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A randomized clinical trial comparing general exercise, McKenzie treatment and a control group in patients with neck pain
Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Östergötlands Läns Landsting, Centre for Public Health Sciences, Centre for Public Health Sciences.
2002 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 34, no 4, 183-190 p.Article in journal (Refereed) Published
Abstract [en]

Seventy-seven patients with neck pain in the primary health care were included in a prospective, randomized clinical trial and randomly assigned to general exercise, McKenzie treatment, or a control group. Seventy patients completed the treatment, response rate 93% at 12-month follow-up. All three groups showed significant improvement regarding the main outcomes, pain intensity and Neck Disability Index, even at 12-month follow-up, but there was no significant difference between the groups. In all, 79% reported that they were better or completely restored after treatment, although 51% reported constant/daily pain. In the McKenzie group compared with the control group, a tendency toward greater improvement was noted for pain intensity at 3 weeks and at 6-month follow-up, and for post-treatment Neck Disability Index. Significant improvement in Distress and Risk Assessment Method scores was shown in the McKenzie group only. The three groups had similar recurrence rates, although after 12 months the McKenzie group showed a tendency toward fewer visits for additional health care. The study did not provide a definite evidence of treatment efficacy in patients with neck pain, however, there was a tendency toward a better outcome with the two active alternatives compared with the control group.

Place, publisher, year, edition, pages
2002. Vol. 34, no 4, 183-190 p.
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-26272DOI: 10.1080/16501970213233Local ID: 10786OAI: oai:DiVA.org:liu-26272DiVA: diva2:246820
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2017-12-13

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Kjellman, GörelÖberg, Birgitta

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Faculty of Health SciencesDivision of PhysiotherapyUnit of Research and Development in Local Health Care, County of ÖstergötlandCentre for Public Health Sciences
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Journal of Rehabilitation Medicine
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