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The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain: a school-based pilot, randomized and controlled study.
- Source :
- Physiotherapy Theory & Practice; Sep2018, Vol. 34 Issue 9, p682-691, 10p, 2 Diagrams, 4 Charts, 1 Graph
- Publication Year :
- 2018
-
Abstract
- Purpose: To compare the effectiveness of pain neuroscience education (PNE) and neck/shoulder exercises with no intervention in adolescents with chronic idiopathic neck pain (CINP). Methods: Forty-three adolescents with CINP were randomly allocated to receive PNE and shoulder/neck exercises (n = 21) or no intervention (n = 22). Data on pain intensity, neck flexor and extensor muscles endurance, scapular stabilizers endurance, pain catastrophizing, anxiety, and knowledge of pain neurophysiology were collected. Measurements were taken before and after the intervention. Results: All participants completed the study. Analysis using ANCOVA revealed a significant increase in the neck extensors endurance capacity (adjusted mean ± SE change = + 47.5 ± 13.5 s versus +14.2 ± 13.1 s) and knowledge of pain neurophysiology (adjusted mean ± SE change = + 9.8 ± 3.2 versus −0.6 ± 0.6) in the group receiving the intervention. A higher mean decrease in pain intensity, pain catastrophizing and anxiety and a higher mean increase in the scapular stabilizers endurance capacity were also found in the intervention group, but differences did not reach statistical significance. Conclusions: Results suggest a potential benefit of PNE and exercise for adolescents with CINP. Further studies with larger sample sizes are needed. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC pain treatment
NECK pain treatment
NECK muscles
ANALYSIS of covariance
ANXIETY
CHI-squared test
CLINICAL trials
CONFIDENCE intervals
EXERCISE therapy
PATIENT education
PHYSICAL fitness
PROBABILITY theory
PSYCHOLOGICAL tests
QUESTIONNAIRES
RESEARCH
STATISTICAL sampling
T-test (Statistics)
STATISTICAL significance
EFFECT sizes (Statistics)
PAIN measurement
RANDOMIZED controlled trials
VISUAL analog scale
PRE-tests & post-tests
HEALTH literacy
DATA analysis software
STATE-Trait Anxiety Inventory
DESCRIPTIVE statistics
ADOLESCENCE
PHYSIOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 09593985
- Volume :
- 34
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Physiotherapy Theory & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 129976393
- Full Text :
- https://doi.org/10.1080/09593985.2018.1423590