Further evidence of the positive effects of an educational and physical program on headache, neck and shoulder pain in a working community |
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Authors: | Franco Mongini Andrea Evangelista Eugenia Rota Luca Ferrero Alessandro Ugolini Chantal Milani Manuela Ceccarelli Laura Joffrain Giovannino Ciccone Claudia Galassi |
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Institution: | (1) Headache and Facial Pain Unit, Department of Clinical Pathophysiology, University of Turin, Corso Dogliotti 14, 10126 Turin, Italy;(2) Unit of Cancer Epidemiology, CPO-Piemonte, AOU S. Giovanni Battista, Turin, Italy |
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Abstract: | In a controlled trial to evaluate the effectiveness of a simple educational and physical program administered to a large cohort
of public servants, we previously found that 6 months following treatment the monthly frequency of headache and neck and shoulder
pain and drug intake was reduced by 40% in the experimental compared with controls. These results were stable at a 12-month
follow up. The program consists of brief shoulder and neck exercises to be performed several times a day, a relaxation exercise,
and instructions on how to reduce parafunction and hyperfunction of the craniofacial and neck muscles during the day. The
purpose of this work was to investigate whether the data previously obtained could be confirmed also in the group of 192 subjects
that served as controls in first phase of the study and received the intervention in the second phase of the study. The primary
endpoint was the change in frequency of headache and neck and shoulder pain expressed as the number of days per month with
pain, and as the proportion of subjects with a ≥50% reduction of frequency (responder rate) at the last 2 months of the 6-month
intervention period compared to the 2 months preceding the intervention (baseline). The number of days of analgesic drug consumption
was also recorded. Days per month with headache at the baseline and at the end of intervention period were 6.40 and 4.58 (mean
change −1.81, p < 0.0001), respectively; days with neck and shoulder pain were 7.48 and 6.18 (mean change −1.30, p = 0.0179); days of analgesic consumption were 1.67 and 1.17 (mean change −0.50, p = 0.0222). The responder rate was 42.3% for headache, 42% for neck and shoulder pain and 58.3% for drug consumption. In conclusion,
this study adds further evidence on the efficacy of our program and its high acceptability in a large, unselected, working
population. |
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Keywords: | Headache Migraine Neck pain Education Exercise |
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