title: Training mode-dependent changes in motor performance in neck pain.
abstract: OBJECTIVE
  To determine whether changes in motor performance after a course of exercise in patients with mechanical neck pain (MNP) were dependent on the primary behavioral demand of the exercise performed.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  University laboratory.
  
  
  METHODS
  Volunteers (N=60; 35 women, 25 men; mean age, 37.9y) with chronic MNP participated in the study.
  
  
  METHODS
  Exercise targeted to improve cervical motor performance including endurance training (ETr; n=20), coordination training (CTr; n=20), and active mobility training (n=20).
  
  
  METHODS
  Changes in the cervical motor performance domains of strength, endurance, coordination, and active mobility were evaluated immediately after the 10-week training program, and at a 26-week follow-up.
  
  
  RESULTS
  Between-group comparisons revealed significantly greater gains in endurance (P<.02) by the ETr group, and significantly greater gains in coordination (P<.01) by the CTr group. All 3 groups had improvement in pain (P<.01) and disability (P<.01).
  
  
  CONCLUSIONS
  Changes in motor performance in individuals with MNP in response to an exercise program were dependent on the specific mode of exercise performed, with minimal improvement in other domains of motor performance.
authors.affiliation: National Health and Medical Research Council of Australia Centre for Clinical Research Excellence in Spinal Pain, Injury and Health, The University of Queensland, Brisbane, Australia. jhandrak@nyit.edu
authors.forename: Shaun
authors.initials: S
authors.lastname: O'Leary
authors.forename: Gwendolen
authors.initials: G
authors.lastname: Jull
authors.forename: Mehwa
authors.initials: M
authors.lastname: Kim
authors.forename: Sureeporn
authors.initials: S
authors.lastname: Uthaikhup
authors.forename: Bill
authors.initials: B
authors.lastname: Vicenzino
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D059350:Chronic Pain / Q000175:diagnosis / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D009119:Muscle Contraction / Q000502:physiology; D009334:Neck Muscles / Q000502:physiology; D019547:Neck Pain / Q000175:diagnosis / Q000534:rehabilitation*; D010147:Pain Measurement; D010807:Physical Endurance / Q000502:physiology*; D016059:Range of Motion, Articular / Q000502:physiology; D012016:Reference Values; D012720:Severity of Illness Index; D016037:Single-Blind Method; D013647:Task Performance and Analysis; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult