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Effects of neck coordination exercise on sensorimotor function in chronic neck pain: a randomized controlled trial
University of Gävle, Centre for Musculoskeletal Research. University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. Umeå universitet.
University of Gävle, Centre for Musculoskeletal Research. University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences.
Umeå universitet.
University of Gävle, Centre for Musculoskeletal Research. University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences. Umeå universitet, Alfta Research Foundation.ORCID iD: 0000-0001-7543-4397
2014 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 46, no 9, 908-914 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To evaluate the effect of neck coordination exercise on sensorimotor function in women with neck pain compared with best-available treatment and sham treatment. Design: Observer-blinded randomized controlled trial with short-term and 6-month follow-ups. Subjects: Women with chronic non-specific neck pain were randomized to 3 groups: neck coordinationexercise with a novel training device; strength training for the neck and shoulders; or massage. Each group had 36 participants. Methods: The intervention period was 11 weeks with 22 individually supervised sessions. Primary outcomes were postural sway measures and precision of goal-directed arm movements. Secondary outcomes were range of motion for the neck, peak speed of axial rotation, and neck pain. A repeated measures multivariate analysis of variance (MANOVA) was conducted separately on the primary outcomes for the short-term and 6-month evaluations and on the sensorimotor secondary outcomes for the 6-month effect. The 6-month effect on pain was analysed with a repeated measures analysis ofvariance (ANOVA). Results: No significant treatment effects in favour of neck coordination exercise were found for short-term or 6-month evaluations. Conclusion: Neck coordination exercise is no better than strength training and massage in improvingsensorimotor function. Further research should investigate the use of cutoffs for sensorimotordysfunctions prior to proprioceptive or coordinative training.

Place, publisher, year, edition, pages
2014. Vol. 46, no 9, 908-914 p.
Keyword [en]
neck pain; rehabilitation; coordination training; resistance training; postural balance; randomized controlled trial
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:hig:diva-16492DOI: 10.2340/16501977-1869ISI: 000343076800012PubMedID: 25182501Scopus ID: 2-s2.0-84921765428OAI: oai:DiVA.org:hig-16492DiVA: diva2:710169
Available from: 2014-04-04 Created: 2014-04-04 Last updated: 2017-12-05Bibliographically approved

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Rudolfsson, ThomasDjupsjöbacka, MatsBjörklund, Martin
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