PMID- 27317503
OWN - NLM
STAT- MEDLINE
DCOM- 20170809
LR  - 20220408
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 24
DP  - 2016 Aug
TI  - Exercises for mechanical neck disorders: A Cochrane review update.
PG  - 25-45
LID - S1356-689X(16)30007-8 [pii]
LID - 10.1016/j.math.2016.04.005 [doi]
AB  - BACKGROUND: Neck pain (NP) is disabling and costly. OBJECTIVES: To assess the 
      effectiveness of exercise on pain, disability, function, patient satisfaction, 
      quality of life (QoL) and global perceived effect (GPE) in adults with NP. 
      METHODS: We searched computerised databases up to May 2014 for randomized 
      controlled trials (RCTs) comparing exercise to a control in adults with NP 
      with/without cervicogenic headache (CGH) or radiculopathy. Two reviewers 
      independently conducted selection, data abstraction and assessed risk of bias. 
      Meta-analyses were performed to establish pooled standardised mean differences 
      (SMDp). The Grade of Recommendation, Assessment, Development and Evaluation 
      (GRADE) was used to summarise the body of evidence. MAIN RESULTS: The following 
      exercises (27 trials) were supported by 'Moderate GRADE' evidence: For chronic 
      NP, 1) cervico-scapulothoracic and upper extremity (UE) strengthening for 
      moderate to large pain reduction immediately post treatment (IP) and at 
      short-term (ST) follow-up; 2) scapulothoracic and UE endurance training for a 
      small pain reduction (IP/ST); 3) cervical, shoulder and scapulothoracic 
      strengthening and stretching exercise for a small to large pain reduction in the 
      long-term (LT) (SMDp -0.45 [95%CI: -0.72 to -0.18]) and function improvement; 4) 
      cervico-scapulothoracic strengthening/stabilisation exercises for pain and 
      function at intermediate-term (IT) (SMDp -14.90 [95%CI: -22.40 to -7.39]). 5) 
      mindfulness exercises (Qigong) for minor improved function but not GPE (ST). For 
      chronic CGH, cervico-scapulothoracic strengthening and endurance exercises 
      including pressure biofeedback for small/moderate improvement of pain, function 
      and GPE (IP/LT). AUTHORS' CONCLUSIONS: Specific strengthening exercises of the 
      neck, scapulothoracic and shoulder for chronic NP and chronic CGH are beneficial. 
      Future research should explore optimal dosage.
CI  - Copyright (c) 2016 Elsevier Ltd. All rights reserved.
FAU - Gross, A R
AU  - Gross AR
AD  - Department of Clinical Epidemiology and Biostatistics, McMaster University, 
      Hamilton, Canada; School of Rehabilitation Science, McMaster University, 
      Hamilton, Canada. Electronic address: grossa@mcmaster.ca.
FAU - Paquin, J P
AU  - Paquin JP
AD  - Physio-Sante, Drummondville, Canada; University of Western Ontario, London, 
      Canada.
FAU - Dupont, G
AU  - Dupont G
AD  - University of Western Ontario, London, Canada.
FAU - Blanchette, S
AU  - Blanchette S
AD  - University of Western Ontario, London, Canada.
FAU - Lalonde, P
AU  - Lalonde P
AD  - University of Western Ontario, London, Canada.
FAU - Cristie, T
AU  - Cristie T
AD  - University of Western Ontario, London, Canada.
FAU - Graham, N
AU  - Graham N
AD  - School of Rehabilitation Science, McMaster University, Hamilton, Canada.
FAU - Kay, T M
AU  - Kay TM
AD  - Women's College Hospital, Toronto, Canada; Department of Physical Therapy, 
      University of Toronto, Toronto, Canada.
FAU - Burnie, S J
AU  - Burnie SJ
AD  - Department of Clinical Education, Canadian Memorial Chiropractic College, 
      Toronto, Canada.
FAU - Gelley, G
AU  - Gelley G
AD  - Applied Health Sciences, University of Manitoba, Winnipeg, Canada.
FAU - Goldsmith, C H
AU  - Goldsmith CH
AD  - Department of Clinical Epidemiology and Biostatistics, McMaster University, 
      Hamilton, Canada; Faculty of Health Sciences, Simon Fraser University, Burnaby, 
      Canada.
FAU - Forget, M
AU  - Forget M
AD  - Canadian Forces Health Services Group, Groupe de Services de Sante des Forces 
      Canadiennes, National Defence, Defense Nationale, Government of Canada, 
      Gouvernement du Canada, Kingston, Canada.
FAU - Santaguida, P L
AU  - Santaguida PL
AD  - Department of Clinical Epidemiology and Biostatistics, McMaster University, 
      Hamilton, Canada.
FAU - Yee, A J
AU  - Yee AJ
AD  - Kinesiology, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
FAU - Radisic, G G
AU  - Radisic GG
AD  - Life Science, Faculty of Health Sciences, Queens Univesity, Kingston, Canada.
FAU - Hoving, J L
AU  - Hoving JL
AD  - Coronel Institute of Occupational Health and Research Center for Insurance 
      Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, 
      Netherlands.
FAU - Bronfort, G
AU  - Bronfort G
AD  - Integrative Health & Wellbeing Research Program, Center for Spirituality & 
      Healing, University of Minnesota, Minneapolis, MN, USA.
CN  - Cervical Overview Group
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
DEP - 20160420
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Chronic Pain/physiopathology/*therapy
MH  - *Exercise Therapy
MH  - Humans
MH  - Middle Aged
MH  - Neck Pain/physiopathology/*therapy
MH  - Physical Therapy Modalities
MH  - Quality of Life
MH  - Whiplash Injuries/physiopathology/*therapy
OTO - NOTNLM
OT  - Cochrane review
OT  - Exercise
OT  - Meta-analysis
OT  - Neck pain
EDAT- 2016/06/19 06:00
MHDA- 2017/08/10 06:00
CRDT- 2016/06/19 06:00
PHST- 2016/04/12 00:00 [received]
PHST- 2016/04/13 00:00 [accepted]
PHST- 2016/06/19 06:00 [entrez]
PHST- 2016/06/19 06:00 [pubmed]
PHST- 2017/08/10 06:00 [medline]
AID - S1356-689X(16)30007-8 [pii]
AID - 10.1016/j.math.2016.04.005 [doi]
PST - ppublish
SO  - Man Ther. 2016 Aug;24:25-45. doi: 10.1016/j.math.2016.04.005. Epub 2016 Apr 20.