A randomised clinical trial comparing active exercise and McKenzie treatment with placebo therapy in patients with neck pain
(English)Manuscript (preprint) (Other academic)
Seventy-seven patients with neck pain in the piimary health care were included in a prospective, randomised clinical trial and randomly assigned to active exercise, McKenzie treatment, or placebo therapy. 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 (NDI), 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 to placebo group, a tendency toward greater improvement was noted for pain intensity at 3 weeks and at 6-month follow-up, and for post-treatment NDI. Significant improvement in DRAM 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.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-80937OAI: oai:DiVA.org:liu-80937DiVA: diva2:549363