A Randomized Control Trial to Compare the Effects of Endurance Training Versus Strength Training Among Students with Neck Pain
Endurance Training Versus Strength Training Among Students with Neck Pain
Keywords:Neck Pain, Musculoskeletal disorders, Endurance Training, Strength Training
Neck pain is pain perceived as arising in a region bounded superiorly by the superior nuchal line and inferiorly by an imaginary transverse line through the spinous process of the first thoracic vertebra. Musculoskeletal disorders are common among general population; the yearly prevalence of neck pain is almost 30% to 50%. Objective: The purpose of this study was to compare the effects of endurance training versus strengthening exercises among students with chronic neck pain. Methods: It was Randomized Control Trial. A total of 30 patients were recruited into the study and were randomly allocated into two groups, the treatment group and control group. Treatment group received endurance therapy while control group was treated with strengthening exercises. Pre-test and post-test assessments were performed among both groups to compare the effect of these interventions. Results: Independent t-Test interpretation of PNS. Pre-treatment PNS for control group Mean=4.93, SD=1.53, p-value=.614, for experimental group Mean=5.20, SD=1.32, P-value=.614. According to results of Post-treatment PNS, there was significant reduction in pain intensity and p-value<0. 01i.e for experimental group Mean=0.40, SD=0.507, P-Value=0.000. Independent t-Test interpretation of duration of symptoms (DOS). Pre-treatment duration of symptoms for control group Mean=2.60, SD=.632, p-value=.148, for experimental group Mean=2.93, SD=0.594, P-value=.148 Conclusions: It is concluded that endurance exercises were more effective than strength training in improving chronic neck pain among medical students of RMU.
Murray CJ, Atkinson C, Bhalla K, Birbeck G, Burstein R, Chou D, et al. Murray; U.S. Burden of Disease Collaborators. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. Journal of the American Medical Association. 2013 Aug; 310(6):591-608. doi: 10.1001/jama.2013.13805.
GBD 2017 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018 Nov; 392(10159):1859-1922. doi: 10.1016/S0140-6736(18)32335-3.
Steilen D, Hauser R, Woldin B, Sawyer S. Chronic neck pain: making the connection between capsular ligament laxity and cervical instability. Open journal of orthopedics. 2014 Oct; 8:326-45. doi: 10.2174/1874325001408010326.
Kääriä S, Laaksonen M, Rahkonen O, Lahelma E, Leino-Arjas P. Risk factors of chronic neck pain: a prospective study among middle-aged employees. European Journal of Pain 2012 Jul; 16(6):911-20. doi: 10.1002/j.1532-2149.2011.00065.x.
Dabholkar T, Yardi S, Dabholkar YG, Velankar HK, Ghuge G. A Survey of Work-Related Musculoskeletal Disorders Among Otolaryngologists. Indian Journal of Otolaryngology and Head & Neck Surgery 2017 Jun; 69(2):230-238. doi: 10.1007/s12070-017-1106-5.
Christensen JO and Knardahl S. Time-course of occupational psychological and social factors as predictors of new-onset and persistent neck pain: a three-wave prospective study over 4 years. Pain. 2014 Jul; 155(7):1262-1271. doi: 10.1016/j.pain.2014.03.021.
Borisut S, Vongsirinavarat M, Vachalathiti R, Sakulsriprasert P. Effects of strength and endurance training of superficial and deep neck muscles on muscle activities and pain levels of females with chronic neck pain. Journal of physical therapy science 2013 Sep; 25(9):1157-62. doi: 10.1589/jpts.25.1157.
Freischlag J and Orion K. Understanding thoracic outlet syndrome. Scientifica (Cairo). 2014; 248163. doi: 10.1155/2014/248163.
Micankova Adamova B, Vohanka S, Dusek L, Jarkovsky J, Bednarik J. Prediction of long-term clinical outcome in patients with lumbar spinal stenosis. European Spine Journal. 2012 Dec; 21(12):2611-9. doi: 10.1007/s00586-012-2424-7.
Salo PK, Häkkinen AH, Kautiainen H, Ylinen JJ. Effect of neck strength training on health-related quality of life in females with chronic neck pain: a randomized controlled 1-year follow-up study. Health Qual Life Outcomes. 2010 May; 8:48. doi: 10.1186/1477-7525-8-48.
Mustafaoglu R, Yasaci Z, Zirek E, Griffiths MD, Ozdincler AR. The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. Korean Journal of Pain 2021 Jan; 34(1):72-81. doi: 10.3344/kjp.2021.34.1.72.
Im B, Kim Y, Chung Y, Hwang S. Effects of scapular stabilization exercise on neck posture and muscle activation in individuals with neck pain and forward head posture. Journal of physical therapy science 2016 Mar; 28(3):951-5. doi: 10.1589/jpts.28.951.
Lee MH, Park SJ, Kim JS. Effects of neck exercise on high-school students' neck-shoulder posture. Journal of physical therapy science 2013 May; 25(5):571-4. doi: 10.1589/jpts.25.571.
Wong JJ, Côté P, Ameis A, Varatharajan S, Varatharajan T, Shearer HM, et al. Are non-steroidal anti-inflammatory drugs effective for the management of neck pain and associated disorders, whiplash-associated disorders, or non-specific low back pain? A systematic review of systematic reviews by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. European Spine Journal. 2016 Jan; 25(1):34-61. doi: 10.1007/s00586-015-3891-4.
Fehlings MG, Wilson JR, Yoon ST, Rhee JM, Shamji MF, Lawrence BD. Symptomatic progression of cervical myelopathy and the role of nonsurgical management: a consensus statement. Spine (Phila Pa 1976). 2013 Oct; 38(22 Suppl 1):S19-20. doi: 10.1097/BRS.0b013e3182a7f4de.
Hsu E, Atanelov L, Plunkett AR, Chai N, Chen Y, Cohen SP. Epidural lysis of adhesions for failed back surgery and spinal stenosis: factors associated with treatment outcome. Anesthesia & Analgesia 2014 Jan; 118(1):215-24. doi: 10.1213/ANE.0000000000000042.
Eerd DV, Cole DC, Steenstra IA. Participatory Ergonomics for Return to Work. InHandbook of Return to Work 2016 289-305. Springer, Boston, MA.
Akhter S, Khan M, Ali SS, Soomro RR. Role of manual therapy with exercise regime versus exercise regime alone in the management of non-specific chronic neck pain. Pakistan Journal of Pharmaceutical Sciences. 2014 Nov; 27.
Andersen LL, Saervoll CA, Mortensen OS, Poulsen OM, Hannerz H, Zebis MK. Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: randomised controlled trial. Pain. 2011 Feb; 152(2):440-446. doi: 10.1016/j.pain.2010.11.016.
Busch AJ, Webber SC, Richards RS, Bidonde J, Schachter CL, Schafer LA, et al. Resistance exercise training for fibromyalgia. Cochrane database of systematic reviews 2013 Dec; (12):CD010884. doi: 10.1002/14651858.CD010884.
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