{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:16Z","timestamp":1790927656854,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objective<\/jats:title>\n                    <jats:p>Chronic nonspecific neck pain (CNNP) is highly prevalent, and exercise therapy is regarded as an effective intervention. Whole\u2010body vibration (WBV) may enhance neuromuscular activation and potentially improve muscle strength and endurance; however, evidence on its application in individuals with neck pain remains limited. This study aimed to compare the additive effects of WBV combined with exercise therapy versus exercise therapy alone on pain, disability, cervical muscle strength, and endurance in individuals with CNNP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      In this single\u2010blinded randomized clinical trial, 24 participants aged 25\u201350 years with CNNP were randomly assigned to the experimental group (6\u2010week home\u2010based routine exercise therapy + WBV) or the control group (6\u2010week home\u2010based routine exercise therapy alone) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912 each). WBV was delivered through 18 supervised sessions, three sessions per week for 6 weeks. Outcome measures included pain (VAS), disability (Neck Disability Index), cervical flexor and extensor strength (handheld dynamometer), and muscle endurance (Harris test). Assessments were performed at baseline and after 6 weeks using the interventions. Paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests were used for within\u2010group comparisons, and ANCOVA for between\u2010group analyses at a significance level of 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Both groups demonstrated significant within\u2010group improvements in pain, disability, and cervical muscle performance over the 6\u2010week intervention period (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Compared with the control group, the experimental group showed greater post\u2010intervention reductions in pain (11.20\u2009\u00b1\u20096.07 vs. 18.60\u2009\u00b1\u20099.06\u2009mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002; partial\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.321) and disability (11.20\u2009\u00b1\u20094.34 vs. 15.46\u2009\u00b1\u20094.06%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.027; partial\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.252), as well as greater improvements in cervical flexor strength (5.60\u2009\u00b1\u20090.71 vs. 4.90\u2009\u00b1\u20090.37\u2009N;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006; partial\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.311) and flexor endurance (78\u2009\u00b1\u200928 vs. 47\u2009\u00b1\u200912\u2009s;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; partial\n                      <jats:italic>\u03b7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.381). No significant between\u2010group differences were observed for cervical extensor strength or endurance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adding WBV to routine exercise therapy may provide short\u2010term additional benefits in pain, disability, and cervical flexor performance in individuals with CNNP. However, these preliminary findings should be interpreted cautiously due to the small sample size, absence of follow\u2010up assessment, and supervision differences between groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72929","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T05:59:47Z","timestamp":1786600787000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Adding Whole\u2010Body Vibration to Routine Exercise Therapy on Pain, Disability, Muscle Strength, and Endurance in Individuals With Chronic Nonspecific Neck Pain: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"9","author":[{"given":"Fatemeh","family":"Arghon","sequence":"first","affiliation":[{"name":"Student Research Committee, Department of Physiotherapy, School of Rehabilitation Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0422-3618","authenticated-orcid":false,"given":"Hoda","family":"Niknam","sequence":"additional","affiliation":[{"name":"Physiotherapy Research Center, Department of Physiotherapy, School of Rehabilitation Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khosro Khademi","family":"Kalantari","sequence":"additional","affiliation":[{"name":"Physiotherapy Research Center, Department of Physiotherapy, School of Rehabilitation Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1026-4598","authenticated-orcid":false,"given":"Alireza Akbarzadeh","family":"Baghban","sequence":"additional","affiliation":[{"name":"Proteomics Research Center, Department of Biostatistics, School of Allied Medical Sciences Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2011.01.019"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(23)00321-1"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2004.05.003"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40122-020-00230-z"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2008.0303"},{"issue":"1","key":"e_1_2_15_7_1","article-title":"Exercises for Mechanical Neck Disorders","volume":"1","author":"Gross A.","year":"2012","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_15_8_1","article-title":"Comparative Effectiveness of Physical Exercise Interventions for Chronic Non\u2010Specific Neck Pain: A Systematic Review With Network Meta\u2010Analysis of 40 Randomised Controlled Trials","author":"Zoete R. M.","year":"2021","journal-title":"British Journal of Sports Medicine"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155231184973"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.70091"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06930-9"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2024.2316313"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e22237"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13102-023-00666-8"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13061639"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2023.1124242"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.04.002"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/10538127251380076"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-04217-2"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13154566"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.3233\/IES-193243"},{"issue":"1","key":"e_1_2_15_22_1","first-page":"42","article-title":"Effect of Whole Body Vibration on Cervical (Neck) Proprioception in Young, Healthy Individuals Serving as Their Own Control: A Pilot Study","volume":"62","author":"Morley J.","year":"2018","journal-title":"Journal of the Canadian Chiropractic Association"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31815cf75b"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31815ce6dd"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/10669817.2021.2024676"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/85.12.1349"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00421-012-2402-0"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2020.105071"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12906-020-02948-x"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10354-023-01026-4"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2024.102888"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.1055"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/15593258221112960"},{"key":"e_1_2_15_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12565-015-0280-3"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-7580.2001.19960709.x"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2013.05.009"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72929","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.72929","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72929","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:15:25Z","timestamp":1790925325000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.72929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":35,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/hsr2.72929"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.72929","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2025-12-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72929"}}