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整体姿势再教育与特定治疗性锻炼对慢性非特异性颈部疼痛女性的疼痛、头部姿势及疼痛相关心理社会因素的影响:一项随机临床试验

Effects of Global Postural Re-Education Versus Specific Therapeutic Exercises on Pain, Head Posture, and Pain-Related Psychosocial Factors in Women with Chronic Nonspecific Neck Pain: A Randomized Clinical Trial.

作者信息

Fernandes Tânia, Vila-Chã Carolina, Polo-Ferrero Luis, Martín-Vallejo Javier, Puente-González Ana Silvia, Méndez-Sánchez Roberto

机构信息

Centro EMA, 6300-406 Guarda, Portugal.

School of Sport, Well-Being and Biomedical Systems, Polytechnic Institute of Cávado and Ave (IPCA), 4810-453 Guimarães, Portugal.

出版信息

J Clin Med. 2025 Feb 26;14(5):1581. doi: 10.3390/jcm14051581.

Abstract

: The aim of this trial is to compare the effects of two types of exercises, Global Postural Re-education versus specific therapeutic exercises on pain perception, pain threshold to pressure, psychosocial factors associated with pain, and craniocervical posture in women with chronic nonspecific neck pain. : This study is a randomized, parallel-group, single-blind clinical trial. Fifty-two women with chronic nonspecific neck pain (two excluded) were recruited and randomly assigned to (n = 25) Global Postural Re-education and (n = 25) specific therapeutic exercises. Interventions were carried out for 4 weeks, two sessions per week, and were combined with a daily home exercise program. Numerical Pain Rating Scale, mechanosensitivity to pressure, kinesiophobia, pain catastrophizing, and craniocervical angle were assessed in two pre-intervention assessments, one week apart, and at 2 and 4 weeks after the start of the intervention. : Global Postural Re-education was as effective as specific therapeutic exercises, showing improvements in all variables assessed with significant intra-group differences over time and high effect sizes (ŋp > 0.157 for all variables). : Global Postural Re-education is as effective as a specific therapeutic exercise program in reducing subjective pain perception, local and remote mechanosensitivity, and short-term pain-related psychosocial factors in women with chronic nonspecific neck pain.

摘要

本试验的目的是比较两种类型的运动,即整体姿势再教育与特定治疗性运动,对慢性非特异性颈部疼痛女性的疼痛感知、压力痛阈、与疼痛相关的心理社会因素以及颅颈姿势的影响。

本研究是一项随机、平行组、单盲临床试验。招募了52名慢性非特异性颈部疼痛女性(排除2名),并随机分为两组,25名接受整体姿势再教育,25名接受特定治疗性运动。干预为期4周,每周两次,并结合每日家庭锻炼计划。在干预前进行了两次评估,间隔一周,在干预开始后的第2周和第4周评估数字疼痛评分量表、压力机械敏感性、运动恐惧、疼痛灾难化和颅颈角度。

整体姿势再教育与特定治疗性运动效果相当,所有评估变量均有改善,组内随时间有显著差异,且效应量较大(所有变量ŋp > 0.157)。

在减轻慢性非特异性颈部疼痛女性的主观疼痛感知、局部和远处机械敏感性以及短期疼痛相关心理社会因素方面,整体姿势再教育与特定治疗性运动计划效果相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35a5/11900492/ebf1e0dfadff/jcm-14-01581-g001.jpg

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