Effectiveness of Pilates Versus Yoga in Patients with Chronic Mechanical Neck Pain: A Comparative Study (original) (raw)
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International Journal of Membrane Science and Technology
BACKGROUND: Mechanical neck pain is a common problem in the world today and there are various studies that shows the high incidence and prevalence of mechanical neck pain which affects people daily activities. Neck pain is characterized by pain and limited range of movement at neck. This condition causes reduction in quality of life, leading to emotional and psychological changes and difficulties at work. Generally, the therapeutic methods for the treatment of mechanical neck pain consists of stretching and strengthening of neck muscles, cervical mobilization exercises, and electrotherapy. The Pilates is to improve general body flexibility and health by emphasis on stability to the center of the body (i.e. the core), posture, and coordination of breathing with movement. It heals the individual physically, emotionally and psychologically. METHOD: 30 participants were taken who were aged 18 – 40 years and had neck pain more than 3 months. The participants were given Pilates and ran...
Physiotherapy, 2016
Objectives To determine the effectiveness of Pilates and yoga group exercise interventions for individuals with chronic neck pain (CNP). Design Quasi-randomised parallel controlled study. Setting Community, university and private practice settings in four locations. Participants Fifty-six individuals with CNP scoring ≥3/10 on the numeric pain rating scale for >3 months (controls n=19, Pilates n=20, yoga n=19). Interventions Exercise participants completed 12 small-group sessions with modifications and progressions supervised by a physiotherapist. Main outcome measures The primary outcome measure was the Neck Disability Index (NDI). Secondary outcomes were pain ratings, range of movement and postural measurements collected at baseline, 6 weeks and 12 weeks. Follow-up was performed 6 weeks after completion of the exercise classes (Week 18). Results NDI decreased significantly in the Pilates {baseline: 11.1 [standard deviation (SD) 4.3] vs Week 12: 6.8 (SD 4.3); mean difference-4.3 (95% confidence interval-1.64 to-6.7); P<0.001} and yoga groups [baseline: 12.8 (SD 7.4) vs Week 12: 8.1 (SD 5.6); mean difference-4.7 (95% confidence interval-2.1 to-7.4); P<0.00], with no change in the control group. Pain ratings also improved significantly. Moderate-to-large effect sizes (0.7 to 1.8) and low numbers needed to treat were found. There were no differences in outcomes between the exercise groups or associated adverse effects. No improvements in range of movement or posture were found.
Effects of Pilates and yoga in patients with chronic neck pain: A sonographic study
Journal of Rehabilitation Medicine, 2018
Background: Various studies have shown the efficacy of conventional isometric, Pilates and yoga exercises. However, data on the effects and comparison of these specific exercises on the cervical muscle morphology are insufficient or lacking. Objective: To investigate the effects of different exercise treatments on neck muscles in patients with chronic neck pain. Design: A randomized study. Methods: Fifty-six patients with chronic neck pain were randomized into 3 groups as follows: Pilates group (n = 20), yoga group (n = 18) and isometric group (n = 18). Demographics and background information were recorded. The thickness and crosssectional area of neck muscles were evaluated by ultrasound imaging. Cervical motions were measured with a goniometer. Pain severity was evaluated with the McGill Pain Scale, disability with the Neck Disability Index, quality of life with the Nottingham Health Profile, and emotional status with the Beck Depression Inventory. In addition to a conventional physiotherapy programme, 15 sessions of physical therapy, including hot pack, ultrasound, and transcutaneous electrical nerve stimulation (TENS), were provided to all patients. All groups performed the exercises for 6 weeks. The aforementioned assessments were performed before and 6 weeks after the treatment. Results: Although pain, disability, depression and quality of life improved similarly within all groups (all p < 0.05), muscle thickness values as regards the semispinalis capitis were increased only in the Pilates group (p = 0.022). Study limitations: The lack of complex (progressive resistive) exercise treatment protocols, short treatment duration and partial supervision. Conclusion: All 3 types of exercise had favourable effects on pain and functional scores, but no differences were found among the groups, except for the Pilates group, in which the semispinalis capitis muscle increased in thickness.
