A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain

Tânia Mendes Fernandes; Roberto Méndez-Sánchez; Ana S Puente-González; Francisco J Martín-Vallejo; Deborah Falla; Carolina Vila-Chã

doi:10.23736/S1973-9087.22.07554-2

A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain

Tânia Mendes Fernandes, Roberto Méndez-Sánchez, Ana S Puente-González, Francisco J Martín-Vallejo, Deborah Falla, Carolina Vila-Chã^*

^*Corresponding author for this work

Sport, Exercise and Rehabilitation Sciences

Research output: Contribution to journal › Article › peer-review

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Abstract

BACKGROUND: Neck pain is associated with decreased health-related quality of life, decreased work productivity, and increased visits to health care providers.

AIM: The aim of this study was to assess the effectiveness of "Global Postural Re-education" (GPR) versus a neck specific exercise (SE) program on neck pain, disability, cervical range of movement, postural stability, and activity of the superficial cervical flexor muscles.

DESIGN: A parallel-group and single-blinded clinical trial.

SETTING: Community interventions.

POPULATION: Fifty women with non-specific chronic neck pain (NSCNP).

METHODS: Participants were randomly assigned to one of the two intervention groups (GPR [N.=25] or SE [N.=25]). Both interventions consisted of eight sessions of ~40 minutes duration, performed twice a week, for four weeks. Outcomes included neck pain intensity and disability, cervical range of motion (CROM), postural sway, and activity of the superficial neck flexor muscles during a cranio-cervical flexion test (CCFT). All outcomes were assessed twice before the intervention and immediately following eight treatment sessions over four weeks.

RESULTS: Both interventions were equally effective in reducing neck pain (P<0.001, ŋp²=0.770) and disability (P<0.001, ŋp²=0.306), improving neck mobility (P<0.001, 0.385≤ŋp²≤0.623, for all measurements) and decreasing the activity of the superficial cervical flexor muscles (P>0.001). Neither intervention altered postural sway.

CONCLUSIONS: Our results revealed that GPR and SE induced significant positive results in all measures apart from postural stability but with no difference between the interventions.

CLINICAL REHABILITATION IMPACT: "Global Postural Re-education" (GPR) and neck SE interventions are equally effective in reducing neck pain and disability, and improving neck mobility in women with NSCNP. Overall, this study indicates that GPR and SE interventions can be used to effectively manage patients with NSCNP.

Original language	English
Journal	European journal of physical and rehabilitation medicine
Volume	58
Early online date	4 Jan 2023
DOIs	https://doi.org/10.23736/S1973-9087.22.07554-2
Publication status	E-pub ahead of print - 4 Jan 2023

Keywords

Neck pain
Exercise
Electromyography
Postural balance

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Mendes Fernandes, T., Méndez-Sánchez, R., Puente-González, A. S., Martín-Vallejo, F. J., Falla, D., & Vila-Chã, C. (2023). A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. European journal of physical and rehabilitation medicine, 58. Advance online publication. https://doi.org/10.23736/S1973-9087.22.07554-2

Mendes Fernandes, Tânia ; Méndez-Sánchez, Roberto ; Puente-González, Ana S et al. / A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. In: European journal of physical and rehabilitation medicine. 2023 ; Vol. 58.

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title = "A randomized controlled trial on the effects of {"}Global Postural Re-education{"} versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain",

abstract = "BACKGROUND: Neck pain is associated with decreased health-related quality of life, decreased work productivity, and increased visits to health care providers.AIM: The aim of this study was to assess the effectiveness of {"}Global Postural Re-education{"} (GPR) versus a neck specific exercise (SE) program on neck pain, disability, cervical range of movement, postural stability, and activity of the superficial cervical flexor muscles.DESIGN: A parallel-group and single-blinded clinical trial.SETTING: Community interventions.POPULATION: Fifty women with non-specific chronic neck pain (NSCNP).METHODS: Participants were randomly assigned to one of the two intervention groups (GPR [N.=25] or SE [N.=25]). Both interventions consisted of eight sessions of ~40 minutes duration, performed twice a week, for four weeks. Outcomes included neck pain intensity and disability, cervical range of motion (CROM), postural sway, and activity of the superficial neck flexor muscles during a cranio-cervical flexion test (CCFT). All outcomes were assessed twice before the intervention and immediately following eight treatment sessions over four weeks.RESULTS: Both interventions were equally effective in reducing neck pain (P<0.001, {\ng}p2=0.770) and disability (P<0.001, {\ng}p2=0.306), improving neck mobility (P<0.001, 0.385≤{\ng}p2≤0.623, for all measurements) and decreasing the activity of the superficial cervical flexor muscles (P>0.001). Neither intervention altered postural sway. CONCLUSIONS: Our results revealed that GPR and SE induced significant positive results in all measures apart from postural stability but with no difference between the interventions.CLINICAL REHABILITATION IMPACT: {"}Global Postural Re-education{"} (GPR) and neck SE interventions are equally effective in reducing neck pain and disability, and improving neck mobility in women with NSCNP. Overall, this study indicates that GPR and SE interventions can be used to effectively manage patients with NSCNP.",

keywords = "Neck pain, Exercise, Electromyography, Postural balance",

author = "{Mendes Fernandes}, T{\^a}nia and Roberto M{\'e}ndez-S{\'a}nchez and Puente-Gonz{\'a}lez, {Ana S} and Mart{\'i}n-Vallejo, {Francisco J} and Deborah Falla and Carolina Vila-Ch{\~a}",

