Self-Kinematic Training for Flight-Associated Neck Pain: a Randomized Controlled Trial

2020 ◽  
Vol 91 (10) ◽  
pp. 790-797
Author(s):  
Hilla Sarig Bahat ◽  
Dmitry German ◽  
Galia Palomo ◽  
Hila Gold ◽  
Yael Frankel Nir
Keyword(s):  
Randomized Controlled Trial ◽  
Neck Pain ◽  
Training Program ◽  
Controlled Trial ◽  
Training Group ◽  
Exercise Duration ◽  
Control Group ◽  
Mean Velocity ◽  
Randomized Controlled ◽  
Kinematic Performance

BACKGROUND: Flight-associated neck pain (FANP) is a serious problem in fighter pilots. Despite the high impact of FANP there is little evidence for effective management. However, self-kinematic training showed a positive effect in the general population. The purpose of this study was to investigate the effectiveness of a self-kinematic training program using virtual reality in improving neck pain in fighter pilots.METHODS: There were 45 pilots with FANP who were randomized to a control group (N 23) or a training group (N 22). Training participants were instructed to exercise using a personalized self-training program, for 20 min/wk, for 4 wk. Primary outcome measures were neck disability (NDI%) and mean velocity ( s1), and secondary were pain, health status, accuracy, and isometric strength. Assessments were conducted by a blinded assessor and intention-to-treat analysis by a blinded statistician.RESULTS: There were 40 pilots who completed the postintervention assessments, and 35 completed the 6-mo follow-up. Baseline measurements showed mild pain and disability (mean VAS 43 22.73, NDI 17.76 9.59%) and high kinematic performance. Compliance with self-training was poor. No differences were observed in self-reported measures and strength. Exercise duration was correlated with NDI% improvement.DISCUSSION: This self-kinematic training promoted kinematic performance, but was ineffective in engaging the pilots to exercise, and consequently did not improve pain and disability. Poor compliance was previously reported in self-training for FANP, suggesting further studies should prioritize supervised training. Considering the high baseline kinematic performance, kinematics does not seem to be a key factor in FANP, and future exercise research should aim for intense strengthening to increase endurance to the high Gz pilots experience.Sarig Bahat H, German D, Palomo G, Gold H, Frankel Nir Y. Self-kinematic training for flight-associated neck pain: a randomized controlled trial. Aerosp Med Hum Perform. 2020; 91(10):790797.

scholarly journals Physical Activity Improves Verbal and Spatial Memory in Older Adults with Probable Mild Cognitive Impairment: A 6-Month Randomized Controlled Trial

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Lindsay S. Nagamatsu ◽  
Alison Chan ◽  
Jennifer C. Davis ◽  
B. Lynn Beattie ◽  
Peter Graf ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Spatial Memory ◽  
Aerobic Training ◽  
Controlled Trial ◽  
Memory Performance ◽  
Verbal Learning ◽  
Training Group ◽  
Control Group ◽  
Randomized Controlled

We report secondary findings from a randomized controlled trial on the effects of exercise on memory in older adults with probable MCI. We randomized 86 women aged 70–80 years with subjective memory complaints into one of three groups: resistance training, aerobic training, or balance and tone (control). All participants exercised twice per week for six months. We measured verbal memory and learning using the Rey Auditory Verbal Learning Test (RAVLT) and spatial memory using a computerized test, before and after trial completion. We found that the aerobic training group remembered significantly more items in the loss after interference condition of the RAVLT compared with the control group after six months of training. In addition, both experimental groups showed improved spatial memory performance in the most difficult condition where they were required to memorize the spatial location of three items, compared with the control group. Lastly, we found a significant correlation between spatial memory performance and overall physical capacity after intervention in the aerobic training group. Taken together, our results provide support for the prevailing notion that exercise can positively impact cognitive functioning and may represent an effective strategy to improve memory in those who have begun to experience cognitive decline.

scholarly journals Computerized Speechreading Training for Deaf Children: A Randomized Controlled Trial

2019 ◽  
Vol 62 (8) ◽  
pp. 2882-2894 ◽  
Author(s):  
Hannah Pimperton ◽  
Fiona Kyle ◽  
Charles Hulme ◽  
Margaret Harris ◽  
Indie Beedie ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Training Program ◽  
Word Reading ◽  
Controlled Trial ◽  
Training Group ◽  
Primary Outcome Measure ◽  
Deaf Children ◽  
Phonological Representations ◽  
Training Tool ◽  
Randomized Controlled