Yoga for Chronic Neck Pain: A Pilot Randomized Controlled Clinical Trial
The Journal of Pain, 2012
Yoga has been found effective in the treatment of chronic low back pain. We aimed to evaluate the effectiveness of Iyengar yoga in chronic neck pain by means of a randomized clinical trial. Seventy-seven patients (aged 47.9 ± 7.9, 67 female) with chronic neck pain who scored >40 mm on a 100-mm visual analog scale (VAS) were randomized to a 9-week Iyengar yoga program with weekly 90-minute classes (n = 38) or to a self-care/exercise program (n = 38). Patients were examined at baseline and after 4 and 10 weeks. The primary outcome measure was change of mean pain at rest (VAS) from baseline to week 10. Secondary outcomes included pain at motion, functional disability, quality of life (QOL), and psychological outcomes. Twelve patients in the yoga group and 11 patients in the self-care/exercise group were lost to follow-up, with higher study nonadherence in the self-care group (5 versus 10 patients). Mean pain at rest was reduced from 44.3 ± 20.1 to 13.0 ± 11.6 at week 10 by yoga and from 41.9 ± 21.9 to 34.4 ± 21.1 by self-care/exercise (group difference: À20.1, 95% confidence interval: À30.0, À10.1; P < .001). Pain at motion was reduced from 53.4 ± 18.5 to 22.4 ± 18.7 at week 10 by yoga and from 49.4 ± 22.8 to 39.9 ± 21.5 by self-care/exercise (group difference: À18.7, 95% confidence interval: À29.3, À8.1; P < .001). Significant treatment effects of yoga were also found for pain-related apprehension, disability, QOL, and psychological outcomes. Sensitivity analyses suggested minimal influence of dropout rates. Both programs were well tolerated. In this preliminary trial, yoga appears to be an effective treatment in chronic neck pain with possible additional effects on psychological well-being and QOL. The effectiveness of yoga in chronic neck pain should be further tested by comparative effectiveness studies with longer observation periods. Perspective: This article presents the results of a randomized controlled trial on the clinical effects of a 9-week yoga program or self-care exercise in patients with chronic neck pain. Yoga led to superior pain relief and functional improvements and might be a useful treatment option for chronic neck pain.
of Pain Yoga in Neck Pain Self-Care / Exercise and Waiting List
2012
Yoga has been found effective in the treatment of chronic low back pain. We aimed to evaluate the effectiveness of Iyengar yoga in chronic neck pain by means of a randomized clinical trial. Seventy-seven patients (aged 47.9 ± 7.9, 67 female) with chronic neck pain who scored >40 mm on a 100-mm visual analog scale (VAS) were randomized to a 9-week Iyengar yoga program with weekly 90-minute classes (n = 38) or to a self-care/exercise program (n = 38). Patients were examined at baseline and after 4 and 10 weeks. The primary outcome measure was change of mean pain at rest (VAS) from baseline to week 10. Secondary outcomes included pain at motion, functional disability, quality of life (QOL), and psychological outcomes. Twelve patients in the yoga group and 11 patients in the self-care/exercise group were lost to follow-up, with higher study nonadherence in the self-care group (5 versus 10 patients). Mean pain at rest was reduced from 44.3 ± 20.1 to 13.0 ± 11.6 at week 10 by yoga and from 41.9 ± 21.9 to 34.4 ± 21.1 by self-care/exercise (group difference: À20.1, 95% confidence interval: À30.0, À10.1; P < .001). Pain at motion was reduced from 53.4 ± 18.5 to 22.4 ± 18.7 at week 10 by yoga and from 49.4 ± 22.8 to 39.9 ± 21.5 by self-care/exercise (group difference: À18.7, 95% confidence interval: À29.3, À8.1; P < .001). Significant treatment effects of yoga were also found for pain-related apprehension, disability, QOL, and psychological outcomes. Sensitivity analyses suggested minimal influence of dropout rates. Both programs were well tolerated. In this preliminary trial, yoga appears to be an effective treatment in chronic neck pain with possible additional effects on psychological well-being and QOL. The effectiveness of yoga in chronic neck pain should be further tested by comparative effectiveness studies with longer observation periods. Perspective: This article presents the results of a randomized controlled trial on the clinical effects of a 9-week yoga program or self-care exercise in patients with chronic neck pain. Yoga led to superior pain relief and functional improvements and might be a useful treatment option for chronic neck pain.
