Background

Exercise is recommended for office workers with neck pain. However, recent reviews evaluated the effectiveness of workplace interventions only.

Objectives

To evaluate the effect of exercise on pain, disability, and quality of life (QoL) in office workers with chronic neck pain.

Design

Systematic review with meta-analysis.

Methods

Electronic databases were searched from inception to April 30, 2022, to identify studies in which participants were adults aged ≥18 years undergoing any form of neck exercises (e.g., strengthening, motor control) or physical activity (e.g., aerobic exercise) performed for a minimum of two-weeks without any other additional treatment besides advice or education. Two reviewers independently screened papers and determined the certainty of the evidence.

Results

Eight randomised controlled trials met the eligibility criteria. Seven studies reported a significant decrease in Visual Analogue Scale (VAS) scores for neck pain intensity and five studies reported a significant decrease in Neck Disability Index (NDI) scores following strengthening exercises. Only one study assessed the effect of strengthening exercises on QoL and reported no significant effect. All eight included studies had a high risk of bias and the overall certainty of evidence was low. Meta-analyses demonstrated a significant decrease of neck pain intensity and disability for strengthening exercises compared to a control (p < 0.01).

Conclusion

There is low certainty of evidence that strengthening of the neck, shoulder and scapular musculature is effective at reducing neck pain and disability in office workers. Further research evaluating the effect of exercise on QoL is required.

中文翻译：

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运动对患有慢性颈痛的上班族的疼痛、残疾和生活质量的影响：系统评价和荟萃分析

背景

建议有颈部疼痛的上班族进行锻炼。然而，最近的评论仅评估了工作场所干预措施的有效性。

目标

评估运动对患有慢性颈部疼痛的上班族的疼痛、残疾和生活质量 (QoL) 的影响。

设计

通过荟萃分析进行系统评价。

方法

对电子数据库进行了搜索，从开始到 2022 年 4 月 30 日，以识别参与者为年龄≥18 岁的成年人的研究，这些研究正在进行任何形式的颈部锻炼（例如，力量、运动控制）或身体活动（例如，有氧运动）。除了建议或教育之外，至少两周没有任何其他额外治疗。两名审稿人独立筛选论文并确定证据的确定性。

结果

八项随机对照试验符合资格标准。七项研究报告称，颈部疼痛强度的视觉模拟量表 (VAS) 分数显着下降，五项研究报告称，强化锻炼后颈部残疾指数 (NDI) 分数显着下降。只有一项研究评估了强化锻炼对生活质量的影响，但报告没有显着影响。所有八项纳入的研究均存在较高的偏倚风险，且证据的总体确定性较低。荟萃分析表明，与对照组相比，颈部疼痛强度和强化锻炼能力显着降低（p < 0.01）。

结论

缺乏确定性的证据表明，加强颈部、肩部和肩胛骨的肌肉组织可以有效减轻办公室工作人员的颈部疼痛和残疾。需要进一步研究评估运动对生活质量的影响。