National Health and Medical Research Council of Australia Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, The University of Queensland, Brisbane, Australia.
Arch Phys Med Rehabil. 2012 Jul;93(7):1225-33. doi: 10.1016/j.apmr.2012.02.018. Epub 2012 Mar 7.
To determine whether changes in motor performance after a course of exercise in patients with mechanical neck pain (MNP) were dependent on the primary behavioral demand of the exercise performed.
Randomized controlled trial.
University laboratory.
Volunteers (N=60; 35 women, 25 men; mean age, 37.9y) with chronic MNP participated in the study.
Exercise targeted to improve cervical motor performance including endurance training (ETr; n=20), coordination training (CTr; n=20), and active mobility training (n=20).
Changes in the cervical motor performance domains of strength, endurance, coordination, and active mobility were evaluated immediately after the 10-week training program, and at a 26-week follow-up.
Between-group comparisons revealed significantly greater gains in endurance (P<.02) by the ETr group, and significantly greater gains in coordination (P<.01) by the CTr group. All 3 groups had improvement in pain (P<.01) and disability (P<.01).
Changes in motor performance in individuals with MNP in response to an exercise program were dependent on the specific mode of exercise performed, with minimal improvement in other domains of motor performance.
确定机械性颈部疼痛（MNP）患者在接受一系列运动治疗后，运动表现的变化是否取决于所进行运动的主要行为需求。
随机对照试验。
大学实验室。
慢性 MNP 志愿者（N=60；35 名女性，25 名男性；平均年龄 37.9 岁）参加了研究。
旨在改善颈椎运动表现的运动训练，包括耐力训练（ETr；n=20）、协调训练（CTr；n=20）和主动活动训练（n=20）。
在 10 周训练计划结束后以及 26 周随访时，评估颈椎运动表现的力量、耐力、协调性和主动活动度的变化。
组间比较显示，ETr 组在耐力方面的改善更为显著（P<.02），CTr 组在协调性方面的改善更为显著（P<.01）。所有 3 组在疼痛（P<.01）和残疾（P<.01）方面均有改善。
对运动方案的反应中，MNP 患者运动表现的变化取决于所进行的特定运动模式，而其他运动表现领域的改善则较小。
