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

PainSci » bibliography » Rudolfsson et al 2014

One article on PainSci cites Rudolfsson 2014: The Complete Guide to Neck Pain & Cricks

PainSci commentary on Rudolfsson 2014: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.

This test of coordination exercises for neck pain was a clear failure. Three dozen women with neck pain did 11 weeks of coordination exercises, while two other groups did strength training and massage. There was no significant difference in their results, either at the end of the 11 weeks or 6 months later.

~ Paul Ingraham

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

OBJECTIVE: To evaluate the effect of neck coordination exercise on sensorimotor function in women with neck pain compared with best-available treatment and sham treatment.

DESIGN: Observer-blinded randomized controlled trial with short-term and 6-month follow-ups.

SUBJECTS: Women with chronic non-specific neck pain were randomized to 3 groups: neck coordination exercise with a novel training device; strength training for the neck and shoulders; or massage. Each group had 36 participants.

METHODS: The intervention period was 11 weeks with 22 individually supervised sessions. Primary outcomes were postural sway measures and precision of goal-directed arm movements. Secondary outcomes were range of motion for the neck, peak speed of axial rotation, and neck pain. A repeated measures multivariate analysis of variance (MANOVA) was conducted separately on the primary outcomes for the short-term and 6-month evaluations and on the sensorimotor secondary outcomes for the 6-month effect. The 6-month effect on pain was analysed with a repeated measures analysis of variance (ANOVA).

RESULTS: No significant treatment effects in favour of neck coordination exercise were found for short-term or 6-month evaluations.

CONCLUSION: 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.

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