An Educational and Physical Program to Reduce Headache, NeckShoulder Pain in a Working Community A Cluster-Randomized Controlled Trial 英文参考文献.docVIP
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An Educational and Physical Program to Reduce Headache, NeckShoulder Pain in a Working Community A Cluster-Randomized Controlled Trial 英文参考文献
AnEducationalandPhysicalProgramtoReduce
Headache,Neck/ShoulderPaininaWorkingCommunity:
ACluster-RandomizedControlledTrial
FrancoMongini1*,AndreaEvangelista2,ChantalMilani1,LucaFerrero1,GiovanninoCiccone2,
AlessandroUgolini1,AlessandroPiedimonte1,MonicaSigaudo1,ElisaCarlino1,EmanuelaBanzatti1,
ClaudiaGalassi2
1SectionHeadache-FacialPain,DepartmentofClinicalPathophysiology,UniversityofTurin,Turin,Italy,2UnitofCancerEpidemiology,SanGiovanniBattistaHospital,
Turin,Italy
Abstract
Background: Noninvasive physical management is often prescribed for headache and neck pain. Systematic reviews,
however, indicate that the evidence of its efficacy is limited. Our aim was to evaluate the effectiveness of a workplace
educationalandphysicalprograminreducingheadacheandneck/shoulderpain.
Methodology/PrincipalFindings:Cluster-randomizedcontrolledtrial.AllmunicipalworkersoftheCityofTurin,Italy,were
invited to participate. Those who agreed were randomly assigned, according to their departments, to the intervention
group(IG)ortothecontrolgroupandweregivendiariesforthedailyrecordingofpainepisodesfor1month(baseline).
Subsequently, only the IG (119 departments, 923 workers) began the physical and educational program, whereas the
controlgroup(117departments,990workers)didnotreceiveanyintervention.Allparticipantswereagaingivendiariesfor
thedailyrecordingofpainepisodesafter6monthsofintervention.Theprimaryoutcomewasthechangeinthefrequency
of headache (expressed as the proportion of subjects with a $50% reduction of frequency; responder rate); among the
secondaryoutcomesthereweretheabsolutereductionofthenumberofdayspermonthwithheadacheandneck/shoulder
pain.Differencesbetweenthetwogroupswereevaluatedusingmixed-effectregressionmodels.TheIGshowedahigher
responderrate[riskratio,95%confidenceinterval(CI)]forheadache(1.58;1.28to1.92)andforneck/shoulderpain(1.53;
1.27to1.82),andalargerreductionofthedayspermonth(95%CI)withheadache(21.72;22.40to21.04)andwithneck/
shoulderpain(22.51;23.56to21.47).
Conc
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