Purpose We developed and evaluated in a randomized controlled trial a computerized speechreading training program to determine (a) whether it is possible to train speechreading in deaf children and (b) whether speechreading training results in improvements in phonological and reading skills. Previous studies indicate a relationship between speechreading and reading skill and further suggest this relationship may be mediated by improved phonological representations. This is important since many deaf children find learning to read to be very challenging. Method Sixty-six deaf 5- to 7-year-olds were randomized into speechreading and maths training arms. Each training program was composed of a 10-min sessions a day, 4 days a week for 12 weeks. Children were assessed on a battery of language and literacy measures before training, immediately after training, and 3 months and 11 months after training. Results We found no significant benefits for participants who completed the speechreading training, compared to those who completed the maths training, on the speechreading primary outcome measure. However, significantly greater gains were observed in the speechreading training group on one of the secondary measures of speechreading. There was also some evidence of beneficial effects of the speechreading training on phonological representations; however, these effects were weaker. No benefits were seen to word reading. Conclusions Speechreading skill is trainable in deaf children. However, to support early reading, training may need to be longer or embedded in a broader literacy program. Nevertheless, a training tool that can improve speechreading is likely to be of great interest to professionals working with deaf children. Supplemental Material https://doi.org/10.23641/asha.8856356

scholarly journals Can Supervised Group Exercises Including Ergonomic Advice Reduce the Prevalence and Severity of Low Back Pain and Pelvic Girdle Pain in Pregnancy? A Randomized Controlled Trial

2012 ◽  
Vol 92 (6) ◽  
pp. 781-790 ◽  
Author(s):  
Marit Horst Eggen ◽  
Britt Stuge ◽  
Petter Mowinckel ◽  
Kjersti Smee Jensen ◽  
Kåre Birger Hagen
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Intensity ◽  
Odds Ratio ◽  
Controlled Trial ◽  
Training Group ◽  
Pelvic Girdle Pain ◽  
Control Group ◽  
Low Back ◽  
Randomized Controlled ◽  
In Pregnancy

Background Many women have low back pain (LBP) or pelvic girdle pain (PGP) during pregnancy, but there is limited evidence of effective primary and secondary preventive strategies. Objective The purpose of this study was to investigate whether a group-based exercise program can reduce the prevalence and severity of LBP and PGP in pregnant women. Design An observer-blinded randomized controlled trial with equal assignments to a training group and a control group was conducted. Setting The study was conducted in primary care maternity units in 2 suburban municipalities in the southeastern part of Norway. Patients The participants were 257 pregnant women who were healthy and between 18 and 40 years of age before gestation week 20. Intervention The training group received supervised exercises in groups once a week, and the control group received standard care. Measurements The main outcome measures were self-reported LBP and self-reported PGP. Secondary outcome measures were pain intensity in the morning and evening, disability, and 8-Item Short-Form Health Survey (SF-8) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores. Follow-up measurements were performed at gestation weeks 24, 28, 32, and 36. Results Overall, there was no effect of the program on the prevalence of PGP (odds ratio=1.03, 95% confidence interval [CI]=0.66 to 1.59) or LBP (odds ratio=0.77, 95% CI=0.50 to 1.19). For the secondary outcomes, the estimated mean differences between the groups were −0.4 (95% CI=−0.8 to 0.1) for pain intensity in the morning, −0.4 (95% CI=−1.0 to 0.2) for pain intensity in the evening, −1.0 (95% CI=−2.2 to 0.0) for disability, 1.8 (95% CI=0.0 to 3.7) for the SF-8 PCS, and −0.6 (95% CI=−2.2 to 1.4) for the SF-8 MCS. Limitations Due to low statistical power, the estimates for the primary outcomes are imprecise. Conclusions Supervised group exercise did not reduce the prevalence of LBP or PGP in pregnancy.

Impact of the WHO depression guideline on patient care by psychiatrists: A randomized controlled trial

2008 ◽  
Vol 23 (6) ◽  
pp. 403-408 ◽  
Author(s):  
Michel Linden ◽  
Anja Westram ◽  
Lutz G. Schmidt ◽  
Clemenz Haag
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Training Group ◽  
Control Group ◽  
Negative Effects ◽  
Course Of Illness ◽  
Positive Effects ◽  
Randomized Controlled ◽  
Information Group

