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Workplace-Based Physiotherapy of Elderly Care Workers With Nonspecific Chronic Neck Pain: A Randomized Controlled
María de Los Ángeles Cardero-Durán1, Luis Espejo-Antúnez, Carlos Fernández-Morales
1From the Department of Medical Surgical-Therapy, Physiotherapy Area, Faculty of Medicine and Health Sciences, Extremadura University, Badajoz, Spain (C-D.M., E-A.L., F-M.C., R-M.J.); and Physiotherapy Department, Facultad de Enfermería, Podología y Fisioterapia, Universidad de Sevilla, Sevilla, Spain (A-C.M.).
Objective:
The aim of the study was to analyze the clinical efficacy of a multimodal physical therapy program combined with pain neuroscience education (PNE) in elderly care workers with nonspecific chronic neck pain (NSCNP).
Methods:
A sample of 50 elderly care workers was randomly assigned to an intervention group (IG; n = 25), which received a multimodal physiotherapy program combined with PNE, and a control group (IG; n = 25). Self-reported pain intensity (visual analog scale), pressure pain threshold, cervical disability, active cervical range of motion, and health-related quality of life were analyzed.
Results:
Significant results were observed for IG in the variables analyzed P < 0.001. Improvements were maintained with large effect sizes (d ≥ 0.9) after a 4-week follow up.
Conclusions:
Five weeks of workplace-based physiotherapy combined with PNE reduced self-reported pain intensity and increase pressure pain threshold and cervical range of motion in caregivers with NSCNP.
