Sterling Michele, de Zoete Rutger M J, Coppieters Iris, Farrell Scott F
RECOVER Injury Research Centre, The University of Queensland, 4006 Brisbane, Australia.
NHMRC Centre of Research Excellence in Road Traffic Injury Recovery, The University of Queensland, 4006 Brisbane, Australia.
J Clin Med. 2019 Aug 15;8(8):1219. doi: 10.3390/jcm8081219.
Neck pain, whether from a traumatic event such as a motor vehicle crash or of a non-traumatic nature, is a leading cause of worldwide disability. This narrative review evaluated the evidence from systematic reviews, recent randomised controlled trials, clinical practice guidelines, and other relevant studies for the effects of rehabilitation approaches for chronic neck pain. Rehabilitation was defined as the aim to restore a person to health or normal life through training and therapy and as such, passive interventions applied in isolation were not considered. The results of this review found that the strongest treatment effects to date are those associated with exercise. Strengthening exercises of the neck and upper quadrant have a moderate effect on neck pain in the short-term. The evidence was of moderate quality at best, indicating that future research will likely change these conclusions. Lower quality evidence and smaller effects were found for other exercise approaches. Other treatments, including education/advice and psychological treatment, showed only very small to small effects, based on low to moderate quality evidence. The review also provided suggestions for promising future directions for clinical practice and research.
颈部疼痛，无论是源于机动车碰撞等创伤性事件还是非创伤性因素，都是全球致残的主要原因。本叙述性综述评估了系统评价、近期随机对照试验、临床实践指南及其他相关研究中关于慢性颈部疼痛康复方法效果的证据。康复被定义为通过训练和治疗使一个人恢复健康或正常生活的目标，因此，单独应用的被动干预措施不被视为康复。该综述结果发现，迄今为止最强的治疗效果与运动相关。颈部和上象限的强化运动在短期内对颈部疼痛有中度效果。证据质量充其量为中等，这表明未来的研究可能会改变这些结论。对于其他运动方法，证据质量较低且效果较小。基于低到中等质量的证据，包括教育/建议和心理治疗在内的其他治疗方法仅显示出非常小到较小的效果。该综述还为临床实践和研究未来有前景的方向提供了建议。
