Both endurance training and strength training reduced disability and pain in chronic nonspecific neck pain in women: COMMENTARY

Yelland, Michael
November 2003
ACP Journal Club;Nov/Dec2003, Vol. 139 Issue 3, p75
Academic Journal
The study by researchers J. Ylinen and colleagues had a sound design, was well executed, and had near-perfect follow-up. The 2 exercise groups improved more than the control group on most outcome measures. It is important to note that both exercise groups also had a multi-modal rehabilitation program, which included relaxation and ergonomics training, behavioral support to reduce fear of pain and increase motivation to exercise, and 4 sessions of physical therapy for pain relief. The authors have commented that these programs, without ongoing home exercises, have shown only short-term responses in the previous studies. Hence, they attribute the durable responses in this study to the home exercises. This may be the case, but a study design where home exercise is the only difference between groups is required for this conclusion. An interesting difference, which may be attributed to the type of exercise, appears between the 2 exercise groups: The strength group had greater increases in neck strength and rotation range than did the endurance group, but relief of pain and strength were similar.


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