Cognitive functional therapy as a complementary treatment for posture and disability of chronic neck pain: secondary analysis of a randomized controlled trial.

IF 0.8 4区医学 Q4 BIOPHYSICS

Acta of bioengineering and biomechanics Pub Date : 2022-01-01

Norollah Javdaneh, Arash Shams, Sadredin Shojaedin, Łukasz Rydzik, Tadeusz Ambroży, Wiesław Chwała

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引用次数: 0

Abstract

Purpose: The aim of this study was to compare the effects of scapular stabilization exercise with and without cognitive functional therapy (CFT) on disability and scapular kinematics in people suffering from chronic neck pain.

Methods: A total of 72 patients with chronic non-specific neck pain were randomized into scapular stabilization exercise alone, n = 24, combined (scapular stabilization exercise + CFT), n = 24, and a control group, n = 24. Scapular kinematic and disability were measured at baseline and after the intervention.

Results: Statistically significant differences in neck pain and disability scale (NPAD) were found when the multimodal physiotherapy group including a cognitive functional approach was compared with stabilization exercises group at 6 weeks (effect size (95%CI) = -1.63 (-2.55, -.71); P = 0.019)). Regarding the neck disability index (NDI), a significant between-group difference was observed at six-week (effect size (95%CI) = -2.69 (-3.80, -1.58); P = 0.007), with the superiority of effect in multimodal physiotherapy group. A significant between-group difference was observed in the scapular upward rotation and scapular osterior tilt at 30°, 60°, 90° and 120° of shoulder adduction.

Conclusions: A group-based multimodal rehabilitation program including scapular stabilization exercise plus cognitive functional therapy was superior to group-based stabilization exercises alone for decreasing disability and, improving scapular kinematic in patients with chronic neck pain.

本刊更多论文

认知功能疗法作为慢性颈部疼痛姿势和残疾的补充治疗:一项随机对照试验的二次分析。

目的:本研究的目的是比较肩胛骨稳定运动加认知功能治疗(CFT)和不加认知功能治疗对慢性颈部疼痛患者的残疾和肩胛骨运动学的影响。方法:将72例慢性非特异性颈部疼痛患者随机分为单纯肩胛骨稳定运动组(n = 24)、联合(肩胛骨稳定运动+ CFT)组(n = 24)和对照组(n = 24)。在基线和干预后测量肩胛骨运动学和残疾。结果:6周时，包括认知功能方法的多模式物理治疗组与稳定运动组在颈部疼痛和残疾量表(NPAD)上的差异有统计学意义(95%CI) = -1.63 (-2.55， - 0.71);P = 0.019))。关于颈部残疾指数(NDI)，在6周时观察到组间显著差异(95%CI) = -2.69 (-3.80， -1.58);P = 0.007)，多模式物理治疗组疗效更优。在肩胛骨内收30°、60°、90°和120°时，肩胛骨向上旋转和肩胛骨向后倾斜组间差异显著。结论:以群体为基础的多模式康复方案，包括肩胛骨稳定运动加认知功能治疗，在减少慢性颈痛患者的残疾和改善肩胛骨运动方面优于单独的群体稳定运动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta of bioengineering and biomechanics BIOPHYSICS-ENGINEERING, BIOMEDICAL

CiteScore

2.10

自引率

10.00%

发文量

期刊介绍： Acta of Bioengineering and Biomechanics is a platform allowing presentation of investigations results, exchange of ideas and experiences among researchers with technical and medical background. Papers published in Acta of Bioengineering and Biomechanics may cover a wide range of topics in biomechanics, including, but not limited to: Tissue Biomechanics, Orthopedic Biomechanics, Biomaterials, Sport Biomechanics.