PMID- 18765182 OWN - NLM STAT- MEDLINE DCOM- 20090212 LR - 20141113 IS - 0965-2299 (Print) IS - 0965-2299 (Linking) VI - 16 IP - 5 DP - 2008 Oct TI - Tension neck syndrome treated by acupuncture combined with physiotherapy: a comparative clinical trial (pilot study). PG - 268-77 LID - 10.1016/j.ctim.2008.02.006 [doi] AB - OBJECTIVE: To evaluate the effect of acupuncture combined with physiotherapy in comparison with acupuncture and physiotherapy performed alone in different parameters; pain intensity, muscle tension, functional disability and muscle strength in the treatment of tension neck syndrome (TNS). DESIGN: A prospective, comparative clinical trial. SETTING: Acupuncture and Rehabilitation Department. BACKGROUND: TNS can occur in computer users. Acupuncture has been one alternative treatment in physiotherapeutic rehabilitation of musculoskeletal disorders. SUBJECTS: Forty-six patients with TNS. INTERVENTIONS: Patients were allocated into three groups: Group-1 received physiotherapy (therapeutic exercises) combined with acupuncture; Group-2, acupuncture alone, and Group-3, physiotherapy alone; over a period of 10 weeks, with one or two sessions weekly. OUTCOME ASSESSMENT: All patients had completed the protocols and were assessed using a visual analogue scale for pain intensity (VASpain) and muscle tension (VASmt), the Neck Disability Index: Brazilian Portuguese version for functional disability, and the cranio-cervical Flexion Test for isometric neck muscle strength (INMS); in the periods before treatment (baseline), after 10 weeks of treatment, and after 6 months of follow-up. RESULTS: All groups showed significant improvement (p < 0.001) in these parameters after 10 weeks of treatment and after 6 months of follow-up. Group-1 was superior to Group-3 in pain and functional disability improvements (p<0.05); and Group-1 was superior to both Group-2 (p < 0.01) and Group-3 (p < 0.05) in INMS. After 6 months of follow-up, the improvements of all groups were maintained (p < 0.05). CONCLUSION: The data suggested that acupuncture effect may facilitate and/or enhance physiotherapy performance in musculoskeletal rehabilitation for tension neck syndrome. FAU - Franca, Daisy L M AU - Franca DL AD - Universidade do Estado do Rio de Janeiro, Faculdade de Ciencias Medicas, Programa de Pos-Graduacao em Ciencias Medicas, Brazil. dfranca.8@oi.com.br FAU - Senna-Fernandes, Vasco AU - Senna-Fernandes V FAU - Cortez, Celia Martins AU - Cortez CM FAU - Jackson, Morgan N AU - Jackson MN FAU - Bernardo-Filho, Mario AU - Bernardo-Filho M FAU - Guimaraes, Marco Antonio M AU - Guimaraes MA LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Scotland TA - Complement Ther Med JT - Complementary therapies in medicine JID - 9308777 SB - IM MH - Acupuncture Therapy/*methods MH - Adult MH - Disability Evaluation MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neck Pain/classification/*rehabilitation MH - Pain Measurement/classification MH - *Physical Therapy Modalities MH - Pilot Projects MH - Treatment Outcome EDAT- 2008/09/04 09:00 MHDA- 2009/02/13 09:00 CRDT- 2008/09/04 09:00 PHST- 2007/04/06 00:00 [received] PHST- 2008/01/23 00:00 [revised] PHST- 2008/02/15 00:00 [accepted] PHST- 2008/09/04 09:00 [pubmed] PHST- 2009/02/13 09:00 [medline] PHST- 2008/09/04 09:00 [entrez] AID - S0965-2299(08)00011-3 [pii] AID - 10.1016/j.ctim.2008.02.006 [doi] PST - ppublish SO - Complement Ther Med. 2008 Oct;16(5):268-77. doi: 10.1016/j.ctim.2008.02.006.