AbstractBackgroundScientific literature reviews aim to summarize the state of knowledge and published empirical evidence. In contrast, medical guidelines are intervention tools that aim to improve physician behaviour and patient outcome. They can have positive effects, but they can also have negative effects. Their effects must be tested by research.MethodsIn a randomized controlled trial, 103 psychiatrists in private practice were either provided with the WHO depression guideline only (information group), or provided with the WHO depression guideline and trained for one day in this guideline (intervention group), or left uninformed (control group). They then treated a total of 497 patients according to individual clinical considerations and the needs of the patients. Observation of routine treatment lasted 12 weeks. Physicians and patients documented the course of illness and treatment, including the patient–physician interaction.ResultsPsychiatrists in the intervention group saw more psychosocial stressors in their patients, prescribed higher dosages of medication, had fewer drop-outs, and rated treatment outcome as better. The ratings of patient–physician interactions indicated more strain in their relationships.ConclusionsThe results show both positive and negative effects of guideline exposure, but only in the training group and not in the information group. Guidelines should be empirically tested before being called “evidence based”. Every guideline should also explain how it can or must be implemented in order to become effective.

Resistance Training Impact on Mobility, Muscle Strength and Lean Mass in Pancreatic Cancer Cachexia: A Randomized Controlled Trial

2020 ◽  
Vol 34 (11) ◽  
pp. 1391-1399
Author(s):  
FatmaAlzahraa H Kamel ◽  
Maged A Basha ◽  
Ashwag S Alsharidah ◽  
Amr B Salama
Keyword(s):  
Pancreatic Cancer ◽  
Randomized Controlled Trial ◽  
Resistance Training ◽  
Muscle Strength ◽  
Lean Body Mass ◽  
Body Mass ◽  
Controlled Trial ◽  
Training Group ◽  
Control Group ◽  
Randomized Controlled

Objective: To determine the efficacy of a three-month resistance training programme on the mobility, muscle strength and lean body mass of patients with pancreatic cancer-induced cachexia. Design: Randomized controlled trial. Setting: Elsahel Teaching Hospital, outpatient clinic of the Faculty of Physical Therapy, Cairo, Egypt. Participants: Patients with pancreatic cancer-induced cachexia. Interventions: Participants were randomized to the resistance training group ( n = 20) and control group ( n = 20). Main measures: Outcomes including mobility, muscle strength and lean body mass were measured at baseline, three months after surgical resection and 12 weeks after intervention. Results: The mean (SD) age was 51.9 (5.03) years and body mass index was 21.1 (1.13) kg/m²; 65% of patients were male. Compared to the control group, the resistance training group showed significant improvement in mobility: 400-m walk performance (270.3–256.9 seconds vs 266.4–264.2 seconds, respectively) and chair rise (13.82–12.53 seconds vs 13.77–13.46 seconds, respectively). Similarly, muscle strength was also significantly improved in the resistance training group than in the control group; we observed increase in peak torque of knee extensors ( P = 0.004), elbow flexors ( P = 0.001) and elbow extensors, improvement in lean mass of the upper limb (6.28–6.46 kg vs 6.31–6.23 kg, respectively) and lower limb (16.31–16.58 kg vs 16.4–16.31 kg, respectively). Conclusion: A three-month resistance training improved the mobility of patients with pancreatic cancer-induced cachexia. Muscle strength and lean body mass also improved.

The role of maternal psychosocial perceptions in parent-training programs: a preliminary randomized controlled trial

2019 ◽  
Vol 47 (2) ◽  
pp. 358-381
Author(s):  
Rebecca M. ALPER ◽  
Richard R. HURTIG ◽  
Karla K. MCGREGOR
Keyword(s):  
Randomized Controlled Trial ◽  
Parent Training ◽  
Training Program ◽  
Training Programs ◽  
Controlled Trial ◽  
Control Group ◽  
Language And Literacy ◽  
Randomized Controlled ◽  
Parent Training Programs ◽  
Control Perceptions

AbstractParent–child interaction is critical for early language and literacy development. Parent training programs have proliferated to support early interactions. However, many environmental and psychosocial factors can impact the quality of parent–child language and literacy interactions as well as training program outcomes. This preliminary randomized controlled trial examined maternal perceived self-efficacy and locus of control during a language and literacy parent training program. Thirty mother–child dyads (mother age 21–40; children 2;6–4;0) were assigned in parallel to the training or control group. The training was efficacious for mothers and children – training-group dyads made significantly greater gains in maternal strategy use, responsivity, and child print awareness than the control group. Gains were maintained one month post-training. Children whose mothers had more external baseline control perceptions identified significantly fewer print targets at baseline and made greater gains than those with more internal control perceptions. Future directions and implications are discussed.

scholarly journals Yoga and Aerobic Dance for Pain Management in Juvenile Idiopathic Arthritis: Protocol for a Pilot Randomized Controlled Trial

