경추통에 대한 자가 운동의 효과 체계적 문헌고찰 (Self-Exercise for Neck Pain: A Systematic Review)

서지정보

· 발행기관 : 한방재활의학과학회
· 수록지 정보 : 한방재활의학과학회지 / 35권 / 2호 / 1 ~ 10페이지
· 저자명 : 안재규, 이연우, 신영재, 신봉진, 이정경, 황의형

초록

Objectives This study focused on evaluating the effectiveness of self-exercise in managing cervical pain.
Methods This study reviewed seven electronic databases, namely the Cochrane Library, Embase, PubMed, China Academic Journals of Chinese National Knowledge Infrastructure, ScienceON, Korean Studies Information Service System, and Research Information Sharing Service, up to October 2024. Moreover, randomized controlled trials (RCTs) examining the impact of self-exercise on cervical pain were included. The quality of the selected studies was evaluated using the Cochrane risk of bias tool 2.0.
Results Six studies were eligible based on the inclusion criteria. A meta-analysis was conducted on four studies to evaluate the pain-reducing effect of self-exercise.
Accordingly, self-exercise showed a significant pain-reducing effect (standardized mean difference [SMD] -0.72; 95% confidence interval [CI], -1.10 to -0.35; p<0.001) when compared to the control group that was provided only brochures. The compar ison between self-exercise and therapist-led exercise therapy showed no statistically significant difference in pain reduction (SMD 0.37; 95% CI, -0.53 to 1.28; p=0.42).
Three studies were found to have a high risk of bias in the risk of bias analysis.
Conclusions The meta-analysis of two studies showed significant findings. However, there are limitations, as the overall analysis included only six studies, with three of them exhibiting a high risk of bias. The findings indicate that self-exercise could aid in pain management and functional improvement for patients with cervical pain, but the current evidence remains limited. Future research will require more high-quality RCTs.
(J Korean Med Rehabil 2025;35(2):1-10)

영어초록

Objectives This study focused on evaluating the effectiveness of self-exercise in managing cervical pain.
Methods This study reviewed seven electronic databases, namely the Cochrane Library, Embase, PubMed, China Academic Journals of Chinese National Knowledge Infrastructure, ScienceON, Korean Studies Information Service System, and Research Information Sharing Service, up to October 2024. Moreover, randomized controlled trials (RCTs) examining the impact of self-exercise on cervical pain were included. The quality of the selected studies was evaluated using the Cochrane risk of bias tool 2.0.
Results Six studies were eligible based on the inclusion criteria. A meta-analysis was conducted on four studies to evaluate the pain-reducing effect of self-exercise.
Accordingly, self-exercise showed a significant pain-reducing effect (standardized mean difference [SMD] -0.72; 95% confidence interval [CI], -1.10 to -0.35; p<0.001) when compared to the control group that was provided only brochures. The compar ison between self-exercise and therapist-led exercise therapy showed no statistically significant difference in pain reduction (SMD 0.37; 95% CI, -0.53 to 1.28; p=0.42).
Three studies were found to have a high risk of bias in the risk of bias analysis.
Conclusions The meta-analysis of two studies showed significant findings. However, there are limitations, as the overall analysis included only six studies, with three of them exhibiting a high risk of bias. The findings indicate that self-exercise could aid in pain management and functional improvement for patients with cervical pain, but the current evidence remains limited. Future research will require more high-quality RCTs.
(J Korean Med Rehabil 2025;35(2):1-10)

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