Effects of the Pilates method on neck pain: a systematic review
Fisioterapia em Movimento
Introduction: The Pilates method has been used for neck pain reduction. Objective: To systematically review randomized and non-randomized controlled trials that assessed the effects of Pilates on neck pain when compared to other groups (CRD42015025987). Methods: This study involved a systematic review directed by the PRISMA Statement based on the recommendations of the Cochrane Colaboration, registered in PROSPERO under the code CRD42015025987. The following databases were searched: Cochrane CENTRAL, EMBASE, PubMed, Science Direct, Scopus and Web of Science, using the terms “Pilates” AND “Neck pain”, without language and date restrictions. Results: Of a total of 73 identified studies, two were included herein since they fulfilled the eligibility criteria (at least one intervention group applying Pilates), where we evaluated the methodological quality by the Downs and Black scale and evidence strength with the Best Evidence Synthesis. Pain and disability decreased from the sixth sess...
Journal of Yoga & Physical Therapy, 2012
Loy et al. [18] showed that symptomatic improvement was better with a combination of cervical traction, short wave diathermy and electro acupuncture, than a combination of TENS, collar, rest and education in moderate quality neck pain [18]. With growing dissatisfaction with these conventional therapies, there is a pressing need for complementary measures and yoga seems to hold promise through its multifaceted approach to healing. Studies have established
Yoga in Chronic Neck Pain: An Effective Complementary Therapeutic Option - a Meta - Analysis
Pakistan Journal of Rehabilitation, 2018
BACKGROUND Neck pain is recognized as the fourth leading cause of disability worldwide. The severity of neck pain may lead to adverse outcomes related to individual’s health and well-being that augment the risk of disability and may severely interfere in activities of daily living (ADL’s) and participation in the society. AIM The aim of the quantitative analysis is to determine the effectiveness of yoga in relieving chronic neck pain and disability. METHODS Databases such as Google scholar, MEDLINE, PEDro, the Cochrane Library and Pub Med were explored from October-November for randomized controlled trials which assessed neck pain and related disability among chronic neck pain individuals. RESULTS Total six studies consisted of 298 participants with chronic neck pain. In risk of bias assessment, all six studies reported low risk of allocation and reporting bias, while one or two study disclosed high or unknown risk of bias in several domains. Moderate to large effect of -0.857 SMD a...
https://www.ijhsr.org/IJHSR\_Vol.13\_Issue.4\_April2023/IJHSR-Abstract18.html, 2023
The purpose of the study was to find the effectiveness of Pilates and Gong's Mobilization on Pain, Range Of Motion and Function in Text Neck Syndrome among young adults. METHODS: In this Quasi-experimental study there were 60 subjects with an average age of 18 to 24 years of age. The subjects were divided in to 2 groups by Convenience sampling method. The subjects in Group A (n = 30) received Pilates Exercises, while the subjects in Group B (n = 30) received Gong's Mobilization. Intervention was given to participants for 5 sessions a week for six weeks. VAS for Pain, Goniometer for Range of Motion and NDI for function were used to assess the intervention's effectiveness. RESULTS: Independent 't' test was used to compare the mean significance difference between continuous variables. Paired 't' test was used to assess the statistical significance difference between pre and post test scores. Statistical analysis of this data revealed that, both groups significantly improved in both parameters when compared within groups, but when compared between groups, the Pilates group improved better than the Gong's mobilization group. CONCLUSION: According to the results of the present study, six weeks interventions of both the Pilates and Gong's Mobilization Groups have shown significant improvement in reducing Pain, Improving Range Of Motion and Function in Text Neck Syndrome. However, Pilates Group has shown better improvement when compared to Gong's Mobilization Group.
2021
Introduction Mechanical neck pain (MNP) is a commonly occurring musculoskeletal condition that is usually managed using electrical modalities, joint mobilization techniques, and therapeutic exercises, but has limited evidence of their efficacy. Pathology (densification) of the deep cervical fascia that occurs due to the increased viscosity of hyaluronic acid (HA) may induce neck pain and associated painful symptoms of the upper quarter region. Fascial manipulation (FM) and yoga poses are considered to reduce the thixotropy of the ground substances of the deep fascia and improve muscle function. The purpose of this study is to investigate the effect of FM and sequential yoga poses (SYP) when compared to the usual care on pain, function, and oculomotor control in MNP. Methods This FaCe-Man trial will recruit 160 patients with subacute and chronic mechanical neck pain diagnosed using predefined criteria. Participants will be randomized to either the intervention group or the usual care...