Journal of Occupational Rehabilitation

, Volume 9, Issue 3, pp 179–194

Randomized Controlled Trial of Physiotherapy and Feldenkrais Interventions in Female Workers with Neck-Shoulder Complaints

  • Inga Lundblad
  • Jessica Elert
  • Björn Gerdle
Article

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.

Feldenkrais intervention musculoskeletal neck pain physiotherapy rehabilitation shoulders women work-related 

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Copyright information

© Plenum Publishing Corporation 1999

Authors and Affiliations

  • Inga Lundblad
    • 1
  • Jessica Elert
    • 2
  • Björn Gerdle
    • 2
  1. 1.Occupational Health CareUniversity HospitalLinköpingSweden
  2. 2.Scania Partner AB, Södertälje, Department of Rehabilitation MedicineUniversity HospitalLinköpingSweden

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