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Lundblad,
I., Elert, J., & Gerdle, B. (1999). Randomized controlled
trial of physiotherapy and Feldenkrais interventions in female
workers with neck-shoulder complaints. Journal of Occupational
Rehabilitation, 9(3), 179-94.
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Abstract:
The present study aimed to investigate
whether physiotherapy or Feldenkrais interventions resulted
in a reduction of complaints from the neck and shoulders (prevalence,
pain intensity, sick leave, and disability in leisure and
work roles) in 97 female industrial workers (not on long-term
sick leave). Range of motion of neck and shoulders, VO2, endurance
score (i.e., summation of pain intensity ratings during a
static shoulder flexion), cortical control according to the
Feldenkrais methodology, and physiological capacity according
to a dynamic endurance test of the shoulder flexors with simultaneous
surface EMG were also recorded. The workers were randomized
to: (1) physiotherapy group (PT-group; treatment according
to the ergonomic program of the PTs of the occupational health
care service), (2) Feldenkrais group (F-group; education according
to the Feldenkrais methodology), or (3) control group (C-group;
no intervention). Pre- and post-tests were made at one-year
intervals. The two interventions lasted 16 weeks during paid
working time. The F-group showed significant decreases in
complaints from neck and shoulders and in disability during
leisure time. The two other groups showed no change (PT-group)
or worsening of complaints (C-group). The present study showed
significant positive changes in complaints after the Feldenkrais
intervention but not after the physiotherapy intervention.
Possible mechanisms behind the effects in the F-group are
discussed.
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