10.2196/12823 ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. e12823 ◽  
Author(s):  
Karine Toupin April ◽  
Jennifer Stinson ◽  
Sabrina Cavallo ◽  
Laurie Proulx ◽  
George A Wells ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Management ◽  
Training Program ◽  
Controlled Trial ◽  
Female Adolescents ◽  
Control Group ◽  
Aerobic Dance ◽  
Randomized Controlled ◽  
Dance Training ◽  
Pilot Randomized Controlled Trial

Background Juvenile idiopathic arthritis (JIA) is one of the most common types of arthritis among children. According to JIA guidelines for physical activity (PA), structured PA interventions led to improved health outcomes. However, many PA programs, such as yoga and aerobic dance, have not been studied in this population despite being popular among youth. Web-based PA programs could provide patients with accessible and affordable interventions. Objective The primary aims of the proposed pilot randomized controlled trial (RCT) are to examine (1) the feasibility of conducting a full-scale RCT to evaluate the effectiveness of two popular types of PA: a yoga training program and an aerobic dance training program, in female adolescents (aged 13-18 years) with JIA compared with an electronic pamphlet control group; and (2) the acceptability of these interventions. Methods A three-arm prospective randomized open-label study with a parallel group design will be used. A total of 25 female adolescents with JIA who have pain will be randomized in a ratio of 2:2:1 to one of the 3 groups: (1) online yoga training program (group A: n=10); (2) online aerobic dance training program (group B: n=10); and (3) electronic pamphlet control group (group C: n=5). Participants in groups A and B will complete 3 individual 1-hour sessions per week using online exercise videos, as well as a 1-hour virtual group session per week using a videoconferencing platform for 12 weeks. Participants from all groups will have access to an electronic educational pamphlet on PA for arthritis developed by the Arthritis Society. All participants will also take part in weekly online consultations with a research coordinator and discussions on Facebook with participants from their own group. Feasibility (ie, recruitment rate, self-reported adherence to the interventions, dropout rates, and percentage of missing data), acceptability, and usability of Facebook and the videoconferencing platform will be assessed at the end of the program. Pain intensity, participation in general PA, morning stiffness, functional status, fatigue, self-efficacy, patient global assessment, disease activity, and adverse events will be assessed using self-administered electronic surveys at baseline and then weekly until the end of the 12-week program. Results This pilot RCT has been funded by the Arthritis Health Professions Association. This protocol was approved by the Children’s Hospital of Eastern Ontario Research Ethics Board (#17/08X). As of May 11, 2020, recruitment and data collection have not started. Conclusions To our knowledge, this is the first study to evaluate the effectiveness of yoga and aerobic dance as pain management interventions for female adolescents with JIA. The use of online programs to disseminate these 2 PA interventions may facilitate access to alternative methods of pain management. This study can lead to a full-scale RCT. International Registered Report Identifier (IRRID) PRR1-10.2196/12823

scholarly journals Effects of a training program for occupational health professionals on the cognitions and perceptions of workers: a randomized controlled trial

2022 ◽  
Author(s):  
Mariska de Wit ◽  
Bedra Horreh ◽  
Carel T. J. Hulshof ◽  
Haije Wind ◽  
Angela G. E. M. de Boer
Keyword(s):  
Randomized Controlled Trial ◽  
Chronic Disease ◽  
Occupational Health ◽  
Training Program ◽  
Health Professionals ◽  
Controlled Trial ◽  
Work Participation ◽  
Control Group ◽  
Evidence Based ◽  
Randomized Controlled

Abstract Purpose To evaluate the effects of a training program for occupational health professionals (OHPs) on their ability to identify the cognitions and perceptions of workers with a chronic disease that may hinder work participation, and on their ability to recommend evidence-based interventions aimed at the identified cognitions and perceptions. Methods A randomized controlled trial was conducted in which OHPs were randomly assigned to a training program on the cognitions and perceptions of workers with a chronic disease (n = 29) or to a control group that did not receive training (n = 30). Participants received home assignments in which they had to identify the cognitions and perceptions of workers in video vignettes and had to indicate which interventions they would recommend to foster work participation. A generalized linear model repeated measures ANOVA was conducted to study the effects of the training program. Results The results of the analyses showed an increase in the ability to identify the cognitions and perceptions of workers of OHPs who received the training compared to the control group (p < 0.001). The results also showed an increased ability to recommend evidence-based interventions aimed at these cognitions and perceptions (p < 0.001) as a result of participation in the training. Conclusion The training program helps OHPs to identify cognitions and perceptions and to recommend evidence-based interventions. This can support them in their activities to increase the work participation of workers with a chronic disease.

