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Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial
OBJECTIVES: We investigated whether a specific exercise program for the neck–shoulder region reduces headache intensity, frequency, and duration, and how it influences neck disability among women with chronic headache compared to a control group. DESIGN: Two-center randomized controlled trial. SUBJE...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426253/ https://www.ncbi.nlm.nih.gov/pubmed/37097883 http://dx.doi.org/10.1177/02692155231170687 |
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author | Rinne, Marjo Garam, Sanna Kukkonen-Harjula, Katriina Tokola, Kari Häkkinen, Arja Ylinen, Jari Nikander, Riku |
author_facet | Rinne, Marjo Garam, Sanna Kukkonen-Harjula, Katriina Tokola, Kari Häkkinen, Arja Ylinen, Jari Nikander, Riku |
author_sort | Rinne, Marjo |
collection | PubMed |
description | OBJECTIVES: We investigated whether a specific exercise program for the neck–shoulder region reduces headache intensity, frequency, and duration, and how it influences neck disability among women with chronic headache compared to a control group. DESIGN: Two-center randomized controlled trial. SUBJECTS: 116 working-age women. INTERVENTION: The exercise group (n = 57) performed a home-based program with six progressive exercise modules, over 6 months. The control group (n = 59) underwent six placebo-dosed transcutaneous electrical nerve stimulation sessions. Both groups performed stretching exercises. MAIN MEASURES: The primary outcome was pain intensity of headache, assessed using the Numeric Pain Rating Scale. Secondary outcomes were frequency and duration of weekly headaches, and neck disability assessed using the Neck Disability Index. Generalized linear mixed models were used. RESULTS: Mean pain intensity at baseline was 4.7 (95% CI 4.4 to 5.0) in the exercise group and 4.8 (4.5 to 5.1) in the control group. After 6 months the decrease was slight with no between-group difference. Headache frequency decreased from 4.5 (3.9 to 5.1) to 2.4 (1.8 to 3.0) days/week in the exercise group, and from 4.4 (3.6 to 5.1) to 3.0 (2.4 to 3.6) in the control group (between-group p = 0.017). Headache duration decreased in both groups, with no between-group difference. Greater improvement in the Neck Disability Index was found in the exercise group (between-group change −1.6 [95% CI −3.1 to −0.2] points). CONCLUSION: The progressive exercise program almost halved headache frequency. The exercise program could be recommended as one treatment option for women with chronic headache. |
format | Online Article Text |
id | pubmed-10426253 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-104262532023-08-16 Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial Rinne, Marjo Garam, Sanna Kukkonen-Harjula, Katriina Tokola, Kari Häkkinen, Arja Ylinen, Jari Nikander, Riku Clin Rehabil Evaluative Studies OBJECTIVES: We investigated whether a specific exercise program for the neck–shoulder region reduces headache intensity, frequency, and duration, and how it influences neck disability among women with chronic headache compared to a control group. DESIGN: Two-center randomized controlled trial. SUBJECTS: 116 working-age women. INTERVENTION: The exercise group (n = 57) performed a home-based program with six progressive exercise modules, over 6 months. The control group (n = 59) underwent six placebo-dosed transcutaneous electrical nerve stimulation sessions. Both groups performed stretching exercises. MAIN MEASURES: The primary outcome was pain intensity of headache, assessed using the Numeric Pain Rating Scale. Secondary outcomes were frequency and duration of weekly headaches, and neck disability assessed using the Neck Disability Index. Generalized linear mixed models were used. RESULTS: Mean pain intensity at baseline was 4.7 (95% CI 4.4 to 5.0) in the exercise group and 4.8 (4.5 to 5.1) in the control group. After 6 months the decrease was slight with no between-group difference. Headache frequency decreased from 4.5 (3.9 to 5.1) to 2.4 (1.8 to 3.0) days/week in the exercise group, and from 4.4 (3.6 to 5.1) to 3.0 (2.4 to 3.6) in the control group (between-group p = 0.017). Headache duration decreased in both groups, with no between-group difference. Greater improvement in the Neck Disability Index was found in the exercise group (between-group change −1.6 [95% CI −3.1 to −0.2] points). CONCLUSION: The progressive exercise program almost halved headache frequency. The exercise program could be recommended as one treatment option for women with chronic headache. SAGE Publications 2023-04-25 2023-10 /pmc/articles/PMC10426253/ /pubmed/37097883 http://dx.doi.org/10.1177/02692155231170687 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Evaluative Studies Rinne, Marjo Garam, Sanna Kukkonen-Harjula, Katriina Tokola, Kari Häkkinen, Arja Ylinen, Jari Nikander, Riku Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial |
title | Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial |
title_full | Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial |
title_fullStr | Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial |
title_full_unstemmed | Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial |
title_short | Neck–Shoulder Region Training for Chronic Headache in Women: A Randomized Controlled Trial |
title_sort | neck–shoulder region training for chronic headache in women: a randomized controlled trial |
topic | Evaluative Studies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426253/ https://www.ncbi.nlm.nih.gov/pubmed/37097883 http://dx.doi.org/10.1177/02692155231170687 |
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