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Shi's Daoyin Therapy for Neck Pain: A Randomized Controlled Trial
Huihao Wang1,2, Enyu Jiang1,2, Kuan Wang3,4
1Shi's Center of Orthopedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China.
Evidence-Based Complementary and Alternative Medicine : Ecam
|January 16, 2019
Summary
Shi's Daoyin therapy (DT) and the Melbourne Protocol (MP) both effectively reduce pain and improve mobility in patients with nonacute nonspecific neck pain. Shi's DT showed greater improvements in neck rotation range of motion and lower pain scores compared to the MP.
Area of Science:
- Physical Therapy
- Rehabilitation Medicine
- Complementary and Alternative Medicine
Background:
- Nonacute nonspecific neck pain affects a significant portion of the adult population.
- Current treatment protocols aim to alleviate pain and improve function.
- The Melbourne Protocol (MP) is a common treatment, but alternative therapies like Shi's Daoyin therapy (DT) warrant investigation.
Purpose of the Study:
- To compare the effectiveness of Shi's Daoyin therapy (DT) against the Melbourne Protocol (MP).
- To evaluate outcomes in pain, mobility, and isometric strength for patients with nonacute nonspecific neck pain.
Main Methods:
- 114 patients with nonacute nonspecific neck pain were randomized into Shi's DT or MP groups.
- Treatments lasted 3 weeks, with evaluations pre-intervention, post-intervention, and at 3-week follow-up.
- Outcome measures included Neck Disability Index (NDI), cervical range of motion (ROM), maximal voluntary isometric force (MVIF), and pain intensity (NPRS).
Main Results:
- Both groups showed significant improvements in all measured outcomes post-treatment and at follow-up.
- No significant difference in NDI was observed between the Shi's DT and MP groups.
- The Shi's DT group exhibited significantly greater axial rotation ROM and lower NPRS scores at 3-week follow-up.
- The MP group showed significantly higher MVIF in lateral bending at the end of treatment.
Conclusions:
- Both Shi's DT and MP are effective in reducing pain and improving neck mobility in the short term.
- Shi's DT demonstrates comparable or superior short-term benefits in specific measures like pain and range of motion compared to the MP for nonacute nonspecific neck pain.
