Effectiveness and optimal dosage of exercise training for chronic non-specific neck pain: A systematic review with a narrative synthesis

PloS One
Jonathan PriceNicola R Heneghan

Abstract

Clinical guidelines make vague recommendations as to exercise training (ET) type and dosage to manage chronic non-specific neck pain (CNSNP). To synthesise evidence on the effectiveness of different ET programmes to reduce CNSNP and associated disability, and whether dosage affects outcomes. A systematic review and data synthesis was conducted according to a published registered protocol (PROSPERO CRD42018096187). A sensitive topic-based search was conducted of CINAHL, MEDLINE, EMBASE, PEDro, grey literature sources and key journals from inception to 6th January 2020 for randomised controlled trials, investigating ET for CNSNP or disability. Two reviewers independently completed eligibility screening, data extraction, risk of bias assessment (Cochrane Risk of Bias Tool) and rated the overall strength of evidence using Grading of Recommendations Assessment, Development and Evaluation. Data was tabulated for narrative synthesis and grouped by intervention, outcome and time point to compare across studies. Twenty-six trials from 3990 citations (n = 2288 participants) investigated fifteen ET programmes. High RoB and low sample sizes reduced evidence quality. Clinical heterogeneity prevented meta-analyses. A range of ET programmes r...Continue Reading

References

Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
May 22, 2003·JAMA : the Journal of the American Medical Association·Jari YlinenOlavi Airaksinen
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·James RainvilleMark Hipona
May 4, 2005·Annals of Internal Medicine·Jill A HaydenGeorge Tomlinson
Jul 7, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·René FejerJan Hartvigsen
Dec 6, 2005·Clinical Rehabilitation·Thomas T W ChiuGladys Chein
Mar 1, 2006·Journal of Strength and Conditioning Research·Jari J YlinenOlavi V P Airaksinen
Dec 6, 2006·Medicine and Science in Sports and Exercise·Riku NikanderJari Ylinen
Jan 2, 2007·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Deborah Falla, Dario Farina
Jul 24, 2007·The Journal of Pain : Official Journal of the American Pain Society·Shaun O'LearyBill Vicenzino
Jan 1, 2008·Arthritis and Rheumatism·Lars L AndersenGisela Sjøgaard
Jan 8, 2008·Current Rheumatology Reports·Deborah Falla, Dario Farina
Feb 7, 2008·Spine·Linda J CarrollUNKNOWN Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders
Feb 11, 2009·Medicine and Science in Sports and Exercise·UNKNOWN American College of Sports Medicine
May 5, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Shaun O'LearyGwendolen Jull
Jun 13, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Joy C MacDermidCharlie H Goldsmith
Jul 23, 2009·BMJ : British Medical Journal·David MoherUNKNOWN PRISMA Group
Apr 2, 2010·Journal of Occupational and Environmental Medicine·Scott HaldemanJ David Cassidy
May 14, 2010·Trials·Kerry DwanPaula R Williamson
Jan 5, 2011·Journal of Clinical Epidemiology·Gordon GuyattHolger J Schünemann
Apr 5, 2011·Archives of Physical Medicine and Rehabilitation·Julia M HushKathryn M Refshauge
Dec 21, 2012·Journal of Strength and Conditioning Research·Mogens T PedersenGisela Sjøgaard
Mar 13, 2013·Journal of Strength and Conditioning Research·Christoffer H AndersenGisela Sjøgaard
Jul 9, 2013·Journal of Occupational Rehabilitation·Christoffer H AndersenGisela Sjøgaard
Jul 12, 2013·JAMA : the Journal of the American Medical Association·Christopher J L MurrayUNKNOWN U.S. Burden of Disease Collaborators
Jul 16, 2013·Manual Therapy·Jochen Schomacher, Deborah Falla

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Methods Mentioned

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Software Mentioned

CERT
PICOS
OpenGrey
Review Manager
TIDieR
AROM
Cochrane
Cochrane RoB Tool
Zetoc

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