Effectiveness of an application-based neck exercise as a pain management tool for office workers with chronic neck pain and functional disability: A pilot randomized trial

Abstract Background Chronic neck pain is frequently found in office workers affecting quality of life; also, stress is one participating factor. Though stretching incorporating deep-slow breathing (DSB) has benefits on health, an effective and suitable technique for office workers to perform in the workplace is a gap in need of fulfilment. Methods We explored the effective pattern of stretching with DSB to reduce neck tension and promote relaxation within the shortest time. Thirty-two female participants with neck tension were allocated into two steps totaling five patterns (n=8 for each pattern). Firstly, they performed two patterns; two other patterns were developed and compared with DSB alone. Muscle tension, pain score, and heart rate variability (HRV) were immediately measured. Results All patterns performed with the eyes closed decreased muscle tension more than those performed with the eyes open; the pain amid all stretching groups subsequently decreased. Only a bout of slow stretching, performed synchronously with the eyes closed along with a period of deep inhalation increased the parasympathetic activity of HRV; an increase in pain was reported after stretching. Conclusions A slowed and synchronized pattern between stretching with DSB and eyes closed period, performed at least four times repeatedly rendered benefits in reducing neck pain and tension, in addition to promoting relaxation within a short period; however, the DSB pattern and the feeling of the stretched muscle to promote relaxation were individual differences. Thus, future studies should come up with apposite training methods adjusted to fit individuals; self-awareness toward these aspects ought to be encouraged.

Download Full-text

Effect of muscle energy technique Versus Motor control Exercise adjunct to conventional therapy on Pain, Range of motion and functional disability in patient with chronic neck pain

10.21203/rs.3.pex-1489/v1 ◽

2021 ◽

Author(s):

Deepak Jain ◽

Deepali Patil ◽

Pratik Phansopkar

Keyword(s):

Motor Control ◽

Neck Pain ◽

Conventional Therapy ◽

Functional Disability ◽

Chronic Neck Pain ◽

Long Term Effects ◽

Muscle Energy Technique ◽

Muscle Energy ◽

The Impact ◽

Control Exercise

Abstract Background: - Neck pain is defined as mechanical, neuropathic or secondary to any other disorder and it can be acute, 6 weeks; sub acute, 3 months; chronic, >3 months. types of potential causes for neck pain: medical effects, severe or non-threatening causes, usual and rare conditions, and genuine and invalid causes. Motor control was defined as motor relearning program with emphasis on coordination and holding capabilities of specific neck flexor, extensor, and shoulder girdle muscles. MET is a method of treatment that involves the voluntary contraction of a Patients muscle in a precisely controlled direction, against a counterforce provided by the therapist.Methodology: - In the study 50 chronic neck pain patients will be enrolled. And will be divided into 25 in each group. One group will receive Muscle Energy Technique and the other group will receive Motor Control Exercise as well as conventional therapy for 4 weeks. Pain, ROM and strength will be evaluated using the standard technique. Discussion: - The goal of this Interventional study is to examine the impact of MET versus MCE with conventional therapy on patients with chronic neck pain. This research will help in identifying rapid and long term effects of MET versus MCE with conventional therapy on patients with chronic neck pain. The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033497.

Download Full-text

A cluster-randomized trial of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion for office workers to manage neck pain—a secondary outcome analysis

10.21203/rs.3.rs-32053/v1 ◽

2020 ◽

Author(s):

Venerina Johnston ◽

Xiaoqi Chen ◽

Alyssa Welch ◽

Gisela Sjøgaard ◽

Tracy A Comans ◽

...

Keyword(s):

Health Promotion ◽

Exercise Training ◽

Neck Pain ◽

Randomized Trial ◽

Pain Intensity ◽

Cluster Randomized Trial ◽

Office Workers ◽

Group Differences ◽

Specific Exercise ◽

Cluster Randomized

Abstract Background: Neck pain is prevalent among office workers. This study evaluated the impact of an ergonomic and exercise training (EET) intervention and an ergonomic and health promotion (EHP) intervention on neck pain intensity among the general office workers and a subgroup of office workers with neck pain at baseline. Methods: A prospective 12-month cluster-randomized trial was conducted in 14 public and private organisations. Participants were office workers, aged ≥18 years working ≥30 hours per week (n=740). All participants received an individualised workstation ergonomic intervention, followed by 1:1 allocation to the EET group (neck-specific exercise training), or the EHP group (health promotion) for 12 weeks. Neck pain intensity (scale: 0-9) was recorded at baseline, 12 weeks, and 12 months. Participants with data at these three time points were included for analysis (n=367). Intervention group differences were analysed using generalized estimating equation models on an intention-to-treat basis and adjusted for potential confounders (demographic, health or work-related). Subgroup analysis was performed on participants symptomatic at baseline (neck cases) (n=96).Results: The EET group demonstrated significantly greater reductions in neck pain intensity at 12 weeks compared to the EHP group for both the general office workers (EET: b=-0.53 points 95%CI: -0.84– -0.22 [36%] and EHP: b=-0.17 points 95%CI: -0.47–0.13 [10.5%], p-value=0.02) and neck cases subgroup (EET: b=-2.32 points 95%CI: -3.09– -1.56 [53%] and EHP: b=-1.75 points 95%CI: -2.35– -1.16 [36%], p=0.04). Reductions in pain intensity were not maintained at 12 months with no between-group differences observed in either the general office workers (EET: b=-0.18, 95%CI: -0.53–0.16 and EHP: b=-0.14 points 95%CI: -0.49–0.21, p=0.53) or neck cases subgroup, although in both groups an overall reduction was found (EET: b= -1.61 points 95%CI: -2.36– -0.89 and EHP: b=-1.9 points 95%CI: -2.59– -1.20, p=0.26). Conclusion: EET was more effective and clinically meaningful than EHP in reducing neck pain intensity in both general office workers and those with neck pain immediately following the intervention period (12 weeks) but not at 12 months follow-up. Findings suggest the need for continuation of exercise to maintain benefits in the longer term.Clinical trial registration: ACTRN12612001154897 Date of Registration: 31/10/2012

