Hernandez-Lucas Pablo, Leirós-Rodríguez Raquel, Lopez-Barreiro Juan, García-Soidán José L
Department of Functional Biology and Health Sciences. Faculty of Physiotherapy, University of Vigo, Pontevedra, Spain.
SALBIS Research Group. Nursing and Physical Therapy Department, University of León, Ponferrada, Spain.
Physiother Theory Pract. 2025 Jan;41(1):54-64. doi: 10.1080/09593985.2024.2316313. Epub 2024 Feb 16.
Neck pain is a health problem worldwide. To prevent it, experts recommend exercise and education.
To evaluate the effects of a Back School-based intervention for the prevention of nonspecific neck pain in a healthy adult population.
A randomized controlled trial with 58 participants with no history of neck pain within the past six months. The experimental group performed an 8-week Back School-based program. The control group maintained their usual lifestyle. Primary outcomes, which include the number of episodes, days and intensity of neck pain, and the number of medical visits, were recorded in a 1-year follow-up diary and analyzed using the Mann-Whitney test. Secondary outcomes, such as neck flexor, neck extensor, and scapular muscles endurance, were analyzed using the ANOVA test.
In the analysis of the primary outcomes, no significant differences were found in the number of episodes ( = 0.068,d = -0.49), number of days ( = 0.059,d = -0.54), or the average intensity of neck pain ( = 0.061,d = -0.53). There were significant changes in the number of medical visits ( = 0.033,d = -0.57). Moving to secondary outcomes, significant interactions were observed in neck flexor ( = 0.045, ηp = 0.036) and neck extensor endurance ( = 0.049, ηp = 0.035), but not in scapular muscle endurance ( = 0.536, ηp = 0.003).
The Back School-based program reduced the number of medical visits and increased the endurance of the cervical musculature. Trial registration in ClinicalTrials.gov: NCT05260645.
颈部疼痛是一个全球性的健康问题。为了预防颈部疼痛，专家建议进行锻炼和教育。
评估基于背部学校的干预措施对健康成年人群非特异性颈部疼痛预防的效果。
一项随机对照试验，纳入58名在过去六个月内无颈部疼痛史的参与者。实验组进行为期8周的基于背部学校的项目。对照组维持其正常生活方式。主要结局包括颈部疼痛发作次数、天数和强度以及就诊次数，在1年的随访日记中记录，并使用曼-惠特尼检验进行分析。次要结局，如颈部屈肌、伸肌和肩胛肌耐力，使用方差分析进行分析。
在主要结局分析中，发作次数（P = 0.068，d = -0.49）、天数（P = 0.059，d = -0.54）或颈部疼痛平均强度（P = 0.061，d = -0.53）均未发现显著差异。就诊次数有显著变化（P = 0.033，d = -0.57）。转向次要结局，在颈部屈肌（P = 0.045，ηp² = 0.036）和颈部伸肌耐力（P = 0.049，ηp² = 0.035）中观察到显著交互作用，但在肩胛肌耐力中未观察到（P = 0.536，ηp² = 0.003）。
基于背部学校的项目减少了就诊次数并增加了颈部肌肉的耐力。在ClinicalTrials.gov上的试验注册编号：NCT05260645。
