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Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study Protocol for a Randomized, Parallel, Clinical Trial

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  • Tânia Mendes-Fernandes

    (Centro EMA, 6300-537 Guarda, Portugal
    Doctoral Programme in Health, Disability, Dependency and Welfare, University of Salamanca, 37007 Salamanca, Spain)

  • Ana Silvia Puente-González

    (Department of Nursing and Physical Therapy, University of Salamanca, C/Donante de Sangre s/n, 37007 Salamanca, Spain
    Institute of Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain)

  • Manuel Antonio Márquez-Vera

    (Doctoral Programme in Health, Disability, Dependency and Welfare, University of Salamanca, 37007 Salamanca, Spain
    Department of Nursing and Physical Therapy, University of Salamanca, C/Donante de Sangre s/n, 37007 Salamanca, Spain
    Institute of Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain
    Physiotherapy Unit, Universitary Hospital of Salamanca, 37007 Salamanca, Spain)

  • Carolina Vila-Chã

    (Polytechnic Institute of Guarda, 6300-559 Guarda, Portugal
    Research Center in Sports Sciences, Health and Human Development (CIDESD), 5001-801 Vila Real, Portugal)

  • Roberto Méndez-Sánchez

    (Department of Nursing and Physical Therapy, University of Salamanca, C/Donante de Sangre s/n, 37007 Salamanca, Spain
    Institute of Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, Spain)

Abstract

Background: Chronic nonspecific neck pain is the most frequent form of neck pain. It is more prevalent in women, and a costly public health issue. It is commonly associated with biomechanical, functional, proprioceptive, and postural impairments. The aim of this trial is to compare the effects of global postural exercises versus specific therapeutic exercises on neck pain, disability, mobility, pressure pain threshold, kinesiophobia, pain catastrophizing, postural control, and neuromuscular efficiency in women with chronic nonspecific neck pain. Methods and analysis: This study is a randomized, parallel-group and single blinded clinical trial. Sixty-two women with nonspecific chronic neck pain were recruited from the community of Guarda, Portugal, and randomly assigned to one of two intervention groups: (1) global postural reeducation (GPR group), (2) specific therapeutic exercises (STE group). The intervention was carried out over 4 weeks, with two sessions per week (eight sessions), and applied by a physiotherapist and paired with a daily individual at-home-exercise program. Primary outcomes are neck pain intensity and disability (Numerical Pain Rating Scale, Neck Disability Index). Secondary outcomes are cervical mobility and pressure pain threshold (CROM, algometry), attitude to pain (kinesiophobia, pain catastrophizing), standing postural control (Center of Pressure (COP) displacements), and neuromuscular efficiency (electromyography). There are four points of evaluation where the outcomes were assessed twice before the intervention, 1 week apart, and the two post-intervention assessments will be carried out after four and eight sessions. The objective was to increase scientific knowledge of different exercise modalities, such as global postural reeducation, in musculoskeletal disorders. Trial registration: ClínicalTrials.gov (NCT04402463), prospectively registered (data 22 May 2020).

Suggested Citation

  • Tânia Mendes-Fernandes & Ana Silvia Puente-González & Manuel Antonio Márquez-Vera & Carolina Vila-Chã & Roberto Méndez-Sánchez, 2021. "Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study," IJERPH, MDPI, vol. 18(20), pages 1-24, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:20:p:10704-:d:654670
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
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    1. Mastour Saeed Alshahrani & Ravi Shankar Reddy, 2022. "Relationship between Kinesiophobia and Ankle Joint Position Sense and Postural Control in Individuals with Chronic Ankle Instability—A Cross-Sectional Study," IJERPH, MDPI, vol. 19(5), pages 1-11, February.

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