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The effects of pain neuroscience education and exercise on pain, muscle endurance, catastrophizing and anxiety in adolescents with chronic idiopathic neck pain

ANDIAS R; NETO M; SILVA AG
PHYSIOTHER THEORY PRACT , 2018, vol. 34, n° 9, p. 682-691
Doc n°: 188550
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09593985.2018.1423590
Descripteurs : AD8 - DOULEUR, CC5 - PATHOLOGIE - RACHIS CERVICAL

PURPOSE: To compare the effectiveness of pain neuroscience education (PNE) and
neck/shoulder exercises with no intervention in adolescents with chronic
idiopathic neck pain (CINP). METHODS: Forty-three adolescents with CINP were
randomly allocated to receive PNE and shoulder/neck exercises (n = 21) or no
intervention (n = 22). Data on pain intensity, neck flexor and extensor muscles
endurance, scapular stabilizers endurance, pain catastrophizing, anxiety, and
knowledge of pain neurophysiology were collected. Measurements were taken before
and after the intervention. RESULTS: All participants completed the study.
Analysis using ANCOVA revealed a significant increase in the neck extensors
endurance capacity (adjusted mean +/- SE change = + 47.5 +/- 13.5 s versus +14.2
+/- 13.1 s) and knowledge of pain neurophysiology (adjusted mean +/- SE change =
+ 9.8 +/- 3.2 versus -0.6 +/- 0.6) in the group receiving the intervention. A
higher mean decrease in pain intensity, pain catastrophizing and anxiety and a
higher mean increase in the scapular stabilizers endurance capacity were also
found in the intervention group, but differences did not reach statistical
significance. CONCLUSIONS: Results suggest a potential benefit of PNE and
exercise for adolescents with CINP. Further studies with larger sample sizes are
needed.

Langue : ANGLAIS

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