Faculty of Physical Education and Sport Sciences, Department of Biomechanics and Sport injuries, Kharazmi University, Tehran, Iran.
Biomechanics and Corrective Exercise Laboratory, Faculty of Physical Education and Sport Sciences, Kharazmi University, Mirdamad Blvd., Hesari St, Tehran, 00982122258084, Iran.
Trials. 2021 Apr 12;22(1):274. doi: 10.1186/s13063-021-05214-8.
In this study, the effect of adding a smartphone app to an 8-week global postural reeducation (GPR) on neck pain, endurance, quality of life, and forward head posture (FHP) in patients with chronic neck pain and FHP was evaluated.
Sixty male and female office workers (38.5 ± 9.1 years) with chronic neck pain were randomly assigned into three groups: group 1 (GPR+ a smartphone app, n = 20), group 2 (GPR alone, n = 20), and group 3 (the control group, n = 20). The primary outcome was pain and the secondary outcomes were disability, quality of life, endurance, and posture. Pain, disability, endurance, quality of life, and posture were evaluated using the visual analog scale (VAS), neck disability index (NDI), progressive iso-inertial lifting evaluation (PILE) test, quality of life questionnaire (SF-36), and photogrammetry, respectively, at pre-and post-8-week interventions. A one-way analysis of covariance (ANCOVA) has been conducted to statistically analyze the data.
The GPR+ a smartphone app had statistically significant improvements versus GPR alone in pain (mean difference, - 2.05 ± 0.65, ES (95% CI) - 0.50 (- 1.04 to - 0.01), P = 0.04), disability (difference = 11.5 ± 1.2, ES (95% CI) = 0.31 (0.22 to 0.97), p = 0.033), FHP (difference = 1.6 ± 0.2, ES (95% CI) = 0.31 (0.09 to 0.92), p = 0.047), and endurance (difference = 2 ± 3.3, ES (95% CI) = 0.51 (0.02 to 1.03), p = 0.039). Both of the GPR+ a smartphone app and GPR alone groups had statistically significant differences versus the control group in all outcomes.
When a workplace assessment and management could not be as part of any intervention, adding a smartphone app to GPR for NP may be an appropriate tool to administer a home and work exercise program resulting in elevating pain and disability, as well as improving FHP and endurance.
Current Controlled Trials using the UMIN-RCT website UMIN000039720 . Retrospectively registered on January 9, 2020.
本研究旨在评估在 8 周全球姿势再教育（GPR）中加入智能手机应用程序对伴有前伸头姿势（FHP）的慢性颈痛患者的颈痛、耐力、生活质量和 FHP 的影响。
60 名患有慢性颈痛的男女上班族（38.5±9.1 岁）被随机分为三组：第 1 组（GPR+智能手机应用程序，n=20）、第 2 组（GPR 单独治疗，n=20）和第 3 组（对照组，n=20）。主要结局为疼痛，次要结局为残疾、生活质量、耐力和姿势。使用视觉模拟量表（VAS）、颈部残疾指数（NDI）、渐进等惯性提升评估（PILE）测试、生活质量问卷（SF-36）和照片测量法分别评估疼痛、残疾、耐力、生活质量和姿势，在 8 周干预前后进行评估。采用单因素协方差分析（ANCOVA）对数据进行统计学分析。
与 GPR 单独治疗相比，GPR+智能手机应用程序在疼痛（平均差异，-2.05±0.65，ES（95%CI）-0.50（-1.04 至 -0.01），P=0.04）、残疾（差异=11.5±1.2，ES（95%CI）=0.31（0.22 至 0.97），P=0.033）、FHP（差异=1.6±0.2，ES（95%CI）=0.31（0.09 至 0.92），P=0.047）和耐力（差异=2±3.3，ES（95%CI）=0.51（0.02 至 1.03），P=0.039）方面均有统计学显著改善。GPR+智能手机应用程序组和 GPR 单独治疗组与对照组相比，所有结局均有统计学差异。
当工作场所评估和管理不能作为任何干预措施的一部分时，将智能手机应用程序添加到 GPR 治疗 NP 可能是一种合适的工具，可以管理家庭和工作锻炼计划，从而减轻疼痛和残疾，改善 FHP 和耐力。
使用 UMIN-RCT 网站 UMIN000039720 进行的当前对照试验。2020 年 1 月 9 日回顾性注册。
