当前位置： SCI文献检索 > European Journal of Physical and Rehabilitation Medicine期刊下所有文献 > Patient-oriented rehabilitation in the management of chronic mechanical neck pain: a randomized controlled trial.

Patient-oriented rehabilitation in the management of chronic mechanical neck pain: a randomized controlled trial.

Abstract：

BACKGROUND:Management of chronic mechanical neck pain (CMNP) still represents a challenge. A patient-oriented (Pa-O) therapeutic approach could be considered as the one in which therapies are scheduled at the start of each therapeutic session according to the patient's current physical status, and differs from a prescription-oriented (Pr-O) therapeutic approach, in which therapies are prescribed at the first medical referral and are not adjusted at any time during the treatment period. AIM:To determine if a Pa-O approach may be more beneficial for CMNP patients when compared to a Pr-O one. DESIGN:Randomized controlled trial. POPULATION:220 CMNP outpatients randomized to either Pa-O group (N.=114) or Pr-O group (N.=106). METHODS:Each group received 10 therapeutic sessions over 3 weeks. Primary outcome measures were pain assessment, evaluated by Visual-Analog-Scale (VAS), and disability level, evaluated by the Neck Pain and Disability Scale (NPDS-I). Secondary outcome measures included patients' response to treatment and treatment failures. Measurements were carried out at baseline (T0) and 1 month after treatment ended (T1). Data were analysed according to the intention-to-treat principle. RESULTS:Patients in both groups displayed at T1 a significant reduction in VAS and NPDS-I scores. The relative changes at T1 were greater in Pa-O group when compared with Pr-O group both for VAS (61.5% versus 48.8%; P<0.005) and for NPDS-I scores (48.4% versus 36.8%; P<0.05). CONCLUSION:A Pa-O approach may be more beneficial in terms of pain and disability improvement in the short-term follow-up in suffers from CMNP. However, the occurrence of a performance-bias due to the increased level of attention from physicians to patients in Pa-O group, cannot be ruled-out. CLINICAL REHABILITATION IMPACT:A Pa-O approach should be considered for CMNP also in an outpatient facility.

journal_name

Eur J Phys Rehabil Med

journal_title

European journal of physical and rehabilitation medicine

authors

Paoloni M,Tavernese E,Cacchio A,Tattoli M,Melis L,Ronconi R,Santilli V

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

273-81

issue

eissn

1973-9087

issn

1973-9095

pii

R33122659

journal_volume

pub_type

杂志文章,随机对照试验

在线工具

Patient-oriented rehabilitation in the management of chronic mechanical neck pain: a randomized controlled trial.