{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T02:38:12Z","timestamp":1789094292632,"version":"build-2803163510"},"reference-count":36,"publisher":"The Journal of Rheumatology","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>In a cohort of primary care patients with chronic neck pain, to determine whether specific neck stabilization exercises, in addition to general neck advice and exercise, provide better clinical outcome at 6 weeks than general neck advice and exercise alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>This was a multicenter randomized controlled trial in 4 physical therapy departments. Seventy-four participants (mean age 51.3 yrs) were randomized to specific neck stabilization exercises with a general neck advice and exercise program (n = 37) or a general neck advice and exercise program alone (n = 37). They attended a 1-hour clinical examination, followed by a maximum of 4 treatment sessions. Assessments were undertaken at baseline, 6 weeks, and 6 months. The primary outcome was the Neck Pain and Disability Scale (NPDS). Analysis was by intention to treat.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>Seventy-one (96%) participants received their allocated intervention. There was 91% followup at 6 weeks and 92% followup at 6 months. The mean (SD) 6-week improvement (reduction) in NPDS score was 10.6 (20.2) for the specific exercise program and 9.3 (15.7) for the general exercise program. There were no significant between-group differences in the NPDS at either 6 weeks or 6 months. For secondary outcomes, participants in the specific exercise group were less likely to be taking pain medication at 6-week followup (p = 0.02). There were no other significant between-group differences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Adding specific neck stabilization exercises to a general neck advice and exercise program did not provide better clinical outcome overall in the physical therapy treatment of chronic neck pain.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.080376","type":"journal-article","created":{"date-parts":[[2009,5,27]],"date-time":"2009-05-27T19:18:25Z","timestamp":1243451905000},"page":"390-397","source":"Crossref","is-referenced-by-count":39,"title":["Effectiveness of Specific Neck Stabilization Exercises or a General Neck Exercise Program for Chronic Neck Disorders: A Randomized Controlled Trial"],"prefix":"10.3899","volume":"36","author":[{"given":"CATHRIN","family":"GRIFFITHS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KRYSIA","family":"DZIEDZIC","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JACKIE","family":"WATERFIELD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JULIUS","family":"SIM","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2009,2,9]]},"reference":[{"key":"2018112909184977000_36.2.390.1","doi-asserted-by":"crossref","first-page":"1356","DOI":"10.1093\/oxfordjournals.aje.a116038","article-title":"Prevalence, determinants, and consequences of chronic neck pain in Finland","volume":"134","author":"Makela","year":"1991","journal-title":"Am J Epidemiol"},{"key":"2018112909184977000_36.2.390.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00334-7"},{"key":"2018112909184977000_36.2.390.3","unstructured":"Valkenburg HA Laar A van Hofman A Haanen HCM . 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