{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T08:25:44Z","timestamp":1787041544252,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004737","name":"National Health Research Institutes","doi-asserted-by":"publisher","award":["NHRI\u2010EX114\u201011227EI"],"award-info":[{"award-number":["NHRI\u2010EX114\u201011227EI"]}],"id":[{"id":"10.13039\/501100004737","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Mechanical neck pain (MNP) is commonly accompanied by pain\u2010related functional limitations, sensorimotor disturbances, and fear of movement, which together may contribute to persistent disability. This preliminary randomized controlled trial study investigated the short\u2010term effects of dynamic neck sensorimotor\u2010based biofeedback training in individuals with MNP. 20 MNP patients from outpatient clinics were assigned to a biofeedback training group or a control group. The training group underwent dynamic biofeedback exercises twice weekly for 2\u00a0weeks, whereas the control group performed repeated cervical movements without biofeedback. Outcomes included cervical kinematics as repositioning errors (RPE), movement units (MU), maximal range of motion (ROM), and subjective measures, including pain intensity, Neck Disability Index (NDI), and Fear\u2010Avoidance Beliefs Questionnaire (FABQ). All participants completed post\u2010intervention assessments; adherence in the training group was 100%, with no missing data and no adverse events reported. Within the biofeedback training group, participants receiving biofeedback training demonstrated greater improvements in cervical repositioning accuracy during flexion (51.95%,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a00.04) and extension (46.67%,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a00.02), along with reductions in fear\u2010avoidance beliefs related to physical activity and work (\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a00.05); these changes were less apparent in the active control group. Exploratory regression analyses suggested associations between improvements in repositioning accuracy and pain reduction, and between increased cervical range of motion and improvements in fear\u2010avoidance beliefs related to physical activity. These pilot findings suggest that dynamic sensorimotor biofeedback training may improve proprioceptive acuity and fear\u2010avoidance beliefs in individuals with MNP, supporting further evaluation in an adequately powered randomized trial.\n                  <\/jats:p>","DOI":"10.1002\/pri.70322","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T07:50:23Z","timestamp":1787039423000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Dynamic Neck Sensorimotor Biofeedback Training in Individuals With Mechanical Neck Pain: A Pilot Randomized Controlled Trial"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8032-6958","authenticated-orcid":false,"given":"Min","family":"Hsu","sequence":"first","affiliation":[{"name":"Department of Sports Medicine College of Medicine Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yen\u2010Cheng","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine College of Medicine Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0933-7067","authenticated-orcid":false,"given":"Chia\u2010Chi","family":"Yang","sequence":"additional","affiliation":[{"name":"The Master Program of Long\u2010Term Care in Aging College of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Center for Long\u2010Term Care Research Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei\u2010Chi","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine College of Medicine Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4470-649X","authenticated-orcid":false,"given":"Lih\u2010Jiun","family":"Liaw","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy College of Health Sciences Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2791-6874","authenticated-orcid":false,"given":"Chen\u2010Yu","family":"Chien","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Kaohsiung Medical University Hospital Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Otorhinolaryngology School of Medicine College of Medicine Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei\u2010Yun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy College of Medicine National Cheng Kung University  Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6256-355X","authenticated-orcid":false,"given":"Lan\u2010Yuen","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine College of Medicine Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"The Master Program of Long\u2010Term Care in Aging College of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Center for Long\u2010Term Care Research Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Ph.D. Program in Biomedical Engineering College of Medicine Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Precision Sports Medicine and Health Promotion Center Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1113\/ep089826"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010024\u201007749\u20108"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2020.102222"},{"key":"e_1_2_11_5_1","first-page":"7269","volume-title":"Conference of the IEEE Engineering in Medicine and Biology Society 2009","author":"Breen P. 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