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Specific versus non-specific exercises for chronic neck or shoulder pain : a systematic review

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Abstract
The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted outcomes, assessed risk of bias, and rated the quality of evidence. A total of nine eligible studies, represented in 13 articles, were identified, with a considerable risk of bias. One article investigated the acute effect of single bouts of exercise on pain and reported an immediate pain reduction after non-specific exercise. Regarding short-term effects, seven out of the nine studies found no differences in pain between interventions, with inconsistent results among two other studies. Concerning the long-term effects, while pain reduction seems to be favored by specific exercises (two out of four articles), the best format is still unclear. Based on the acute effects, a single bout of non-specific exercise seems to be a better option for pain-relief for patients with chronic neck or shoulder pain. For short-term effects, there are no differences in pain between specific and non-specific exercises. Regarding long-term effects, specific exercises seem to be the best option. Nevertheless, more studies are warranted.
Keywords
General Medicine, chronic pain, musculoskeletal pain, exercise therapy, neck pain, shoulder pain, systematic review, RANDOMIZED-CONTROLLED-TRIAL, LOW-BACK-PAIN, GENERAL EXERCISE, INTERVENTIONS, DISORDERS, THERAPY, WOMEN, REHABILITATION, PERFORMANCE, PREVALENCE

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MLA
Dueñas, Lirios, et al. “Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain : A Systematic Review.” JOURNAL OF CLINICAL MEDICINE, vol. 10, no. 24, 2021, doi:10.3390/jcm10245946.
APA
Dueñas, L., Aguilar-Rodríguez, M., Voogt, L., Lluch, E., Struyf, F., Mertens, M. G. C. A. M., … Meeus, M. (2021). Specific versus non-specific exercises for chronic neck or shoulder pain : a systematic review. JOURNAL OF CLINICAL MEDICINE, 10(24). https://doi.org/10.3390/jcm10245946
Chicago author-date
Dueñas, Lirios, Marta Aguilar-Rodríguez, Lennard Voogt, Enrique Lluch, Filip Struyf, Michel G. C. A. M. Mertens, Kayleigh De Meulemeester, and Mira Meeus. 2021. “Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain : A Systematic Review.” JOURNAL OF CLINICAL MEDICINE 10 (24). https://doi.org/10.3390/jcm10245946.
Chicago author-date (all authors)
Dueñas, Lirios, Marta Aguilar-Rodríguez, Lennard Voogt, Enrique Lluch, Filip Struyf, Michel G. C. A. M. Mertens, Kayleigh De Meulemeester, and Mira Meeus. 2021. “Specific versus Non-Specific Exercises for Chronic Neck or Shoulder Pain : A Systematic Review.” JOURNAL OF CLINICAL MEDICINE 10 (24). doi:10.3390/jcm10245946.
Vancouver
1.
Dueñas L, Aguilar-Rodríguez M, Voogt L, Lluch E, Struyf F, Mertens MGCAM, et al. Specific versus non-specific exercises for chronic neck or shoulder pain : a systematic review. JOURNAL OF CLINICAL MEDICINE. 2021;10(24).
IEEE
[1]
L. Dueñas et al., “Specific versus non-specific exercises for chronic neck or shoulder pain : a systematic review,” JOURNAL OF CLINICAL MEDICINE, vol. 10, no. 24, 2021.
@article{8742257,
  abstract     = {{The current systematic review aimed to compare the effect of injury-focused (specific) exercises versus more general (non-specific) exercises on pain in patients with chronic neck or shoulder pain. We searched PubMed, EMBASE, and Web of Science. Two reviewers screened and selected studies, extracted outcomes, assessed risk of bias, and rated the quality of evidence. A total of nine eligible studies, represented in 13 articles, were identified, with a considerable risk of bias. One article investigated the acute effect of single bouts of exercise on pain and reported an immediate pain reduction after non-specific exercise. Regarding short-term effects, seven out of the nine studies found no differences in pain between interventions, with inconsistent results among two other studies. Concerning the long-term effects, while pain reduction seems to be favored by specific exercises (two out of four articles), the best format is still unclear. Based on the acute effects, a single bout of non-specific exercise seems to be a better option for pain-relief for patients with chronic neck or shoulder pain. For short-term effects, there are no differences in pain between specific and non-specific exercises. Regarding long-term effects, specific exercises seem to be the best option. Nevertheless, more studies are warranted.}},
  articleno    = {{5946}},
  author       = {{Dueñas, Lirios and Aguilar-Rodríguez, Marta and Voogt, Lennard and Lluch, Enrique and Struyf, Filip and Mertens, Michel G. C. A. M. and De Meulemeester, Kayleigh and Meeus, Mira}},
  issn         = {{2077-0383}},
  journal      = {{JOURNAL OF CLINICAL MEDICINE}},
  keywords     = {{General Medicine,chronic pain,musculoskeletal pain,exercise therapy,neck pain,shoulder pain,systematic review,RANDOMIZED-CONTROLLED-TRIAL,LOW-BACK-PAIN,GENERAL EXERCISE,INTERVENTIONS,DISORDERS,THERAPY,WOMEN,REHABILITATION,PERFORMANCE,PREVALENCE}},
  language     = {{eng}},
  number       = {{24}},
  pages        = {{22}},
  title        = {{Specific versus non-specific exercises for chronic neck or shoulder pain : a systematic review}},
  url          = {{http://doi.org/10.3390/jcm10245946}},
  volume       = {{10}},
  year         = {{2021}},
}

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