A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain

BACKGROUND: Neck pain is associated with decreased health-related quality of life, decreased work productivity, and increased visits to health care providers. AIM: The aim of this study was to assess the effectiveness of "Global Postural Re-education" (GPR) versus a neck specific exercise...

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Autores: Mendes Fernandes, Tânia, Méndez Sánchez, Roberto, Puente González, Ana Silvia, Martín Vallejo, Francisco Javier, Falla, Deborah, Vila-Chã, Carolina
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Recursos:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/164501
Acesso em linha:http://hdl.handle.net/10366/164501
Access Level:acceso embargado
Palavra-chave:Neck pain
Exercise
Electromyography
Postural balance
Postural Balance
Neck Pain
equilibrio postural
dolor de cuello
ejercicio físico
electromiografía
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spelling A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck painMendes Fernandes, TâniaMéndez Sánchez, RobertoPuente González, Ana SilviaMartín Vallejo, Francisco JavierFalla, DeborahVila-Chã, CarolinaNeck painExerciseElectromyographyPostural balancePostural BalanceNeck PainElectromyographyExerciseequilibrio posturaldolor de cuelloejercicio físicoelectromiografíaBACKGROUND: Neck pain is associated with decreased health-related quality of life, decreased work productivity, and increased visits to health care providers. AIM: The aim of this study was to assess the effectiveness of "Global Postural Re-education" (GPR) versus a neck specific exercise (SE) program on neck pain, disability, cervical range of movement, postural stability, and activity of the superficial cervical flexor muscles. DESIGN: A parallel-group and single-blinded clinical trial. SETTING: Community interventions. POPULATION: Fifty women with non-specific chronic neck pain (NSCNP). METHODS: Participants were randomly assigned to one of the two intervention groups (GPR [N.=25] or SE [N.=25]). Both interventions consisted of eight sessions of ~40 minutes duration, performed twice a week, for four weeks. Outcomes included neck pain intensity and disability, cervical range of motion (CROM), postural sway, and activity of the superficial neck flexor muscles during a cranio-cervical flexion test (CCFT). All outcomes were assessed twice before the intervention and immediately following eight treatment sessions over four weeks. RESULTS: Both interventions were equally effective in reducing neck pain (P<0.001, ŋp2=0.770) and disability (P<0.001, ŋp2=0.306), improving neck mobility (P<0.001, 0.385≤ŋp2≤0.623, for all measurements) and decreasing the activity of the superficial cervical flexor muscles (P>0.001). Neither intervention altered postural sway. CONCLUSIONS: Our results revealed that GPR and SE induced significant positive results in all measures apart from postural stability but with no difference between the interventions. CLINICAL REHABILITATION IMPACT: "Global Postural Re-education" (GPR) and neck SE interventions are equally effective in reducing neck pain and disability, and improving neck mobility in women with NSCNP. Overall, this study indicates that GPR and SE interventions can be used to effectively manage patients with NSCNP.https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2023N01A0042info202520252023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://hdl.handle.net/10366/164501reponame:GREDOS. Repositorio Institucional de la Universidad de Salamancainstname:Universidad de Salamanca (USAL)InglésAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/embargoedAccessoai:gredos.usal.es:10366/1645012026-06-07T06:28:51Z
dc.title.none.fl_str_mv A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
title A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
spellingShingle A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
Mendes Fernandes, Tânia
Neck pain
Exercise
Electromyography
Postural balance
Postural Balance
Neck Pain
Electromyography
Exercise
equilibrio postural
dolor de cuello
ejercicio físico
electromiografía
title_short A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
title_full A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
title_fullStr A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
title_full_unstemmed A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
title_sort A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain
dc.creator.none.fl_str_mv Mendes Fernandes, Tânia
Méndez Sánchez, Roberto
Puente González, Ana Silvia
Martín Vallejo, Francisco Javier
Falla, Deborah
Vila-Chã, Carolina
author Mendes Fernandes, Tânia
author_facet Mendes Fernandes, Tânia
Méndez Sánchez, Roberto
Puente González, Ana Silvia
Martín Vallejo, Francisco Javier
Falla, Deborah
Vila-Chã, Carolina
author_role author
author2 Méndez Sánchez, Roberto
Puente González, Ana Silvia
Martín Vallejo, Francisco Javier
Falla, Deborah
Vila-Chã, Carolina
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Neck pain
Exercise
Electromyography
Postural balance
Postural Balance
Neck Pain
Electromyography
Exercise
equilibrio postural
dolor de cuello
ejercicio físico
electromiografía
topic Neck pain
Exercise
Electromyography
Postural balance
Postural Balance
Neck Pain
Electromyography
Exercise
equilibrio postural
dolor de cuello
ejercicio físico
electromiografía
description BACKGROUND: Neck pain is associated with decreased health-related quality of life, decreased work productivity, and increased visits to health care providers. AIM: The aim of this study was to assess the effectiveness of "Global Postural Re-education" (GPR) versus a neck specific exercise (SE) program on neck pain, disability, cervical range of movement, postural stability, and activity of the superficial cervical flexor muscles. DESIGN: A parallel-group and single-blinded clinical trial. SETTING: Community interventions. POPULATION: Fifty women with non-specific chronic neck pain (NSCNP). METHODS: Participants were randomly assigned to one of the two intervention groups (GPR [N.=25] or SE [N.=25]). Both interventions consisted of eight sessions of ~40 minutes duration, performed twice a week, for four weeks. Outcomes included neck pain intensity and disability, cervical range of motion (CROM), postural sway, and activity of the superficial neck flexor muscles during a cranio-cervical flexion test (CCFT). All outcomes were assessed twice before the intervention and immediately following eight treatment sessions over four weeks. RESULTS: Both interventions were equally effective in reducing neck pain (P<0.001, ŋp2=0.770) and disability (P<0.001, ŋp2=0.306), improving neck mobility (P<0.001, 0.385≤ŋp2≤0.623, for all measurements) and decreasing the activity of the superficial cervical flexor muscles (P>0.001). Neither intervention altered postural sway. CONCLUSIONS: Our results revealed that GPR and SE induced significant positive results in all measures apart from postural stability but with no difference between the interventions. CLINICAL REHABILITATION IMPACT: "Global Postural Re-education" (GPR) and neck SE interventions are equally effective in reducing neck pain and disability, and improving neck mobility in women with NSCNP. Overall, this study indicates that GPR and SE interventions can be used to effectively manage patients with NSCNP.
publishDate 2023
dc.date.none.fl_str_mv 2023
2025
2025
info
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10366/164501
url http://hdl.handle.net/10366/164501
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/embargoedAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv embargoedAccess
dc.publisher.none.fl_str_mv https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2023N01A0042
publisher.none.fl_str_mv https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2023N01A0042
dc.source.none.fl_str_mv reponame:GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname:Universidad de Salamanca (USAL)
instname_str Universidad de Salamanca (USAL)
reponame_str GREDOS. Repositorio Institucional de la Universidad de Salamanca
collection GREDOS. Repositorio Institucional de la Universidad de Salamanca
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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