Paraskevopoulos Eleftherios, Koumantakis George A, Papandreou Maria
Department of Physiotherapy, University of West Attica, 12243 Athens, Greece.
Laboratory of Advanced Physiotherapy, University of West Attica, 12243 Athens, Greece.
Healthcare (Basel). 2023 Jan 24;11(3):339. doi: 10.3390/healthcare11030339.
Studies have shown that aerobic exercise (AE) may improve symptoms related to non-specific neck pain (NNP); however, the variables of the exercise programs and the overall effectiveness of AE have not been evaluated in a systematic review. Therefore, this review aimed to describe and discuss the variables of the AE programs used in clinical trials for patients with NNP. Included studies were analyzed for the selected AE variables such as intensity, frequency, duration, delivery, supervision, and adherence. The PEDro scale was used to assess the methodological quality of the studies. From the literature search, six studies met the inclusion criteria and were evaluated. After reviewing all the included studies, it was found that a range of AE interventions were used such as cycling, brisk walking, aerobics, stationary bike, treadmill running, circuit training, and swimming. Further, the duration was between 30 and 45 min for each session, with or without progressive increases from week to week. The intervention periods ranged from 1 month to 6 months in duration. Most studies used AE three times per week. Furthermore, exercise intensity was measured with either subjective (BORG) or objective measures (heartrate reserve). Justification for the specified intensity and reporting of adverse events was reported only in two studies and differed between studies. Exercise interventions were poorly reported. This review showed that moderate-intensity AE undertaken three times per week, in patients with NNP, may be beneficial for pain and function; however, the development of reporting standards is essential for the successful replication of studies.
研究表明，有氧运动（AE）可能改善与非特异性颈部疼痛（NNP）相关的症状；然而，运动项目的变量以及AE的整体有效性尚未在系统评价中得到评估。因此，本综述旨在描述和讨论针对NNP患者的临床试验中所使用的AE项目的变量。对纳入研究的所选AE变量进行分析，如强度、频率、持续时间、实施方式、监督和依从性。使用PEDro量表评估研究的方法学质量。通过文献检索，六项研究符合纳入标准并进行了评估。在审查所有纳入研究后，发现使用了一系列AE干预措施，如骑自行车、快走、有氧运动、固定自行车、跑步机跑步、循环训练和游泳。此外，每次训练的持续时间在30至45分钟之间，每周是否逐渐增加时间不等。干预期的持续时间从1个月到6个月不等。大多数研究每周进行三次AE。此外，运动强度通过主观（BORG）或客观测量（心率储备）来衡量。只有两项研究报告了指定强度的理由和不良事件，且研究之间存在差异。运动干预的报告情况不佳。本综述表明，对于NNP患者，每周进行三次中等强度的AE可能对疼痛和功能有益；然而，制定报告标准对于研究的成功重复至关重要。
