Article

Global postural re-education (GPR) has shown positive results for
patients with musculoskeletal disorders, but no previous randomized controlled
trial (RCT) has investigated its effectiveness as the sole procedure for adult
patients with chronic nonspecific neck pain (NP).
The purpose of this
study was to evaluate the effectiveness of applying GPR compared with a manual
therapy (MT) intervention to patients with chronic nonspecific NP. DESIGN: An RCT
was conducted. PATIENTS: Ninety-four patients with chronic nonspecific NP (72
women and 22 men; average age=47.5 years, SD=11.3) were randomly assigned to
receive either a GPR intervention or an MT intervention. OUTCOME MEASURES: Pain
intensity (visual analog scale), disability (Neck Disability Index), cervical
range of motion, and kinesiophobia (Tampa Scale of Kinesiophobia) were assessed.
METHODS: The experimental group received GPR, and the reference group received
MT. Both groups received nine 60-minute-long sessions with one-to-one supervision
from physical therapists as the care providers. All participants were asked to
follow ergonomic advice and to perform home exercises. Measures were assessed
before treatment, following treatment, and at a 6-month follow-up. RESULTS: No
important baseline differences were found between groups. The experimental group
exhibited a statistically significant reduction in pain following treatment and
in disability 6 months after the intervention compared with the reference group.
LIMITATIONS: Randomization did not lead to completely homogeneous groups. It also
was noted that the time spent integrating the movements practiced during the
session into daily routines at the end of each session was requested only of
participants in the GPR group and may have had an impact on patient adherence
that contributed to a better outcome. CONCLUSIONS:
The results suggest that GPR
was more effective than MT for reducing pain after treatment and for reducing
disability at 6-month follow-up in patients with chronic nonspecific NP.
CI - (c) 2016 American Physical Therapy Association.

Langue : ANGLAIS