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WITHDRAWN: Patient education for mechanical neck disorders.
A R Gross1, P D Aker, C H Goldsmith
1McMaster University, School of Rehabilitation Science, IAHS, Room 440, 1400 Main Street West, 4th Fl, Hamilton, Ontario, Canada, L8S 1C7. grossa@mcmaster.ca
The Cochrane Database of Systematic Reviews
|July 20, 2007
Summary
Patient education strategies, including group or individual approaches, did not significantly reduce pain in adults with mechanical neck disorders. Further research is needed to determine effective conservative treatments for neck pain.
Area of Science:
- Orthopedics and Musculoskeletal Disorders
- Evidence-Based Medicine
- Pain Management
Background:
- Mechanical neck disorders are common, leading to pain and disability.
- Conservative management strategies are widely used, but their efficacy varies.
- Patient education is one component of conservative care for mechanical neck disorders.
Purpose of the Study:
- To systematically review the efficacy of patient education strategies for reducing pain in adults with mechanical neck disorders.
- To assess the impact of different patient education approaches on pain outcomes.
Main Methods:
- A systematic search of multiple databases (Medline, Embase, etc.) was conducted from 1985 to 1993.
- Randomized controlled trials and controlled clinical trials of patient education for mechanical neck disorders were included.
- Trial quality was assessed, and data were extracted independently by multiple reviewers.
Main Results:
- Three trials were included, with varying methodological quality.
- One trial found no significant pain reduction with group education (neck school) compared to no treatment.
- Another trial showed no significant pain reduction with individualized advice plus medication versus placebo.
- A third trial indicated short-term pain relief with comprehensive advice including exercises and posture correction, but this effect diminished by 6 weeks.
Conclusions:
- Current evidence suggests that patient education, whether individualized or group-based, is not effective in reducing pain for mechanical neck disorders.
- The included trials had limitations, including insufficient statistical power and methodological weaknesses.
- Further high-quality research is necessary to establish effective educational interventions for mechanical neck disorders.
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