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Mendes Fernandes, T, Méndez-Sánchez, R, Puente-González, AS, Martín-Vallejo, FJ, Falla, D & Vila-Chã, C 2023, 'A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain', European journal of physical and rehabilitation medicine, vol. 58. https://doi.org/10.23736/S1973-9087.22.07554-2

A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. / Mendes Fernandes, Tânia; Méndez-Sánchez, Roberto; Puente-González, Ana S et al.
In: European journal of physical and rehabilitation medicine, Vol. 58, 04.01.2023.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain

AU - Mendes Fernandes, Tânia

AU - Méndez-Sánchez, Roberto

AU - Puente-González, Ana S

AU - Martín-Vallejo, Francisco J

AU - Falla, Deborah

AU - Vila-Chã, Carolina

PY - 2023/1/4

Y1 - 2023/1/4

N2 - BACKGROUND: Neck pain is associated with decreased health-related quality of life, decreased work productivity, and increased visits to health care providers.AIM: The aim of this study was to assess the effectiveness of "Global Postural Re-education" (GPR) versus a neck specific exercise (SE) program on neck pain, disability, cervical range of movement, postural stability, and activity of the superficial cervical flexor muscles.DESIGN: A parallel-group and single-blinded clinical trial.SETTING: Community interventions.POPULATION: Fifty women with non-specific chronic neck pain (NSCNP).METHODS: Participants were randomly assigned to one of the two intervention groups (GPR [N.=25] or SE [N.=25]). Both interventions consisted of eight sessions of ~40 minutes duration, performed twice a week, for four weeks. Outcomes included neck pain intensity and disability, cervical range of motion (CROM), postural sway, and activity of the superficial neck flexor muscles during a cranio-cervical flexion test (CCFT). All outcomes were assessed twice before the intervention and immediately following eight treatment sessions over four weeks.RESULTS: Both interventions were equally effective in reducing neck pain (P<0.001, ŋp2=0.770) and disability (P<0.001, ŋp2=0.306), improving neck mobility (P<0.001, 0.385≤ŋp2≤0.623, for all measurements) and decreasing the activity of the superficial cervical flexor muscles (P>0.001). Neither intervention altered postural sway. CONCLUSIONS: Our results revealed that GPR and SE induced significant positive results in all measures apart from postural stability but with no difference between the interventions.CLINICAL REHABILITATION IMPACT: "Global Postural Re-education" (GPR) and neck SE interventions are equally effective in reducing neck pain and disability, and improving neck mobility in women with NSCNP. Overall, this study indicates that GPR and SE interventions can be used to effectively manage patients with NSCNP.

AB - BACKGROUND: Neck pain is associated with decreased health-related quality of life, decreased work productivity, and increased visits to health care providers.AIM: The aim of this study was to assess the effectiveness of "Global Postural Re-education" (GPR) versus a neck specific exercise (SE) program on neck pain, disability, cervical range of movement, postural stability, and activity of the superficial cervical flexor muscles.DESIGN: A parallel-group and single-blinded clinical trial.SETTING: Community interventions.POPULATION: Fifty women with non-specific chronic neck pain (NSCNP).METHODS: Participants were randomly assigned to one of the two intervention groups (GPR [N.=25] or SE [N.=25]). Both interventions consisted of eight sessions of ~40 minutes duration, performed twice a week, for four weeks. Outcomes included neck pain intensity and disability, cervical range of motion (CROM), postural sway, and activity of the superficial neck flexor muscles during a cranio-cervical flexion test (CCFT). All outcomes were assessed twice before the intervention and immediately following eight treatment sessions over four weeks.RESULTS: Both interventions were equally effective in reducing neck pain (P<0.001, ŋp2=0.770) and disability (P<0.001, ŋp2=0.306), improving neck mobility (P<0.001, 0.385≤ŋp2≤0.623, for all measurements) and decreasing the activity of the superficial cervical flexor muscles (P>0.001). Neither intervention altered postural sway. CONCLUSIONS: Our results revealed that GPR and SE induced significant positive results in all measures apart from postural stability but with no difference between the interventions.CLINICAL REHABILITATION IMPACT: "Global Postural Re-education" (GPR) and neck SE interventions are equally effective in reducing neck pain and disability, and improving neck mobility in women with NSCNP. Overall, this study indicates that GPR and SE interventions can be used to effectively manage patients with NSCNP.

KW - Neck pain

KW - Exercise

KW - Electromyography

KW - Postural balance

U2 - 10.23736/S1973-9087.22.07554-2

DO - 10.23736/S1973-9087.22.07554-2

M3 - Article

C2 - 36598342

SN - 1973-9087

VL - 58

JO - European journal of physical and rehabilitation medicine

JF - European journal of physical and rehabilitation medicine

ER -

Mendes Fernandes T, Méndez-Sánchez R, Puente-González AS, Martín-Vallejo FJ, Falla D, Vila-Chã C. A randomized controlled trial on the effects of "Global Postural Re-education" versus neck specific exercise on pain, disability, postural control, and neuromuscular features in women with chronic non-specific neck pain. European journal of physical and rehabilitation medicine. 2023 Jan 4;58. Epub 2023 Jan 4. doi: 10.23736/S1973-9087.22.07554-2