9/3/2023 0 Comments Jing gao fidelis care linkedin![]() ![]() 3 In addition, NCNP is often associated with anatomical, psychological, social, and occupational factors. Patients with symptoms that persist for more than 3 months can be diagnosed as having nonspecific chronic neck pain (NCNP). 2 No specific pathology could explain the cause of neck pain (eg, nerve root compression). 1 Compared with low back pain, neck pain has not received enough attention. ![]() The mean lifetime prevalence of neck pain is 48.5% (range, 14.2%-71%), the third highest in the US after diabetes and heart disease. It is the fourth most common cause of disability in the US. ![]() Neck pain is a common musculoskeletal disorder with a high prevalence worldwide. Trial Registration Chinese Clinical Trial Registry: ChiCTR2000036805 A combination of tuina and yijinjing should be considered in the management of nonspecific chronic neck pain. The effectiveness of tuina combined with yijinjing in treating nonspecific chronic neck pain remained at the 12-week follow-up.Ĭonclusions and Relevance In this randomized clinical trial, for patients with nonspecific chronic neck pain, tuina combined with yijinjing was more effective than tuina therapy alone in terms of pain, functional recovery, and anxiety at week 8, and effectiveness remained at week 12. At week 8, the difference in VAS score was −1.2 (95% CI, −1.6 to −0.8 P < .001) between the tuina group and the tuina combined with yijinjing group. The mean difference in VAS scores from baseline at week 8 for the tuina combined with yijinjing group was −5.4 (95% CI, −5.8 to −5.1). All 102 patients (100%) completed all the outcome measurements. Results This randomized clinical trial recruited 102 patients (mean age, 36.5 years 69 female) who were randomized to 2 groups. Secondary outcomes included Neck Disability Index scores, Self-rating Anxiety Scale scores, tissue hardness, and active range of motion. Main Outcomes and Measures The primary outcome was change in visual analog scale (VAS) score from baseline to week 8. Participants in the tuina combined with yijinjing group practiced yijinjing 3 times a week for 8 weeks, including an instructor-guided exercise at the hospital and 2 self-practice exercises at home. Interventions Participants in the tuina group or tuina combined with yijinjing group received 3 sessions of tuina therapy per week for 8 weeks, for a total of 24 sessions. A total of 102 participants with nonspecific chronic neck pain were recruited, and data were analyzed from December 10, 2021, to March 26, 2022. Objective To investigate the effectiveness of tuina therapy combined with yijinjing exercise compared with tuina therapy alone for patients with nonspecific chronic neck pain.ĭesign, Setting, and Participants A 12-week, open-label, analyst-blinded randomized clinical trial (8-week intervention plus 4-week observational follow-up) was conducted from September 7, 2020, to October 25, 2021. Importance Both tuina therapy and yijinjing exercise were beneficial to patients with nonspecific chronic neck pain, but the evidence for this combination is limited.
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