The outcome of control groups in clinical trials of conservative treatments for chronic mechanical neck pain: a systematic review

Vernon, Howard; Humphreys, B. Kim; Hagino, Carol

doi:10.1186/1471-2474-7-58

Cited by 24 publications

(19 citation statements)

References 59 publications

(65 reference statements)

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“…The difference in low back pain in the general population. 16 The goals of therapy in chronic neck pain include decreasing pain and disability, and improving endurance. 17 There are several conservative treatment methods applied for this purpose.…”

Section: Resultsmentioning

confidence: 99%

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

et al. 2015

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Objectives: This study aims to evaluate the efficacy of spa therapy on pain and the quality of life in patients with chronic mechanical neck pain. Patients and methods:Seventy patients who applied to our outpatient clinic with chronic mechanical neck pain lasting for 12 weeks were included in the study. Patients were randomized either to spa therapy group (7 males, 28 females; mean age 43.08±9.76 years; range 26 to 66 years) or to exercise therapy group (5 males, 30 females; 46.45±9.65 years; range 27 to 65 years). Spa therapy group received a total of 15 sessions of thermal water, mud therapy, and classic massage to cervical region. Both exercise and spa therapy groups performed home exercise program once a day for 15 days. All the patients were evaluated before treatment, at the first week and at the third month after treatment, a total of three times. In each control; visual analog scale, global assessment of the patient (Patient's Global Assessment and Physician's Global Assessment), Neck Pain Disability Scale, and Nottingham Health Profile were assessed. Results: When the measurements at first week were compared to baseline, significant improvements were observed in all the parameters in both groups. However, the decreases in visual analog scale and Neck Pain Disability Scale at the first week after treatment were more significant in spa therapy group compared to exercise therapy group. We observed no statistically significant difference in all the parameters between two groups when the measurements at the third month were compared to baseline. Conclusion:The combination of spa therapy with exercise therapy is superior to exercise therapy alone in decreasing pain and improving functional capacity in the early period after treatment.

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Section: Resultsmentioning

confidence: 99%

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

et al. 2015

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“…In a previous review 60 , we referred to the work of Farrar et al 59 in establishing that the minimum clinically important difference in pain severity scores on the VAS as registered by a large variety of patients with chronic pain is 20 mm. This applies to participants in studies of courses of various treatments for their pain, courses extending over days and weeks.…”

Section: Discussionmentioning

confidence: 99%

Chronic Mechanical Neck Pain in Adults Treated by Manual Therapy: A Systematic Review of Change Scores in Randomized Controlled Trials of a Single Session

Vernon¹,

Humphreys²

2008

Journal of Manual & Manipulative Therapy

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“…1,2 Static seated postures for computer operation and deskwork are required frequently in work and home environments, potentially contributing to neck pain. 3,4 The incidence of neck pain increases with age and is extremely common in females over 50.…”

Section: Introductionmentioning

confidence: 99%

Comparison of cervical range of motion in two seated postural conditions in adults 50 or older with cervical pain

Dunleavy

Goldberg

2013

Journal of Manual & Manipulative Therapy

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Objectives:The influence of self-selected unsupported seated posture on cervical range of motion (ROM) has not been widely studied. Cervical ROM in habitual (HAB) compared to erect (ER) seated posture in adults 50 or older with cervical pain was investigated. Methods: Individuals 50 or older with chronic neck pain participated in this within-subject observational study. ROM and posture (sagittal distances from the nose to the occiput, C7, and thoracic width and relative to a projected laser plumb line) were measured with the CROM device in the two postures. Testretest reliability, standard error of measurement (SEM) and minimum detectable change at the 95% confidence level (MDC 95 ) were calculated. Results: Total planar ROM values were significantly different between HAB and ER postures. Extension, total rotation and lateral flexion, and R lateral flexion ROM were greater, while flexion decreased significantly in the ER posture. SEM% ranged from 4.0 to 9.5% and MDC 95 values were lower in ER (5.8-11.6u) compared to HAB (6.6-17.7u). MDC 95 % was moderately low for both postures (11.2-26.2%). Discussion: ROM was significantly different between HAB and ER postures. The directions most likely to detect real change in neck mobility were rotation in both postures, and extension as well as total flexion/ extension in ER. Flexion and lateral flexion should be regarded cautiously as measures of improvement. Erect posture maximizes available cervical ROM in individuals over 50 with chronic neck pain compared to habitual postures.

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The outcome of control groups in clinical trials of conservative treatments for chronic mechanical neck pain: a systematic review

Abstract: Background: Chronic neck pain is highly prevalent in Western societies, with about 15% of females and 10% of males suffering with it at any time. The course of untreated chronic neck pain patients in clinical trials has not been well-defined and the placebo effect has not been clarified.

Cited by 24 publications

References 59 publications

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

Evaluation of the Efficacy of Spa Therapy on Pain and Quality of Life in Patients With Chronic Mechanical Neck Pain

Chronic Mechanical Neck Pain in Adults Treated by Manual Therapy: A Systematic Review of Change Scores in Randomized Controlled Trials of a Single Session

Comparison of cervical range of motion in two seated postural conditions in adults 50 or older with cervical pain

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