Department of Human Movement Science, Federal University of Sao Paulo, Santos, SP, Brazil.
Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
J Bodyw Mov Ther. 2024 Oct;40:1957-1966. doi: 10.1016/j.jbmt.2024.10.013. Epub 2024 Oct 18.
To compare the effectiveness of general exercises with specific exercises for pain and functional disability of individuals with chronic nonspecific neck pain.
This systematic review of clinical trials searched MEDLINE, CINAHL, Embase, CENTRAL, and PEDro databases with no date or language restriction. Methodological quality of evidence were assessed using the PEDro scale and GRADE, respectively. Pain and functional disability were the primary outcomes.
This review included 14 articles from 12 studies, from which nine were included in meta-analyses. Data were from 926 individuals with chronic nonspecific neck pain, comparing specific exercises with mind-body and aerobic exercises (general exercises). Pain intensity was not different between aerobic and specific exercises, with a mean difference (MD) of 0.95 points (95% CI -1.62 to 3.51) in the medium-term and 0.32 points (95% CI -1.05 to 1.68) in the long-term. Mind-body exercises were not better than specific exercises for pain intensity in medium- (MD 0.54 points; 95% CI 0.00 to 1.08) or long-term (MD 0.06 points; 95% CI -0.59 to 0.46). Also, mind-body exercises did not improve functional disability compared with specific exercises in medium- or long-term (MD 0.01 points; 95% CI -0.25 to 0.27). The quality of evidence among studies ranged from very low to low across all comparisons.
General exercises are not superior to specific exercises for pain and functional disability in individuals with chronic nonspecific neck pain.
比较一般运动与特定运动对慢性非特异性颈痛患者疼痛和功能障碍的疗效。
本系统评价对临床随机对照试验进行检索，检索数据库包括 MEDLINE、CINAHL、Embase、CENTRAL 和 PEDro，未对检索日期和语言进行限制。分别采用 PEDro 量表和 GRADE 对证据的方法学质量进行评估。疼痛和功能障碍为主要结局。
本综述纳入了 12 项研究的 14 篇文章，其中 9 篇进行了荟萃分析。数据来源于 926 例慢性非特异性颈痛患者，比较了特定运动与身心运动和有氧运动（一般运动）。有氧运动与特定运动对疼痛强度没有差异，中期的平均差异（MD）为 0.95 分（95%CI-1.62 至 3.51），长期为 0.32 分（95%CI-1.05 至 1.68）。身心运动在中期（MD 0.54 分；95%CI 0.00 至 1.08）或长期（MD 0.06 分；95%CI-0.59 至 0.46）对疼痛强度的改善并不优于特定运动。此外，身心运动与特定运动相比，在中期或长期对功能障碍也没有改善（MD 0.01 分；95%CI-0.25 至 0.27）。所有比较的研究证据质量均为极低或低。
对于慢性非特异性颈痛患者，一般运动并不优于特定运动对疼痛和功能障碍的疗效。