Download Full-text

An economic evaluation of Alexander Technique lessons or acupuncture sessions for patients with chronic neck pain: A randomized trial (ATLAS)

PLoS ONE ◽

10.1371/journal.pone.0178918 ◽

2017 ◽

Vol 12 (12) ◽

pp. e0178918 ◽

Cited By ~ 4

Author(s):

Holly Essex ◽

Steve Parrott ◽

Karl Atkin ◽

Kathleen Ballard ◽

Martin Bland ◽

...

Keyword(s):

Economic Evaluation ◽

Neck Pain ◽

Randomized Trial ◽

Chronic Neck Pain ◽

Alexander Technique

Download Full-text

A cluster-randomized trial of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion for office workers to manage neck pain—a secondary outcome analysis

10.21203/rs.3.rs-32053/v2 ◽

2020 ◽

Author(s):

Venerina Johnston ◽

Xiaoqi Chen ◽

Alyssa Welch ◽

Gisela Sjøgaard ◽

Tracy A Comans ◽

...

Keyword(s):

Health Promotion ◽

Neck Pain ◽

Randomized Trial ◽

Cluster Randomized Trial ◽

Office Workers ◽

Secondary Outcome ◽

Outcome Analysis ◽

Specific Exercise ◽

Cluster Randomized

Abstract The authors have withdrawn this preprint due to author disagreement.

Download Full-text

Effect of upper back brace with auditory feedback for forward head rounded shoulder posture among office workers with chronic neck pain – A pre-post single group study

The Indian Journal of Occupational Therapy ◽

10.4103/ijoth.ijoth_26_20 ◽

2020 ◽

Vol 52 (3) ◽

pp. 85

Author(s):

RashmiSudhakar Yeradkar ◽

JyotsnaRupesh Bankhele ◽

MansiManoj Mulye

Keyword(s):

Neck Pain ◽

Auditory Feedback ◽

Chronic Neck Pain ◽

Office Workers ◽

Single Group

Download Full-text

Relationship between neck acceleration and muscle activation in people with chronic neck pain: Implications for functional disability

Clinical Biomechanics ◽

10.1016/j.clinbiomech.2016.04.006 ◽

2016 ◽

Vol 35 ◽

pp. 27-36 ◽

Cited By ~ 6

Author(s):

Sharon M.H. Tsang ◽

Grace P.Y. Szeto ◽

Raymond Y.W. Lee

Keyword(s):

Neck Pain ◽

Muscle Activation ◽

Functional Disability ◽

Chronic Neck Pain

Download Full-text

Effectiveness and cost-effectiveness of acupuncture with Doin therapy for chronic neck pain: a study protocol for a multicentre, randomised controlled clinical trial

BMJ Open ◽

10.1136/bmjopen-2018-026632 ◽

2019 ◽

Vol 9 (5) ◽

pp. e026632 ◽

Cited By ~ 1

Author(s):

Sook-Hyun Lee ◽

Jinho Lee ◽

Yoon Jae Lee ◽

Me-riong Kim ◽

Jae Heung Cho ◽

...

Keyword(s):

Cost Effectiveness ◽

Neck Pain ◽

Functional Disability ◽

Rating Scale ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Controlled Clinical Trial ◽

Clinical Effects ◽

Korean Medicine ◽

Randomised Controlled

IntroductionDoin therapy is a manual therapy used in Korean rehabilitation medicine. Recently, the use of acupuncture with Doin has increased in clinics and clinical trials have demonstrated its effects. However, well-designed studies examining the efficacy and cost-effectiveness of acupuncture with Doin therapy are rare.Methods and analysisThis multicentre, assessor-blinded, randomised controlled trial with two parallel groups aims to evaluate the clinical effects and cost-effectiveness of acupuncture with Doin therapy. A total of 124 patients (with a neck pain duration of 6 months or longer and a Numeric Rating Scale ≥5) will be recruited at five Korean medicine hospitals. Patients will be randomly allocated to acupuncture with Doin therapy (n=62) and acupuncture alone (n=62) for 5 weeks of treatment. This study will be carried out with outcome assessor and statistician blinding. The primary outcome measure will consist of improvement in neck pain using the Visual Analogue Scale at 6 weeks. The secondary outcomes including measures of pain, functional disability, health-related quality of life and economic evaluation will be conducted at 6 weeks, and 3, 6, 9 and 12 months after treatmentEthics and disseminationThe project is approved by the Institutional Review Board (IRB) of the Jaseng Hospital of Korean Medicine and the Kyung Hee University Korean Medicine Hospital at Gangdong. Dissemination will occur after the findings from this study are published in other peer reviewed journals.Trial registration numbersNCT03558178; KCT0003068; Pre-results.

Download Full-text