■尽管指南和系统评价建议使用运动治疗慢性疼痛和颈部疼痛,对于临床上经常使用的保守治疗没有明确的建议.使用被动物理治疗方法支持临床普拉提练习对生物心理社会地位的影响仍然未知。
■目的是研究常规治疗(CT)以及临床普拉提对疼痛水平的影响,身体状况,功能状态,慢性颈痛患者的心理社会地位。
■将50名妇女随机分为2组,临床普拉提小组(普拉提,n=25),以及除临床普拉提外接受CT的组(普拉提CT,n=25)。两组均接受每周3天的治疗,共6周。CT程序涉及热包(HP)应用程序的实施,经皮神经电刺激(TENS),和宫颈区域的治疗性超声(US)。
■除普拉提外,CT在减少视觉模拟量表(在休息和活动期间)方面更有效,颈部残疾指数,恐惧-回避信念问卷,NeckPix秤,医院焦虑抑郁量表,和认知运动疗法方法-生物心理社会问卷得分(p<0.05),以及增加运动范围(ROM)和颈屈肌耐力值的变化程度以及ShortForm-36的能量参数得分(p<0.05)。
■除普拉提外还提供CT更有效地减轻疼痛,残疾,害怕运动,抑郁程度,和阴性的生物心理社会地位和改善延伸ROM和颈屈耐力,颈部意识,以及慢性颈痛患者生活质量的能量/活力参数。
UNASSIGNED: Although guidelines and systematic reviews recommend the use of exercise in the treatment of chronic pain and neck pain, there are no clear recommendations for conservative treatments frequently used in clinics. The effect of supporting clinical Pilates exercises with passive physiotherapy methods on biopsychosocial status is still unknown.
UNASSIGNED: The objective was to investigate the effects of conventional treatment (CT) in addition to clinical Pilates on pain levels, physical condition, functional status, and psychosocial status in individuals with chronic neck pain.
UNASSIGNED: Fifty women were randomly divided into 2 groups, the clinical Pilates group (Pilates, n= 25), and the group receiving CT in addition to clinical Pilates (Pilates-CT, n= 25). Both groups received treatment 3 days a week for 6 weeks. The CT program involved the implementation of hot pack (HP) application, Transcutaneous Electrical Nerve Stimulation (TENS), and therapeutic ultrasound (US) to the cervical area.
UNASSIGNED: CT in addition to Pilates was more effective in reducing the Visual Analog Scale (at rest and during activity), Neck Disability Index, Fear-Avoidance Beliefs Questionnaire, NeckPix Scale, Hospital Anxiety and Depression Scale-depression, and Cognitive Exercise Therapy Approach-Biopsychosocial questionnaire scores (p< 0.05) and in increasing the degree of change in the extension range of motion (ROM) and cervical flexor endurance values and scores in the energy parameter of Short Form-36 (p< 0.05).
UNASSIGNED: CT provided in addition to Pilates was more effective in reducing pain levels, disability, fear of movement, depression levels, and negative biopsychosocial status and improving extension ROM and cervical flexor endurance, neck awareness, and the energy/vitality parameter of quality of life in individuals with chronic neck pain.