Efficacy of neck stabilization and Pilates exercises on pain,sleep disturbance and kinesiophobia in patients with non-specific chronic neck pain: A randomized controlled trial |
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| Affiliation: | 1. Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria;2. Department of Medical Rehabilitation, Nnamdi Azikiwe University, Nigeria;1. Faculty of Philosophy and Sciences, São Paulo State University (UNESP), Marília, São Paulo, Brazil;2. Department of Physical Education, Institute of Biosciences, São Paulo State University (UNESP), Rio Claro, São Paulo, Brazil;1. PGSP-Stanford Psy.D. Consortium, United States;2. University of Technology Sydney, Australia;3. Universität Duisburg-Essen, Germany;4. Independent Researcher;1. Faculty of Medicine, Department of Physical Therapy and Rehabilitation, Division of Rheumatology, Gazi University, Ankara, Turkey;2. Haydarpaşa Numune Education and Research Hospital, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey;1. Pain Research Group, Pain Centre South, Odense University Hospital, Odense, Denmark;2. Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark;3. School of Physiotherapy, University College Lillebaelt, Odense, Denmark;4. Centre for Neuroplasticity and Pain, SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark;1. Istanbul Okan University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey;2. Vocational School of Health Services, Department of Physical Therapy, KTO Karatay University, Karatay, Konya, Turkey |
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| Abstract: | IntroductionNeck pain poses a huge medical challenge in terms of pain and disability on patient. Therapeutic exercise has been reported to be an effective intervention for the treatment of patients with chronic neck pain.ObjectivesThis study therefore determined the effects of neck stabilization and Pilates exercises on pain, sleep disturbance, neck disability and kinesiophobia in patients with non-specific chronic neck pain.MethodsForty five patients with non-specific chronic neck pain (NSCNP) participated in this study. They were randomly assigned into 3 different groups; Neck stabilization exercise, Pilates exercise and Neck dynamic isometric exercise using computer generated number. Pain intensity, sleep disturbance, neck disability, kinesiophobia were assessed using numerical pain rating scale, insomnia severity index, neck disability index, tampas scale of kinesiophobia respectively at baseline, 4th week (mid-intervention) and 8th week (post intervention). Data were analyzed using descriptive and inferential statistics at alpha level of less than or equal to 0.05.ResultsFindings from this study revealed an improvement in all outcome parameters (pain intensity, quality of sleep, neck disability and kinesiophobia) in the three groups post-intervention (p < 0.05). However, there was statistically significant difference between neck stabilization and Pilates exercises on pain intensity (p < 0.05).ConclusionThe two groups (neck stabilization and Pilates) showed similar effect in the entire clinical outcomes aside pain intensity therefore both exercises are efficacious in the treatment of patients with NSCNP. However, neck stabilization exercises demonstrated a more superior effect than Pilates exercises in reducing pain intensity in patients with NSCNP. |
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| Keywords: | Neck stabilization Pilates Sleep disturbance Kinesiophobia Non-specific neck pain |
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