Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Sogndal, Norway -
Faculty of Teacher Education and Sport, Sogn og Fjordane University College, Sogndal, Norway.
Eur J Phys Rehabil Med. 2017 Dec;53(6):928-935. doi: 10.23736/S1973-9087.17.04623-8. Epub 2017 Jun 1.
More than half of all adults have experienced neck pain during the last six months. Studies have demonstrated reduced pain in the neck-and shoulder region after specific strength training of the affected muscles, but specific endurance training of neck and shoulder muscles has not been properly examined.
To examine the impact of Nordic walking (NW) compared to specific strength training (ST) and a non-training control group (Con) on self-reported neck-and shoulder pain among office workers.
Randomized intervention trial with a stratified control group.
University research laboratory.
Thirty-four female office workers with neck- and shoulder pain.
The participants were allocated to NW, ST or Con. Pain intensity (0-100 mm Visual Analog Scale), isometric abduction strength and a Six-Minute Walk Test (6MWT) were assessed pre, post and 10 weeks postintervention. Both training groups attended the training programs twice per week for ten weeks (30 minutes per session).
Both training groups demonstrated a similar (P=0.421-0.802), but significant reduction in pain intensity (P=0.014-0.018). Between post-test and the 10 weeks postintervention test, similar pain intensity was observed in the NW (P=0.932) while the ST demonstrated an increase (P=0.136). Throughout the testing period, no difference in pain was observed for the Con (P=0.724-1.000) or between the Con and the training groups (P=0.421-0.802). No changes in strength and 6MWT were observed between or within the groups (P=0.184-0.870).
Both NW and ST reduced pain for office workers with low neck-and shoulder pain and appear to be useful exercise modalities for this group.
Both interventions reduced pain, but larger randomized studies should verify these findings.
超过一半的成年人在过去六个月中经历过颈部疼痛。研究表明，对受影响的肌肉进行特定的力量训练后，颈部和肩部区域的疼痛减轻，但颈部和肩部肌肉的特定耐力训练尚未得到适当检查。
检查北欧行走（NW）与特定力量训练（ST）和非训练对照组（Con）相比，对办公室工作人员颈部和肩部疼痛的自我报告的影响。
分层对照的随机干预试验。
大学研究实验室。
34 名有颈部和肩部疼痛的女性办公室工作人员。
参与者被分配到 NW、ST 或 Con。疼痛强度（0-100mm 视觉模拟量表）、等距外展强度和六分钟步行测试（6MWT）在干预前、干预后和干预后 10 周进行评估。两个训练组每周进行两次训练计划，共十周（每次 30 分钟）。
两个训练组的疼痛强度均显著降低（P=0.421-0.802），但相似（P=0.421-0.802）。在术后测试和干预后 10 周测试之间，NW 组的疼痛强度相似（P=0.932），而 ST 组则有所增加（P=0.136）。在整个测试期间，Con 组（P=0.724-1.000）或 Con 组与训练组之间（P=0.421-0.802）均未观察到疼痛差异。组间或组内的力量和 6MWT 均无变化（P=0.184-0.870）。
NW 和 ST 均减轻了低颈肩疼痛的办公室工作人员的疼痛，并且似乎是该人群的有用运动方式。
两种干预措施均减轻了疼痛，但需要更大规模的随机研究来验证这些发现。
