Physiotherapy Neck Pain Exercises
Abstract
Objective: To identify the most effective components in an active exercise physiotherapy treatment intervention for chronic neck pain based on the frequency, intensity, time, and type (FITT) exercise method of tailoring physical activity recommendations to the individual needs and goals of patients.
Data sources: Databases, including the Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health, MEDLINE, SPORTDiscus, Biomedical Reference Collection, and Academic Search Premier, were searched for relevant articles.
Study Selection: We selected studies that utilized active exercise either as part of multimodal or standalone approaches in quantitative design. Only studies scoring >=6 on the Physiotherapy Evidence Database Scale were included in the review because this reflected a good level of evidence.
Data extraction: The relevant outcomes measures (e.g. isometric strength, Neck Disability Index scores and pain scores) were extracted from the relevant articles. These results were then combined for evaluation and synthesis.
Data synthesis: Selected articles of evidence were synthesized using the FITT exercise principal. This allows us to choose the best type, frequency, intensity, and duration for treating chronic neck pain.
Conclusions: Physiotherapy interventions using a multimodal approach appear to produce more beneficial outcomes in terms of increased strength, improved function, and health-related quality of life and reduced pain scores. For all these benefits, active strengthening exercises seem to be effective. The addition of stretching and aerobic exercise seems to increase the value of any exercise intervention.
Keywords: Neck pain, Exercise; Rehabilitation.
Copyright (c). 2014 American Congress of Rehabilitation Medicine. Elsevier Inc. All Rights Reserved.
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