Khan Muhammad, Soomro Rabail Rani, Ali Syed Shahzad
Department of Physiotherapy, Institute of Physical Medicine & Rehabilitation, Dow University of Health Sciences, Karachi, Pakistan.
Pak J Pharm Sci. 2014 Sep;27(5 Suppl):1719-22.
To evaluate the effectiveness of isometric exercises as compared to general exercises in chronic non-specific neck pain. For this randomised controlled trial total 68 patients (34 each group) with chronic non-specific neck pain were recruited from Alain Poly Clinic and Institute of Physical Medicine & Rehabilitation Dow University of Health Sciences, Karachi between May, 2012 and August, 2012. Simple randomisation method was used to assign participants into isometric exercise group and general exercise groups. The isometric exercise group performed exercises for neck muscle groups with a rubber band and general exercises group performed active range of movement exercises for all neck movements. Patients in both groups received 3 supervised treatment sessions per week for 12 weeks. Visual Analogue Scale (VAS), North wick Park Neck Pain Questionnaire and goniometer were used to assess pain, disability and neck range of movements at baseline and after 12 weeks. Both interventions showed statistically significant improvements in pain, function and range of movement p = 0.001f or isometric exercise group, p = 0.04 for general exercises group and p = 0.001 for range of movement. However, mean improvements in post intervention VAS score and North wick Park Neck Pain Questionnaire score was better in isometric exercises group as compared to general exercise group. In conclusion, both interventions are effective in the treatment of chronic non-specific neck pain however; isometric exercises are clinically more effective than general exercises.
为评估等长运动与一般运动相比对慢性非特异性颈部疼痛的疗效。在2012年5月至2012年8月期间，从卡拉奇阿莱恩综合诊所和道健康科学大学物理医学与康复研究所招募了总共68例慢性非特异性颈部疼痛患者（每组34例）。采用简单随机化方法将参与者分为等长运动组和一般运动组。等长运动组使用橡皮筋对颈部肌肉群进行锻炼，一般运动组对所有颈部动作进行主动活动范围锻炼。两组患者每周接受3次监督治疗，共12周。使用视觉模拟量表（VAS）、诺斯威克公园颈部疼痛问卷和角度计在基线和12周后评估疼痛、功能障碍和颈部活动范围。两种干预措施在疼痛、功能和活动范围方面均显示出统计学上的显著改善，等长运动组p = 0.001，一般运动组p = 0.04，活动范围p = 0.001。然而，与一般运动组相比，等长运动组干预后VAS评分和诺斯威克公园颈部疼痛问卷评分的平均改善情况更好。总之，两种干预措施对慢性非特异性颈部疼痛均有效，然而，等长运动在临床上比一般运动更有效。
