Original Research
Effectiveness of exercise in office workers with neck pain: A systematic review and meta-analysis
Submitted: 03 May 2017 | Published: 28 November 2017
About the author(s)
Shereen Louw, Department of Health and Rehabilitation Sciences, Stellenbosch University, South AfricaShale Makwela, Department of Health and Rehabilitation Sciences, Stellenbosch University, South Africa
Lorisha Manas, Department of Health and Rehabilitation Sciences, Stellenbosch University, South Africa
Lyle Meyer, Department of Health and Rehabilitation Sciences, Stellenbosch University, South Africa
Daniele Terblanche, Department of Health and Rehabilitation Sciences, Stellenbosch University, South Africa
Yolandi Brink, Department of Health and Rehabilitation Sciences, Stellenbosch University, South Africa
Abstract
Method: Seven electronic databases using keywords, that is, ‘office workers’, ‘non-specific neck pain’, ‘exercise’ and/or ‘exercise therapy’, ‘QoL’, ‘strengthening’, ‘stretching’, ‘endurance’, ‘physiotherapy’ and/or ‘physical therapy’, were searched from inception until March 2017. Heterogeneous data were reported in narrative format and comparable homogenous data were pooled using Revman.
Results: Eight randomised control trials were reviewed and scored on average 6.63/10 on the Physiotherapy Evidence Database (PEDro) scale. Five studies performed strengthening exercise, one study had a strengthening and an endurance exercise group, one study performed stretching exercise and one study had an endurance intervention group and a stretching intervention group. Five and four studies reported significant improvement in neck pain and QoL, respectively, when conducting strengthening exercise. When performing endurance exercises, one and two studies reported significant changes in neck pain and QoL, respectively. The one study incorporating stretching exercise reported significant improvement in neck pain. The meta-analysis revealed that there is a clinically significant difference favouring strengthening exercise over no exercise in pain reduction but not for QoL.
Conclusion: There is level II evidence recommending that clinicians include strengthening exercise to improve neck pain and QoL. However, the effect of endurance and stretching exercise needs to be explored further.
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Crossref Citations
1. Effects of Interactive Telerehabilitation Practices in Office Workers with Chronic Nonspecific Neck Pain: Randomized Controlled Study
Aysun Özlü, Gamze Ünver, Halil İbrahim Tuna, Ahmet Erdoğan
Telemedicine and e-Health vol: 30 issue: 2 first page: 438 year: 2024
doi: 10.1089/tmj.2023.0018
2. Consensus on the exercise and dosage variables of an exercise training programme for chronic non-specific neck pain: protocol for an international e-Delphi study
Jonathan Price, Alison Rushton, Vasileios Tyros, Nicola R Heneghan
BMJ Open vol: 10 issue: 5 first page: e037656 year: 2020
doi: 10.1136/bmjopen-2020-037656