transition from manual therapy to more active interventions should occur for long term management.

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Section: Resultsmentioning

confidence: 99%

Effects of manual therapies on stability in people with musculoskeletal pain: a systematic review

et al. 2020

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“…Another aspect to consider is the generalizability of the results to other women with subacute and chronic non-specific neck pain. The recruitment procedure in both trials was partly done by advertising [22, 23], and samples should therefore be considered as convenience samples which constituted of women with relatively mild pain and disability. This may reduce the generalizability of results.…”

Section: Discussionmentioning

confidence: 99%

“…Data for the current study were derived from two randomized controlled trials (ISRCTN trial registration numbers ISRCTN92199001 [22]) and ISRCTN49348025 [23]. Both trials had an observer-blinded three-arm parallel group design with baseline measures and follow-ups 1 week, 6 months and 12 months after an 11-week intervention.…”

Section: Methodsmentioning

confidence: 99%

“…Both trials were approved by the Ethical Review Board in Uppsala, Sweden, and informed consent was obtained from all individual participants included in the study. The two trials with their adherent samples will from here on be called trial I—sample I [22] and trial II—sample II [23], respectively.…”

Section: Methodsmentioning

confidence: 99%

“…The purpose of trial I was to evaluate the effects of neck coordination exercise, compared to either strength training for the neck and shoulder regions or massage treatment, in 108 women with non-specific neck–shoulder pain [22]. The inclusion criteria for the study were women, age 25–65 years, with more than 3 months of non-specific neck pain with the neck region indicated as the dominant pain area on a pain drawing [24] and disability with limitations in performing everyday activities involving the neck, shoulders and arms according to DASH [25].…”

Section: Trial Imentioning

confidence: 99%

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Responsiveness and minimal important change for the ProFitMap-neck questionnaire and the Neck Disability Index in women with neck–shoulder pain

2016

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PurposeThe aim was to determine the responsiveness and minimal important change (MIC) of the questionnaire ProFitMap-neck that measures symptoms and functional limitations in women with neck pain. The same measurement properties were determined for Neck Disability Index (NDI) for comparison purposes. MethodsLongitudinal data were derived from two randomized controlled trials, including 103 and 120 women with non-specific neck pain, with questionnaire measurements performed before and after interventions. Sensitivity and specificity to discriminate between improved and not or little changed participants, based on categorization of a global rating of change scale (GRCS), were determined for the ProFitMap-neck indices and NDI by using area under receiver operating characteristic curves (AUC). Correlations between the GRCS anchor and change scores of the questionnaires were also used to assess responsiveness. The change score that showed the highest combination of sensitivity and specificity was set for MIC.ResultsThe ProFitMap-neck indices showed similar responsiveness as NDI with AUC exceeding 0.70 (Range: ProFitMap-neck, 0.74–0.83; NDI, 0.75–0.86). The MIC in the two samples ranged between 6.6 and 13.6 % for ProFitMap-neck indices and 5.2 and 6.3 % for NDI. Both questionnaires had significant correlations with GRCS (Spearman’s rho 0.47–0.72).ConclusionsValidity of change scores was endorsed for the ProFitMap-neck indices and NDI with adequate ability to discriminate between improved and not or little changed participants. Values of minimal important change were presented.

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Massage for neck pain

Gross,

Lee,

Ezzo

et al. 2024

Cochrane Database of Systematic Reviews

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Effects of neck coordination exercise on sensorimotor function in chronic neck pain: A randomized controlled trial

Abstract: Neck coordination exercise is no better than strength training and massage in improving sensorimotor function. Further research should investigate the use of cut-offs for sensorimotor dysfunctions prior to proprioceptive or coordinative training.

Cited by 33 publications

References 42 publications

Effects of manual therapies on stability in people with musculoskeletal pain: a systematic review

Effects of manual therapies on stability in people with musculoskeletal pain: a systematic review

Responsiveness and minimal important change for the ProFitMap-neck questionnaire and the Neck Disability Index in women with neck–shoulder pain

Massage for neck pain

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