Exercise-induced hypoalgesia in chronic neck pain: A narrative review

Rojas-Galleguillos, Fernando; Clark-Hormazábal, Cecilia; Méndez-Fuentes, Eduardo; Guede-Rojas, Francisco; Mendoza, Cristhian; Riveros Valdés, Andrés; Carvajal-Parodi, Claudio

doi:10.1016/j.smhs.2023.09.011

Cited by 3 publications

(1 citation statement)

References 149 publications

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“…It is plausible that the observed correlation between pain intensity and recovery duration may partly be in uenced by the well-established connection between exercise and reduced pain sensitivity in healthy participants. According to Rojas-Galleguillos et al (2024), increasing the frequency of exercise, eventually practicing daily, could potentially diminish the effects of exercise-induced hypoalgesia [39]. Sitting on a dynamic seat cushion that encourages postural movement is similar to engaging in light exercise shifts during sitting.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a dynamic seat cushion on recovery and recurrence of neck and low back pain in office workers: a secondary analysis of a randomized controlled trial

Channak,

Speklé,

Beek

et al. 2024

Preprint

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Background: Neck and low back pain are prevalent issues among office workers due to prolonged sitting, necessitating effective interventions. Dynamic seat cushion, designed to promote postural shifts have emerged as promising solutions to address these concern. This study aims to evaluate the effectiveness of a dynamic seat cushion on recovery and recurrence of neck and low back pain in office workers. Methods: This study used 6-month follow-up data of a randomized controlled trial, involving 66 office workers who reported pain in the trial. At baseline, participants were cluster-randomized into an intervention group, which received a dynamic seat cushion designed to encourage postural shifts, or a control group, which received a placebo seat pad. Health outcomes included recovery duration and recurrence of pain. Analyses utilized log rank test and Cox proportional hazard models. Results: In the intervention group, the recovery rate from neck and low back pain was 100%, which was 86% for the control group. The median recovery duration in the intervention group (1 month) was two months shorter than in the control group (3 months). The intervention group had a higher probability of recovery compared to the control group (HRadj 4.35, 95% CI 1.87 – 10.11; p < 0.01). The recurrence rate of neck and low back pain was 27% in the intervention group, which was 75% in the control group. The Hazard Ratio, after adjustment, for the intervention group compared to the control group was 0.50 (95% CI = 0.11 – 2.12). Conclusions: A dynamic seat cushion that encourages postural shifts shortened recovery duration of neck and low back pain among office workers. Due to small numbers, however, a potentially relevant reduction of recurrence of neck and low back pain could not be statistically confirmed. Thai Clinical Trials Registry: TCTR20230623002 (23/06/2023).

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a dynamic seat cushion on recovery and recurrence of neck and low back pain in office workers: a secondary analysis of a randomized controlled trial

Channak,

Speklé,

Beek

et al. 2024

Preprint

View full text Add to dashboard Cite

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Effects of therapeutic exercise on pain processing in people with chronic non-specific neck pain - A systematic review and meta-analysis

Aguayo-Alves,

Gaban,

Noronha

et al. 2024

Musculoskeletal Science and Practice

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Effectiveness of a dynamic seat cushion on recovery and recurrence of neck and low back pain in office workers: a secondary analysis of a randomized controlled trial

Channak,

Speklé,

van der Beek

et al. 2024

BMC Musculoskelet Disord

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Background Neck and low back pain are prevalent issues among office workers due to prolonged sitting, necessitating effective interventions. Dynamic seat cushion, designed to promote postural shifts, have emerged as promising solutions to address this concern. This study aims to evaluate the effectiveness of a dynamic seat cushion on recovery and recurrence of neck and/or low back pain in office workers. Methods This study used 6-month follow-up data of a randomized controlled trial, involving 66 office workers who reported neck and/or low back pain during the trial. At baseline, participants were cluster-randomized into an intervention group, which received a dynamic seat cushion designed to encourage postural shifts, or a control group, which received a placebo seat pad. Health outcomes included recovery duration and recurrence of pain. Analyses utilized log rank test and Cox proportional hazard models. Results The recovery rate from neck and/or low back pain was 100% for the intervention group, and 86% for the control group. The median recovery duration of participants who reported pain during the 6-month period was 1 month in the intervention group and 3 months in the control group. The intervention group had a higher probability of recovery compared to the control group (HR adj 4.35, 95% CI 1.87–10.11; p < 0.01). The recurrence rate of neck and low back pain was 27% in the intervention group, which was 75% in the control group. The Hazard Ratio, after adjustment, for the intervention group compared to the control group was 0.50 (95% CI = 0.11–2.12). Conclusions A dynamic seat cushion that encourages postural shifts shortened recovery duration of neck and low back pain among office workers. Due to small numbers, a potentially relevant reduction in the recurrence of neck and low back pain could not be statistically confirmed. A power analysis was not conducted for this secondary analysis, and future studies should be designed with adequate sample sizes to explore the recurrence of pain with greater statistical power. Trial registration This trial is retrospectively registered under the Thai Clinical Trials Registry: TCTR20230623002 (23/06/2023).

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Exercise-induced hypoalgesia in chronic neck pain: A narrative review

Cited by 3 publications

References 149 publications

Effectiveness of a dynamic seat cushion on recovery and recurrence of neck and low back pain in office workers: a secondary analysis of a randomized controlled trial

Effectiveness of a dynamic seat cushion on recovery and recurrence of neck and low back pain in office workers: a secondary analysis of a randomized controlled trial

Effects of therapeutic exercise on pain processing in people with chronic non-specific neck pain - A systematic review and meta-analysis

Effectiveness of a dynamic seat cushion on recovery and recurrence of neck and low back pain in office workers: a secondary analysis of a randomized controlled trial

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