Article

OBJECTIVE: To identify the most effective components in an active exercise
physiotherapy treatment intervention for chronic neck pain based on the
frequency, intensity, time, and type (FITT) exercise method of tailoring physical
activity recommendations to the individual needs and goals of patients. DATA
SOURCES: Databases, including the Allied and Complementary Medicine Database,
Cumulative Index to Nursing and Allied Health, MEDLINE, SPORTDiscus, Biomedical
Reference Collection, and Academic Search Premier, were searched for relevant
articles. STUDY SELECTION: Quantitative design studies that included active
exercise as part of a multimodal or stand-alone approach were selected. Only
studies scoring >/=6 on the Physiotherapy Evidence Database Scale were included
in the review because this reflected a good level of evidence. DATA EXTRACTION:
Study methodologies and relevant outcome measures, including isometric strength,
Neck Disability Index scores, and pain scores, were extracted from relevant
articles and grouped together for appraisal and synthesis. DATA SYNTHESIS:
Evidence from selected articles was synthesized according to the FITT exercise
principal to determine the most effective exercise type, frequency, and intensity
in the treatment of chronic neck pain. CONCLUSIONS: Physiotherapy interventions
using a multimodal approach appear to produce more beneficial outcomes in terms
of increased strength, improved function, and health-related quality of life and
reduced pain scores. Active strengthening exercises appear to be beneficial for
all of these outcomes; the inclusion of additional stretching and aerobic
exercise components appear to enhance the benefits of an exercise intervention.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS