scholarly journals Alexander Technique vs. Targeted Exercise for Neck Pain—A Preliminary Comparison

2021 ◽  
Vol 11 (10) ◽  
pp. 4640
Author(s):  
Jordan J. Becker ◽  
Tara L. McIsaac ◽  
Shawn L. Copeland ◽  
Rajal G. Cohen

Background: Alexander technique private lessons have been shown to reduce chronic neck pain and are thought to work by different mechanisms than exercise. Group classes may also be effective and would be cost-effective. Design: A two-group pre-test/post-test design. Participants were assigned to either a general Alexander technique class or an exercise class designed to target neck pain. Both groups met over 5 weeks for two 60 min sessions/week. Participants: A total of 16 participants with chronic neck pain (aged 50+/−16 years) completed this study. Interventions: The Alexander class used awareness-building methods to teach participants to reduce habitual tension during everyday activities. The exercise class was based on physical therapy standard of care to strengthen neck and back muscles thought to be important for posture. Measures: We assessed neck pain/disability, pain self-efficacy, activation of the sternocleidomastoid muscles during the cranio-cervical flexion test, and posture while participants played a video game. Results: Both groups reported decreased neck pain/disability after the interventions. Sternocleidomastoid activation decreased only in the Alexander group. Conclusion: In this small preliminary study, Alexander classes were at least as effective as exercise classes in reducing neck pain and seemed to work via a different mechanism. Larger, multi-site studies are justified.

Trials ◽  
2013 ◽  
Vol 14 (1) ◽  
pp. 209 ◽  
Author(s):  
Hugh MacPherson ◽  
Helen E Tilbrook ◽  
Stewart J Richmond ◽  
Karl Atkin ◽  
Kathleen Ballard ◽  
...  

2016 ◽  
Vol 43 (5) ◽  
pp. 321-332 ◽  
Author(s):  
M. M. Bragatto ◽  
D. Bevilaqua-Grossi ◽  
S. C. H. Regalo ◽  
J. D. Sousa ◽  
T. C. Chaves

Author(s):  
Jacobo Rodríguez-Sanz ◽  
Miguel Malo-Urriés ◽  
Jaime Corral-de-Toro ◽  
Carlos López-de-Celis ◽  
María Orosia Lucha-López ◽  
...  

Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.


2018 ◽  
Vol 39 ◽  
pp. 80-86 ◽  
Author(s):  
Jordan J. Becker ◽  
Shawn L. Copeland ◽  
Emily L. Botterbusch ◽  
Rajal G. Cohen

2015 ◽  
Vol 24 (12) ◽  
pp. 2821-2827 ◽  
Author(s):  
Marco Monticone ◽  
Emilia Ambrosini ◽  
Howard Vernon ◽  
Roberto Brunati ◽  
Barbara Rocca ◽  
...  

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