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European Journal of Physical and Rehabilitation Medicine 2013 June;49(3):283-90


language: English

Neck balance system in the treatment of chronic mechanical neck pain: a prospective randomized controlled study

Giombini A. 1, Di Cesare A. 2, Quaranta F. 3, 4, Giannini S. 3, 4, Di Cagno A. 1, Mazzola C. 3, Pigozzi F. 3, 4, Saraceni V. M. 2

1 Department of Health Sciences, University of Molise, Campobasso, Italy; 2 Complex Operative Unit in Physical Medicine and Rehabilitation, Policlinico Umberto I Hospital, Rome, Italy; 3 Department of Health Sciences, “Foro Italico” University of Rome, Rome, Italy; 4 Villa Stuart Sport Clinic, FIFA Medical Centre of Excellence, Rome, Italy


Background: Chronic mechanical neck pain (MNP) is a very common condition, that may occur in general population. There is a lack of evidence for most therapies except for exercise therapy with combining methods, whose effectiveness is still moderate.
Aim: The aim of this study was to determine the effect of a novel neck balance system-Dal Monte 2(NBS-DM2) incorporated into a special cap on pain in sufferers of MNP after treatment and at three months follow-up.
Design: Prospective randomized controlled trial.
Setting: Outpatient clinic of the University of Rome “Foro Italico”.
Population: Forty-five volunteers of both sexes affected by grade II MNP were enrolled.
Methods: NBS-DM2/RW (regular weight), NBS-DM2/NW (negligible weight) and Pulsed Electromagnetic Fields (PEMF) have been used for 8 weeks. Neck Disability Index (NDI), Neck Pain and Disability Scale (NDPS) questionnaires and Visual Analogic Scale (VAS) score were evaluated before, after the treatment period and 3 months after the end of treatment.
Results: NBS-DM2/RW compared with NBS-DM2/NW and PEMF group performed better in the reduction of the three measures at the end and at short term run (p ≤0.05).
Conclusion and clinical rehabilitation impact: When applied to grade II MNP patients, NBS-DM2/RW leads to pain relief and reduction of disability. These effects persist over a short term follow-up period. PEMF therapy was found to have no significant effect on reduction of pain and disability in this study.

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