Haklıgil Gizem Vaiz, Oksüz Sevim, Angın Ender
J Back Musculoskelet Rehabil. 2024;37(6):1715-1727. doi: 10.3233/BMR-240170.
Although guidelines and systematic reviews recommend the use of exercise in the treatment of chronic pain and neck pain, there are no clear recommendations for conservative treatments frequently used in clinics. The effect of supporting clinical Pilates exercises with passive physiotherapy methods on biopsychosocial status is still unknown.
The objective was to investigate the effects of conventional treatment (CT) in addition to clinical Pilates on pain levels, physical condition, functional status, and psychosocial status in individuals with chronic neck pain.
Fifty women were randomly divided into 2 groups, the clinical Pilates group (Pilates, n= 25), and the group receiving CT in addition to clinical Pilates (Pilates-CT, n= 25). Both groups received treatment 3 days a week for 6 weeks. The CT program involved the implementation of hot pack (HP) application, Transcutaneous Electrical Nerve Stimulation (TENS), and therapeutic ultrasound (US) to the cervical area.
CT in addition to Pilates was more effective in reducing the Visual Analog Scale (at rest and during activity), Neck Disability Index, Fear-Avoidance Beliefs Questionnaire, NeckPix Scale, Hospital Anxiety and Depression Scale-depression, and Cognitive Exercise Therapy Approach-Biopsychosocial questionnaire scores (p< 0.05) and in increasing the degree of change in the extension range of motion (ROM) and cervical flexor endurance values and scores in the energy parameter of Short Form-36 (p< 0.05).
CT provided in addition to Pilates was more effective in reducing pain levels, disability, fear of movement, depression levels, and negative biopsychosocial status and improving extension ROM and cervical flexor endurance, neck awareness, and the energy/vitality parameter of quality of life in individuals with chronic neck pain.
尽管指南和系统评价推荐运动用于慢性疼痛和颈部疼痛的治疗，但对于临床常用的保守治疗方法尚无明确建议。采用被动物理治疗方法辅助临床普拉提练习对生物心理社会状态的影响仍不明确。
探讨在慢性颈部疼痛患者中，除临床普拉提外，常规治疗（CT）对疼痛程度、身体状况、功能状态和心理社会状态的影响。
50名女性被随机分为2组，临床普拉提组（普拉提组，n = 25）和除临床普拉提外还接受CT的组（普拉提-CT组，n = 25）。两组均每周接受3天治疗，共6周。CT方案包括对颈部区域进行热敷（HP）、经皮神经电刺激（TENS）和治疗性超声（US）。
除普拉提外，CT在降低视觉模拟评分（静息和活动时）、颈部功能障碍指数、恐惧回避信念问卷、颈部图像量表、医院焦虑抑郁量表-抑郁分量表以及认知运动疗法方法-生物心理社会问卷评分方面更有效（p < 0.05），在增加伸展活动范围（ROM）的变化程度、颈部屈肌耐力值以及简短健康调查问卷36项（SF-36）能量参数评分方面也更有效（p < 0.05）。
在慢性颈部疼痛患者中，除普拉提外提供CT在降低疼痛程度、残疾程度、运动恐惧、抑郁水平和负面生物心理社会状态以及改善伸展ROM、颈部屈肌耐力、颈部感知和生活质量的能量/活力参数方面更有效。
