Fernandes Tânia, Vila-Chã Carolina, Polo-Ferrero Luis, Martín-Vallejo Javier, Puente-González Ana Silvia, Méndez-Sánchez Roberto
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.
J Clin Med. 2025 Feb 26;14(5):1581. doi: 10.3390/jcm14051581.
: 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.
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。