Ylinen J, Häkkinen A, Nykänen M, Kautiainen H, Takala E-P
Department of Physical and Rehabilitation Medicine, Jyväskylä Central Hospital, Jyväskylä, Finland.
Eura Medicophys. 2007 Jun;43(2):161-9. Epub 2007 May 28.
The objective of the trial was to evaluate whether the positive results achieved with a one-year training regimen in patients with chronic nonspecific neck pain would have long-standing effects.
A follow-up study of two neck muscle training groups after a randomized controlled study was carried out. One-hundred and eighteen women included were those who had performed neck strength and endurance exercises in a previous randomised controlled trial. The primary outcome measures were neck pain measured by the visual analogue scale and disability indices. Isometric neck strength, range of motion (ROM) and pressure pain threshold (PPT) were measured and training frequency for the previous month elicited by a questionnaire.
At the 3-year follow-up, neck pain and the disability indices showed no statistically discernible change compared to the situation at the 12-month follow-up. Also, gains in neck strength, ROM and PPT achieved during the training year were largely maintained. However, adherence to the specific home training program faltered considerably.
The improvements achieved through long-term training were maintained at the 3-year follow-up. Since a 12-month exercise programme shows a long-term effect, exercise may not need to be performed regularly for the remainder of the subject's life.
该试验的目的是评估针对慢性非特异性颈部疼痛患者进行的为期一年的训练方案所取得的积极效果是否会产生长期影响。
在一项随机对照研究之后，对两个颈部肌肉训练组进行了随访研究。纳入的118名女性是那些在之前的随机对照试验中进行过颈部力量和耐力锻炼的人。主要结局指标是通过视觉模拟量表测量的颈部疼痛和残疾指数。测量等长颈部力量、活动范围（ROM）和压痛阈值（PPT），并通过问卷调查得出前一个月的训练频率。
在3年随访时，与12个月随访时的情况相比，颈部疼痛和残疾指数没有显示出统计学上可辨别的变化。此外，训练年度内获得的颈部力量、ROM和PPT的提升在很大程度上得以维持。然而，对特定家庭训练计划的依从性大幅下降。
在3年随访时，通过长期训练所取得的改善得以维持。由于为期12个月的锻炼计划显示出长期效果，因此在受试者的余生中可能无需定期进行锻炼。
