title: Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial.
abstract: OBJECTIVE
  Compare the effect of conventional static stretching and muscle chain stretching, as proposed by the global posture reeducation method, in the manual therapy of patients with chronic neck pain.
  
  
  METHODS
  Thirty-three female patients aged 35 to 60 years old, 31 of whom completed the program, were randomly divided into two groups: The global posture reeducation group (n=15) performed muscle chain stretching, while the conventional stretching group (n=16) performed conventional static muscle stretching. Both groups also underwent manual therapy. Patients were evaluated before and after treatment and at a six-week follow-up appointment and tested for pain intensity (by means of visual analog scale), range of motion (by goniometry), and health-related quality of life (by the SF-36 questionnaire). The treatment program consisted of two 1-hour individual sessions per week for six weeks. Data were statistically analyzed at a significance level of p<0.05.
  
  
  RESULTS
  Significant pain relief and range of motion improvement were observed after treatment in both groups, with a slight reduction at follow-up time. Quality of life also improved after treatment, except for the global posture reeducation group in one domain; at follow-up, there was improvement in all domains, except that both groups reported increased pain. There were no significant differences between groups
  
  
  CONCLUSIONS
  Conventional stretching and muscle chain stretching in association with manual therapy were equally effective in reducing pain and improving the range of motion and quality of life of female patients with chronic neck pain, both immediately after treatment and at a six-week follow-up, suggesting that stretching exercises should be prescribed to chronic neck pain patients.
authors.affiliation: Physical Therapy Department, Universidade Estadual de Londrina, Londrina, PR, Brazil.
authors.forename: Ana Cláudia Violino
authors.initials: AC
authors.lastname: Cunha
authors.forename: Thomaz Nogueira
authors.initials: TN
authors.lastname: Burke
authors.forename: Fábio Jorge Renovato
authors.initials: FJ
authors.lastname: França
authors.forename: Amélia Pasqual
authors.initials: AP
authors.lastname: Marques
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008875:Middle Aged; D052580:Muscle Stretching Exercises / Q000379:methods*; D019547:Neck Pain / Q000628:therapy*; D011187:Posture / Q000502:physiology*; D011788:Quality of Life; D016059:Range of Motion, Articular / Q000502:physiology*; D016896:Treatment Outcome