Article

OBJECTIVE: To evaluate the effect of a group-based multidisciplinary
rehabilitation programme on disability, pain and quality of life in subjects with
chronic neck pain. DESIGN: Randomized controlled trial. SETTING: Specialized
rehabilitation centre. SUBJECTS: A total of 170 patients
(mean age of 53 years
(13); 121 females). INTERVENTIONS: The multidisciplinary group underwent a multidisciplinary rehabilitation programme combining multimodal exercises with
psychologist-lead cognitive-behavioural therapy sessions. The general exercise
group underwent general physiotherapy. Both groups followed group-based
programmes once a week for ten weeks. Additionally, the multidisciplinary group
met with the psychologist once a week for a 60-minute session. MAIN MEASURES: The
Neck Disability Index (primary outcome), the Tampa Scale for Kinesiophobia, the
Pain Catastrophizing Scale, a pain numerical rating scale and the Short-Form
Health Survey. The participants were evaluated before, after training and after
12 months. RESULTS: A linear mixed model for repeated measures was used for each
outcome measure. Significant effects ( p-value <0.001) were found over time and
between groups for all outcome measures. After training, significant improvements
were found for both groups for all outcome measures except kinesiophobia and
catastrophizing, which did not change in the control group; however, the
improvements were significantly greater for the multidisciplinary group. At
12-month follow-up a clinically meaningful between-group difference of 12.4 Neck
Disability Index points was found for disability.
CONCLUSIONS: A group-based
multidisciplinary rehabilitation programme including cognitive-behavioural
therapy was superior to group-based general physiotherapy in improving
disability, pain and quality of life of subjects with chronic neck pain. The
effects lasted for at least one year.

Langue : ANGLAIS