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QUESTION: In women with chronic non-specific neck pain, does intensive isometric neck strength training or lighter endurance training of neck muscles reduce pain and disability?
Design
Randomised {allocation concealed*}†, blinded {data collectors, outcome assessors, data analysts, data safety and monitoring committee, and manuscript writers}†,* controlled trial with 1 year of follow up.
Setting
Occupational healthcare services in Finland.
Patients
180 female office workers 25–53 years of age (mean age 46 y) who were permanent employees, had constant or frequently occurring neck pain for >6 months, and were motivated to continue working and receive rehabilitation. Exclusion criteria included severe disorders of the cervical spine, frequent migraine, peripheral nerve entrapment, fibromyalgia, shoulder diseases, and inflammatory rheumatic diseases. Follow up was 98% at 1 year.
Intervention
Women were allocated to 1 of 3 groups: strength training (n=60), endurance training (n=60), and control (n=60). Training regimens consisted of 5 …
Footnotes
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Source of funding: Social Insurance Institution, Helsinki, Finland.
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For correspondence: Dr J Ylinen, Jyväskylä Central Hospital, Jyväskylä, Finland. jari.ylinen{at}ksshp.fi
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Abstract and commentary also appear in ACP Journal Club.
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↵† Information provided by author.