The effects of Tai Chi and neck exercises in the treatment of chronic non-specific neck pain: A randomized controlled trial.
Author: Lauche R1, Stumpe C2, Fehr J2, Cramer H3, Cheng YW4, Wayne PM5, Rampp T2, Langhorst J2, Dobos G2
Affiliation:
1Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany; Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, Australia. Electronic address: r.lauche@kliniken-essen-mitte.de.
2Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
3Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany; Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Sydney, Australia.
4Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
5Osher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Conference/Journal: J Pain.
Date published: 2016 Jun 23
Other:
Pages: S1526-5900(16)30105-5 , Special Notes: doi: 10.1016/j.jpain.2016.06.004. [Epub ahead of print] , Word Count: 228
This study aimed to test the efficacy of Tai Chi for treating chronic neck pain. Subjects with chronic non-specific neck pain were randomly assigned to 12 weeks of group Tai Chi or conventional neck exercises with weekly sessions of 75-90 minutes, or a wait-list control. The primary outcome measure was pain intensity (visual analog scale, VAS). Secondary outcomes included pain on movement, functional disability, quality of life, well-being and perceived stress, postural and interoceptive awareness, satisfaction and safety. Altogether, 114 participants were included (91 females, 49.4±11.7 years). After 12 weeks Tai Chi participants reported significantly less pain compared to the wait list (average difference in mm VAS: -10.5; 95%CI:-20.3,-0.9;p=0.033). Group differences were also found for pain on movement, functional disability and quality of life compared to wait list. No differences were found for Tai Chi compared to neck exercises. Patients' satisfaction with both exercise interventions was high, and only minor side effects were observed. Tai Chi was more effective than no treatment in improving pain in subjects with chronic non-specific neck pain. Since Tai Chi is probably as effective as neck exercises it may be considered a suitable alternative to conventional exercises for those with a preference towards Tai Chi.
Copyright © 2016 American Pain Society. Published by Elsevier Inc. All rights reserved.
KEYWORDS: Chronic pain; Neck pain; Tai Chi; efficacy; neck exercises; randomized controlled trial; spinal exercises
PMID: 27345663 DOI: 10.1016/j.jpain.2016.06.004
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