比较联合有氧运动和颈部特定运动与仅进行颈部特定运动对颈痛患者工作能力的有效性：一项随机对照试验数据的二次分析。

Effectiveness of combined aerobic exercise and neck-specific exercise compared to neck-specific exercise alone on work ability in neck pain patients: a secondary analysis of data from a randomized controlled trial.

机构信息

Department of Physical Therapy, Faculty of Social Welfare and Health Studies, University of Haifa, Mount Carmel, 31905, Haifa, Israel.

Department of Physical Therapy, Faculty of Health Studies, Zefat Academic College, Jerusalem St 11, 1320611, Safed, Israel.

出版信息

Int Arch Occup Environ Health. 2021 Oct;94(7):1739-1750. doi: 10.1007/s00420-021-01684-0. Epub 2021 Mar 17.

DOI:10.1007/s00420-021-01684-0

PMID:33730206

Abstract

OBJECTIVE

To compare the effect of combined aerobic exercise (AE) and neck-specific exercise to neck-specific exercise alone on the work ability of individuals complaining of neck pain.

METHOD

Secondary analysis of data from a previous randomized controlled trial was conducted to compare AE and neck-specific exercise (AE group, n = 69) to neck-specific exercise alone (control group, n = 70). The Work Ability Index (WAI) was administered after the 6-week intervention, and Global Rating of Change (GROC) was assessed after the 6-week intervention and at 12- and 24-week follow-ups.

RESULTS

Repeated-measure analyses of variance between groups indicated a significant time × group interaction on the GROC at 12- and 24-week follow-ups. The AE group showed better improvement on the GROC (mean ± SD) from 6 to 24 weeks than controls: 4.7(± 0.12) to 5.3 (± 0.13) vs. 4.4 (± 0.13) to 4.1(± 0.13), respectively, (P < 0.001). There was a significant group × time interaction on the WAI (P < 0.001): the AE group showed better improvement (mean ± SD) from baseline to 6-weeks than controls: 34.9 (± 4.4) to 39.2 (± 3.6) vs. 34.4 (± 4.9) to 35.8 (± 4.9), respectively, (P < 0.001). Work ability of participants with poor/moderate baseline scores improved more (P < 0.001) than those with good/excellent baseline scores (P = 0.48).

CONCLUSIONS

Combining moderate AE and neck-specific exercise improved the work ability of patients with NP more than neck-specific exercise alone. The combination should be recommended in health promotion programs, particularly for workers with low baseline work ability.

CLINICAL TRIAL

Registered at ClinicalTrial.gov: NCT02451267; date of registration: 21 May 2015. https://clinicaltrials.gov/ct2/home.

摘要

目的

比较联合有氧运动（AE）和颈部特定运动与仅进行颈部特定运动对颈痛患者工作能力的影响。

方法

对先前一项随机对照试验的数据进行二次分析，比较 AE 和颈部特定运动（AE 组，n=69）与仅颈部特定运动（对照组，n=70）。在 6 周干预后进行工作能力指数（WAI）评估，在 6 周干预后和 12 周及 24 周随访时进行总体变化评级（GROC）评估。

结果

组间重复测量方差分析表明，在 12 周和 24 周随访时 GROC 有显著的时间×组间交互作用。AE 组在 GROC 方面的改善从 6 周到 24 周要好于对照组：4.7（±0.12）到 5.3（±0.13），而对照组则为 4.4（±0.13）到 4.1（±0.13）（P<0.001）。WAI 存在显著的组×时间交互作用（P<0.001）：AE 组从基线到 6 周时的改善（均值±标准差）好于对照组：34.9（±4.4）到 39.2（±3.6），而对照组则为 34.4（±4.9）到 35.8（±4.9）（P<0.001）。基线评分较差/中等的参与者的工作能力改善幅度较大（P<0.001），而基线评分较好/优秀的参与者则较小（P=0.48）。