PDF(Pubmed)
Abstract：
BACKGROUND: The physical and cognitive demands of combat flying may influence the development and persistence of flight-related neck pain (FRNP). The aim of this pilot study was to analyse the effect of a multimodal physiotherapy program which combined supervised exercise with laser-guided feedback and interferential current therapy on psychophysiological variables in fighter pilots with FRNP.
METHODS: Thirty-one fighter pilots were randomly assigned to two groups (Intervention Group: n = 14; Control Group: n = 17). The intervention consisted of 8 treatment sessions (twice per week) delivered over 4 weeks. The following primary outcomes were assessed: perceived pain intensity (Numeric Pain Rating Scale-NPRS) and Heart Rate Variability (HRV; time-domain, frequency-domain and non-linear variables). A number of secondary outcomes were also assessed: myoelectric activity of the upper trapezius and sternocleidomastoid, pain catastrophizing (Pain Catastrophizing Scale-PCS) and kinesiophobia (TSK-11).
RESULTS: Statistically significant differences (p≤0.05) within and between groups were observed for all outcomes except for frequency domain and non-linear HRV variables. A significant time*group effect (one-way ANOVA) in favour of the intervention group was found for all variables (p<0.001). Effect sizes were large (d≥0.6).
CONCLUSIONS: The use of a multimodal physiotherapy program consisting of supervised exercise with laser-guided feedback and interferential current appears to show clinical benefit in fighter pilots with FRNP.
BACKGROUND: ClinicalTrials.gov: NCT05541848.
METHODS: Thirty-one fighter pilots were randomly assigned to two groups (Intervention Group: n = 14; Control Group: n = 17). The intervention consisted of 8 treatment sessions (twice per week) delivered over 4 weeks. The following primary outcomes were assessed: perceived pain intensity (Numeric Pain Rating Scale-NPRS) and Heart Rate Variability (HRV; time-domain, frequency-domain and non-linear variables). A number of secondary outcomes were also assessed: myoelectric activity of the upper trapezius and sternocleidomastoid, pain catastrophizing (Pain Catastrophizing Scale-PCS) and kinesiophobia (TSK-11).
RESULTS: Statistically significant differences (p≤0.05) within and between groups were observed for all outcomes except for frequency domain and non-linear HRV variables. A significant time*group effect (one-way ANOVA) in favour of the intervention group was found for all variables (p<0.001). Effect sizes were large (d≥0.6).
CONCLUSIONS: The use of a multimodal physiotherapy program consisting of supervised exercise with laser-guided feedback and interferential current appears to show clinical benefit in fighter pilots with FRNP.
BACKGROUND: ClinicalTrials.gov: NCT05541848.
摘要：
背景：战斗飞行的身体和认知需求可能会影响飞行相关性颈痛（FRNP）的发展和持续。这项试点研究的目的是分析多模式物理治疗计划的效果，该计划将监督运动与激光制导反馈和干扰电流治疗相结合，对FRNP战斗机飞行员的心理生理变量。
方法：将31名战斗机飞行员随机分为两组（干预组：n=14；对照组：n=17）。干预包括在4周内进行的8次治疗(每周两次)。评估了以下主要结果：感知疼痛强度（数字疼痛评定量表-NPRS）和心率变异性（HRV；时域，频域和非线性变量)。还评估了一些次要结局：上斜方肌和胸锁乳突肌的肌电活动，疼痛灾难化（疼痛灾难化量表-PCS）和运动恐惧症（TSK-11）。
结果：除频域和非线性HRV变量外，所有结局均观察到组间和组间的统计学差异（p≤0.05）。对于所有变量(p<0.001),发现有利于干预组的显著时间*组效应(单因素方差分析)。效应大小较大（d≥0.6）。
结论：使用由激光引导反馈和干扰电流的监督运动组成的多模式物理治疗计划似乎对FRNP战斗机飞行员具有临床益处。
背景：ClinicalTrials.gov：NCT05541848。
方法：将31名战斗机飞行员随机分为两组（干预组：n=14；对照组：n=17）。干预包括在4周内进行的8次治疗(每周两次)。评估了以下主要结果：感知疼痛强度（数字疼痛评定量表-NPRS）和心率变异性（HRV；时域，频域和非线性变量)。还评估了一些次要结局：上斜方肌和胸锁乳突肌的肌电活动，疼痛灾难化（疼痛灾难化量表-PCS）和运动恐惧症（TSK-11）。
结果：除频域和非线性HRV变量外，所有结局均观察到组间和组间的统计学差异（p≤0.05）。对于所有变量(p<0.001),发现有利于干预组的显著时间*组效应(单因素方差分析)。效应大小较大（d≥0.6）。
结论：使用由激光引导反馈和干扰电流的监督运动组成的多模式物理治疗计划似乎对FRNP战斗机飞行员具有临床益处。
背景：ClinicalTrials.gov：NCT05541848。
