Effectiveness of an educational and physical program in reducing accompanying symptoms in subjects with head and neck pain: a workplace controlled trial.
The objective of this study is to evaluate the effectiveness of an educational and physical program in reducing behavioral or somatic symptoms along with headache, neck and shoulder pain in a working community. A controlled, non-randomized trial was carried out in a working community and 384 employees were enrolled and divided into a study group (Group 1) and a control group (Group 2). The Group 1 received a physical and educational intervention, consisting of relaxation and posture exercises and the use of visual feedback. After 6 months, the intervention was administered to the Group 2. Both groups were then followed for an additional 6 months until the end of the trial. The presence of accompanying symptoms was investigated with a semi-structured interview using a checklist of 20 items, along with headache, neck, and shoulder pain parameters and the prevalence of generalized anxiety disorder and depression, in three clinical examinations at baseline, after 6 months and after 12 months. For each symptom, as well as the presence of any type of symptom, the differences between groups in the prevalence at the clinical examinations following the baseline were evaluated by applying logistic models. After 6 months, the probability of the presence of any type of symptom was significantly lower in the Group 1 (OR 0.69, 95% CI 0.56-0.85) with respect to the Group 2. After 12 months, the pooled estimation did not show any significant difference of symptom prevalence between groups (OR 0.80, 95% CI 0.64-1.00). In conclusion, this is the first longitudinal study relative to accompanying symptoms. Its results suggest the effectiveness of this cognitive program in reducing the burden of physical and psychiatric complaints in a large, working population.
Unit of Headache-Facial Pain, Department of Clinical Pathophysiology, University of Turin, 14 Corso Dogliotti, 10126, Turin, Italy. eugenia_rota@yahoo.it
Eugenia
E
Rota
Andrea
A
Evangelista
Giovannino
G
Ciccone
Luca
L
Ferrero
Alessandro
A
Ugolini
Chantal
C
Milani
Manuela
M
Ceccarelli
Claudia
C
Galassi
Franco
F
Mongini
D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000458:organization & administration; D005081:Exercise Therapy / Q000458:organization & administration*; D005260:Female; D006261:Headache / Q000517:prevention & control / Q000628:therapy*; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000517:prevention & control / Q000628:therapy*; D009786:Occupational Health Services / Q000458:organization & administration*; D015397:Program Evaluation; D016896:Treatment Outcome; D017132:Workplace
J Headache Pain. 2009 Feb;10(1):21-6
18854920
Neurol Sci. 2006 May;27 Suppl 2:S100-2
16688609
Spine (Phila Pa 1976). 2005 Jan 1;30(1):E1-7
15626966
Headache. 2004 Nov-Dec;44(10):983-93
15546261
Neurology. 2003 Apr 22;60(8):1308-12
12707434
Pain. 2005 Jul;116(1-2):119-28
15927388
J Neurosci. 1999 Jan 1;19(1):484-94
9870976
Eval Health Prof. 2002 Dec;25(4):387-98
12449082
J Headache Pain. 2009 Aug;10(4):283-90
19554418
J Psychiatr Res. 1993 Apr-Jun;27(2):197-210
8366469
J Headache Pain. 2010 Apr;11(2):141-50
20108021
Pain Suppl. 1986;3:S1-226
3461421
Cephalalgia. 2008 May;28(5):541-52
18318746
J Pain. 2009 Nov;10(11):1138-45
19398381
Cephalalgia. 2005 Mar;25(3):165-78
15689191
Arch Intern Med. 1993 Nov 8;153(21):2474-80
8215752
BMJ. 2003 Aug 30;327(7413):475
12946968
Cochrane Database Syst Rev. 2004;(3):CD001878
15266458
J Psychosom Res. 2006 Oct;61(4):447-51
17011351
Arch Gen Psychiatry. 1990 Sep;47(9):849-53
2393343
Headache. 2005 Jun;45(6):738-46
15953306
Cephalalgia. 2004;24 Suppl 1:9-160
14979299