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Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review

The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted...

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Autores principales: Dueñas, Lirios, Aguilar-Rodríguez, Marta, Voogt, Lennard, Lluch, Enrique, Struyf, Filip, Mertens, Michel G. C. A. M., Meulemeester, Kayleigh De, Meeus, Mira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8706212/
https://www.ncbi.nlm.nih.gov/pubmed/34945241
http://dx.doi.org/10.3390/jcm10245946
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author Dueñas, Lirios
Aguilar-Rodríguez, Marta
Voogt, Lennard
Lluch, Enrique
Struyf, Filip
Mertens, Michel G. C. A. M.
Meulemeester, Kayleigh De
Meeus, Mira
author_facet Dueñas, Lirios
Aguilar-Rodríguez, Marta
Voogt, Lennard
Lluch, Enrique
Struyf, Filip
Mertens, Michel G. C. A. M.
Meulemeester, Kayleigh De
Meeus, Mira
author_sort Dueñas, Lirios
collection PubMed
description The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted outcomes, assessed risk of bias, and rated the quality of evidence. A total of nine eligible studies, represented in 13 articles, were identified, with a considerable risk of bias. One article investigated the acute effect of single bouts of exercise on pain and reported an immediate pain reduction after non-specific exercise. Regarding short-term effects, seven out of the nine studies found no differences in pain between interventions, with inconsistent results among two other studies. Concerning the long-term effects, while pain reduction seems to be favored by specific exercises (two out of four articles), the best format is still unclear. Based on the acute effects, a single bout of non-specific exercise seems to be a better option for pain-relief for patients with chronic neck or shoulder pain. For short-term effects, there are no differences in pain between specific and non-specific exercises. Regarding long-term effects, specific exercises seem to be the best option. Nevertheless, more studies are warranted.
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spelling pubmed-87062122021-12-25 Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review Dueñas, Lirios Aguilar-Rodríguez, Marta Voogt, Lennard Lluch, Enrique Struyf, Filip Mertens, Michel G. C. A. M. Meulemeester, Kayleigh De Meeus, Mira J Clin Med Review The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted outcomes, assessed risk of bias, and rated the quality of evidence. A total of nine eligible studies, represented in 13 articles, were identified, with a considerable risk of bias. One article investigated the acute effect of single bouts of exercise on pain and reported an immediate pain reduction after non-specific exercise. Regarding short-term effects, seven out of the nine studies found no differences in pain between interventions, with inconsistent results among two other studies. Concerning the long-term effects, while pain reduction seems to be favored by specific exercises (two out of four articles), the best format is still unclear. Based on the acute effects, a single bout of non-specific exercise seems to be a better option for pain-relief for patients with chronic neck or shoulder pain. For short-term effects, there are no differences in pain between specific and non-specific exercises. Regarding long-term effects, specific exercises seem to be the best option. Nevertheless, more studies are warranted. MDPI 2021-12-18 /pmc/articles/PMC8706212/ /pubmed/34945241 http://dx.doi.org/10.3390/jcm10245946 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Dueñas, Lirios
Aguilar-Rodríguez, Marta
Voogt, Lennard
Lluch, Enrique
Struyf, Filip
Mertens, Michel G. C. A. M.
Meulemeester, Kayleigh De
Meeus, Mira
Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review
title Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review
title_full Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review
title_fullStr Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review
title_full_unstemmed Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review
title_short Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain: A Systematic Review
title_sort specific versus non-specific exercises for chronic neck or shoulder pain: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8706212/
https://www.ncbi.nlm.nih.gov/pubmed/34945241
http://dx.doi.org/10.3390/jcm10245946
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