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Related Experiment Videos

Exercises for mechanical neck disorders.

T M Kay1, A Gross, C Goldsmith

  • 1Physiotherapy Services, CG 13b, Sunnybrook & Women's College Health Sciences Centre, 2075 Bayview Avenue, North York, ON, Canada, M3N 3M5. theresa.kay@sw.ca

The Cochrane Database of Systematic Reviews
|July 22, 2005
PubMed
Summary
This summary is machine-generated.

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Exercise therapy shows promise for treating mechanical neck disorders (MND). Specific strengthening and multimodal approaches, combining exercise with mobilization, effectively reduce pain and improve function in the short and long term.

Area of Science:

  • Evidence-based practice in physical therapy
  • Musculoskeletal rehabilitation

Background:

  • Neck disorders are prevalent, causing significant functional limitations and economic burden.
  • Exercise therapy is a common intervention, but its effectiveness for mechanical neck disorders (MND) requires further clarification.

Purpose of the Study:

  • To evaluate the efficacy of exercise therapy in alleviating pain and enhancing function, disability, patient satisfaction, and global perceived effect in adults with MND.
  • To synthesize evidence from randomized and quasi-randomized trials on exercise interventions for MND.

Main Methods:

  • A systematic review of multiple electronic databases (CENTRAL, MEDLINE, EMBASE, MANTIS, CINAHL, ICL) was conducted up to March 2004.
  • Included studies were randomized or quasi-randomized trials investigating exercise therapy for adults with MND, with or without headache or radicular symptoms.

Related Experiment Videos

  • Data were independently extracted and analyzed by two reviewers, calculating relative risk and standardized mean differences using random effects models.

    • Main Results:

    • Moderate evidence supports neck strengthening exercises for reducing pain and improving function in chronic MND with headache.
    • Strong evidence indicates that a multimodal approach combining exercise with mobilization or manipulation benefits subacute and chronic MND.
    • Specific stretching and strengthening programs targeting the cervical and/or shoulder-thoracic region show moderate evidence of pain reduction in chronic MND.

    Conclusions:

    • Specific exercises, particularly those focusing on cervical and shoulder-thoracic musculature, demonstrate effectiveness for acute and chronic MND.
    • A multimodal care approach integrating exercise with mobilization or manipulation offers significant benefits for pain and function in MND.
    • Future research should focus on improving trial quality, exploring comparative effectiveness of different exercise programs, and identifying optimal treatment characteristics and dosages.