The effectiveness of an aerobic exercise training on patients with neck pain during a short- and long-term follow-up: a prospective double-blind randomized controlled trial

2020 ◽  
Vol 34 (5) ◽  
pp. 617-629
Author(s):  
Amira Daher ◽  
Rafael S Carel ◽  
Knoll Tzipi ◽  
Hazan Esther ◽  
Gali Dar
Keyword(s):  
Randomized Controlled Trial ◽  
Neck Pain ◽  
Aerobic Exercise ◽  
Controlled Trial ◽  
Cervicogenic Headache ◽  
Successful Outcome ◽  
Control Group ◽  
Specific Exercise ◽  
Randomized Controlled

Objective: To examine the effect of adding aerobic exercise (AE) to neck-specific exercise treatment for patients with neck pain (NP) to reduce pain and disability. Design: A prospective multicentre randomized controlled trial. Setting: Physiotherapy outpatient clinics. Subjects: Patients with nonspecific NP. Intervention: Patients with NP were randomly assigned to six weeks of neck-specific exercise with and without the addition of AE. Measures: Patients were classified as having a successful or non-successful outcome according to the Global Rating of Change (GROC). Outcome measures included Visual Analogue Scale (VAS), Neck Disability Index (NDI), Fear Avoidance Beliefs Questionnaire (FABQ) and cervicogenic headache. Assessments were performed at six-week, and three- and six-month follow-ups. Results: A total of 139 participants (mean age: 54.6 ± 10.5 years) were recruited ( n = 69 AE, n = 70 control). According to GROC, 77.4% of the AE group reported a successful outcome at six months vs. 40% in the control group ( P < 0.001). There was a significant reduction in VAS from baseline to six months in the AE vs. control group 6.73 (±1.69) to 1.89 (±1.37) vs. 6.65 (±1.67) to 3.32 (±1.82), respectively ( P  < 0.001). Significant improvements were also obtained for NDI and FABQ from baseline to six weeks in the AE group: NDI from 16.10 (±4.53) to 7.78 (±4.78) vs. 17.01 (±4.84) to 11.09 (±5.64) in the control group ( P = 0.003); FABQ from 33.53 (±9.31) to 20.94 (±841) in the AE vs. 33.45 (±10.20) to 26.83 (±10.79) in the control group ( P < 0.001). The AE group also demonstrated significant reduction in cervicogenic headache from baseline to six months ( P = 0.003). Conclusion: Adding AE to long-term neck-specific exercises is an effective treatment for reducing NP and headache in patients with NP.

scholarly journals Clinical outcomes of maitland mobilization in patients with Myofascial Chronic Neck Pain: A randomized controlled trial

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Maryam Shabbir ◽  
Naveed Arshad ◽  
Anam Naz ◽  
Nadia Saleem
Keyword(s):  
Randomized Controlled Trial ◽  
Neck Pain ◽  
Range Of Motion ◽  
Clinical Outcomes ◽  
Controlled Trial ◽  
Neck Disability Index ◽  
Chronic Neck Pain ◽  
Placebo Treatment ◽  
Control Group ◽  
Randomized Controlled

Background and Objective: Myofascial neck pain is a common musculoskeletal problem caused by presence of trigger points and local and referred pain patterns. Chronic neck pain is responsible for the involvement of joints, ligaments, fascia and connective tissue as well. The objective of this study was to assess the effect of Maitland mobilization in patients with myofascial chronic neck pain. Methods: In this randomized, placebo treatment-controlled trial, 30 patients consecutively aged 25-45 years meeting inclusion criteria were isolated into two groups. The study group was treated with Maitland mobilization consistently for eight weeks while the control group got placebo treatment for a similar timeframe. Visual analog Scale (VAS), Neck disability index (NDI) and cervical range of motion (ROM) questionnaire was filled by patients before, intermediate and after the intervention to evaluate the severity of pain, functional ability and range of motion. Results: Following eight weeks of treatment, when compared the post treatment effects of both groups, the significance value for VAS was 0.008, for NDI p=0.030, for Flexion p=0.573, for extension p=0.001, for right rotation p<0.001, for left rotation p=0.002, for right and left side bending p<0.001. Conclusion: The study concluded that Maitland mobilization grades (I-IV) are effective in reducing pain and improving functional level of NDI scale and the ranges of cervical spine in patients with myofascial chronic neck pain. doi: https://doi.org/10.12669/pjms.37.4.4220 How to cite this:Shabbir M, Arshad N, Naz A, Saleem N. Clinical outcomes of maitland mobilization in patients with Myofascial Chronic Neck Pain: A randomized controlled trial . Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.4220 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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