Jordan A, Ostergaard K
National University Hospital, Copenhagen, Denmark.
J Manipulative Physiol Ther. 1996 Jan;19(1):36-40.
To provide primary health care practitioners with the practical information necessary to implement rehabilitation of patients with neck/shoulder pain in clinical facilities. Equipment and program design are discussed in detail.
A Medline literature search was performed. English and Scandinavian language references were included in the review. Key words included neck/shoulder pain, neck pain, rehabilitation, equipment, exercise.
The studies selected included clinical trials in which rehabilitation was the main intervention in the treatment of patients with neck/shoulder pain.
Reestablishing functional capacities of the musculature of the cervical spine can be accomplished with modest equipment and can be easily incorporated into the clinical setting. The extensors of the cervical spine are the most important muscle group that require rehabilitation and exhibit the highest values in all strength parameters. High-intensity rehabilitative protocols accompanied by the encouragement of fellow patients and support from personnel are essential for treatment success.
Complete primary health care treatment of patients with chronic, recurrent and post-traumatic neck/shoulder pain will necessitate longer rehabilitation programs. Future studies will provide additional information regarding specific program design.
为基层医疗从业者提供在临床机构中对颈/肩痛患者实施康复治疗所需的实用信息。详细讨论了设备和项目设计。
进行了医学文献数据库（Medline）检索。纳入综述的参考文献包括英文和斯堪的纳维亚语的文献。关键词包括颈/肩痛、颈部疼痛、康复、设备、锻炼。
所选研究包括以康复作为治疗颈/肩痛患者主要干预措施的临床试验。
利用适度的设备即可实现重建颈椎肌肉组织的功能能力，且能轻松融入临床环境。颈椎伸肌是最需要康复治疗且在所有力量参数中数值最高的肌肉群。高强度康复方案，同时有其他患者的鼓励和工作人员的支持，对治疗成功至关重要。
对慢性、复发性和创伤后颈/肩痛患者进行全面的基层医疗治疗需要更长的康复项目。未来的研究将提供有关具体项目设计的更多信息。
