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Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain: A Randomized Trial

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Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain : A Randomized Trial. / MacPherson, Hugh; Tilbrook, Helen; Richmond, Stewart; Woodman, Julia; Ballard, Kathleen; Atkin, Karl; Bland, Martin; Eldred, Janet; Essex, Holly; Hewitt, Catherine; Hopton, Ann; Keding, Ada; Lansdown, Harriet; Parrott, Steve; Torgerson, David; Wenham, Aniela; Watt, Ian.

In: Annals of Internal Medicine, Vol. 163, No. 9, 03.11.2015, p. 653-662.

Research output: Contribution to journalArticle

Harvard

MacPherson, H, Tilbrook, H, Richmond, S, Woodman, J, Ballard, K, Atkin, K, Bland, M, Eldred, J, Essex, H, Hewitt, C, Hopton, A, Keding, A, Lansdown, H, Parrott, S, Torgerson, D, Wenham, A & Watt, I 2015, 'Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain: A Randomized Trial', Annals of Internal Medicine, vol. 163, no. 9, pp. 653-662. https://doi.org/10.7326/M15-0667

APA

MacPherson, H., Tilbrook, H., Richmond, S., Woodman, J., Ballard, K., Atkin, K., ... Watt, I. (2015). Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain: A Randomized Trial. Annals of Internal Medicine, 163(9), 653-662. https://doi.org/10.7326/M15-0667

Vancouver

MacPherson H, Tilbrook H, Richmond S, Woodman J, Ballard K, Atkin K et al. Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain: A Randomized Trial. Annals of Internal Medicine. 2015 Nov 3;163(9):653-662. https://doi.org/10.7326/M15-0667

Author

MacPherson, Hugh ; Tilbrook, Helen ; Richmond, Stewart ; Woodman, Julia ; Ballard, Kathleen ; Atkin, Karl ; Bland, Martin ; Eldred, Janet ; Essex, Holly ; Hewitt, Catherine ; Hopton, Ann ; Keding, Ada ; Lansdown, Harriet ; Parrott, Steve ; Torgerson, David ; Wenham, Aniela ; Watt, Ian. / Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain : A Randomized Trial. In: Annals of Internal Medicine. 2015 ; Vol. 163, No. 9. pp. 653-662.

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@article{5662aad307c04f878b205f3b48f2c3f6,
title = "Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain: A Randomized Trial",
abstract = "Background: Management of chronic neck pain may benefit from additional active self-care-oriented approaches.Objective: To evaluate clinical effectiveness of Alexander Technique lessons or acupuncture versus usual care for persons with chronic, nonspecific neck pain.Design: Three-group randomized, controlled trial. (Current Controlled Trials: ISRCTN15186354).Setting: U.K. primary care.Participants: Persons with neck pain lasting at least 3 months, a score of at least 28{\%} on the Northwick Park Questionnaire (NPQ) for neck pain and associated disability, and no serious underlying pathology.Intervention: 12 acupuncture sessions or 20 one-to-one Alexander lessons (both 600 minutes total) plus usual care versus usual care alone.Measurements: NPQ score (primary outcome) at 0, 3, 6, and 12 months (primary end point) and Chronic Pain Self-Efficacy Scale score, quality of life, and adverse events (secondary outcomes).Results: 517 patients were recruited, and the median duration of neck pain was 6 years. Mean attendance was 10 acupuncture sessions and 14 Alexander lessons. Between-group reductions in NPQ score at 12 months versus usual care were 3.92 percentage points for acupuncture (95{\%} CI, 0.97 to 6.87 percentage points) (P = 0.009) and 3.79 percentage points for Alexander lessons (CI, 0.91 to 6.66 percentage points) (P = 0.010). The 12-month reductions in NPQ score from baseline were 32{\%} for acupuncture and 31{\%} for Alexander lessons. Participant self-efficacy improved for both interventions versus usual care at 6 months (P < 0.001) and was significantly associated (P < 0.001) with 12-month NPQ score reductions (acupuncture, 3.34 percentage points [CI, 2.31 to 4.38 percentage points]; Alexander lessons, 3.33 percentage points [CI, 2.22 to 4.44 percentage points]). No reported serious adverse events were considered probably or definitely related to either intervention.Limitation: Practitioners belonged to the 2 main U.K.-based professional associations, which may limit generalizability of the findings.Conclusion: Acupuncture sessions and Alexander Technique lessons both led to significant reductions in neck pain and associated disability compared with usual care at 12 months. Enhanced self-efficacy may partially explain why longer-term benefits were sustained.Primary Funding Source: Arthritis Research UK.",
author = "Hugh MacPherson and Helen Tilbrook and Stewart Richmond and Julia Woodman and Kathleen Ballard and Karl Atkin and Martin Bland and Janet Eldred and Holly Essex and Catherine Hewitt and Ann Hopton and Ada Keding and Harriet Lansdown and Steve Parrott and David Torgerson and Aniela Wenham and Ian Watt",
year = "2015",
month = "11",
day = "3",
doi = "10.7326/M15-0667",
language = "English",
volume = "163",
pages = "653--662",
journal = "Annals of Internal Medicine",
issn = "0003-4819",
publisher = "American College of Physicians",
number = "9",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain

T2 - Annals of Internal Medicine

AU - MacPherson, Hugh

AU - Tilbrook, Helen

AU - Richmond, Stewart

AU - Woodman, Julia

AU - Ballard, Kathleen

AU - Atkin, Karl

AU - Bland, Martin

AU - Eldred, Janet

AU - Essex, Holly

AU - Hewitt, Catherine

AU - Hopton, Ann

AU - Keding, Ada

AU - Lansdown, Harriet

AU - Parrott, Steve

AU - Torgerson, David

AU - Wenham, Aniela

AU - Watt, Ian

PY - 2015/11/3

Y1 - 2015/11/3

N2 - Background: Management of chronic neck pain may benefit from additional active self-care-oriented approaches.Objective: To evaluate clinical effectiveness of Alexander Technique lessons or acupuncture versus usual care for persons with chronic, nonspecific neck pain.Design: Three-group randomized, controlled trial. (Current Controlled Trials: ISRCTN15186354).Setting: U.K. primary care.Participants: Persons with neck pain lasting at least 3 months, a score of at least 28% on the Northwick Park Questionnaire (NPQ) for neck pain and associated disability, and no serious underlying pathology.Intervention: 12 acupuncture sessions or 20 one-to-one Alexander lessons (both 600 minutes total) plus usual care versus usual care alone.Measurements: NPQ score (primary outcome) at 0, 3, 6, and 12 months (primary end point) and Chronic Pain Self-Efficacy Scale score, quality of life, and adverse events (secondary outcomes).Results: 517 patients were recruited, and the median duration of neck pain was 6 years. Mean attendance was 10 acupuncture sessions and 14 Alexander lessons. Between-group reductions in NPQ score at 12 months versus usual care were 3.92 percentage points for acupuncture (95% CI, 0.97 to 6.87 percentage points) (P = 0.009) and 3.79 percentage points for Alexander lessons (CI, 0.91 to 6.66 percentage points) (P = 0.010). The 12-month reductions in NPQ score from baseline were 32% for acupuncture and 31% for Alexander lessons. Participant self-efficacy improved for both interventions versus usual care at 6 months (P < 0.001) and was significantly associated (P < 0.001) with 12-month NPQ score reductions (acupuncture, 3.34 percentage points [CI, 2.31 to 4.38 percentage points]; Alexander lessons, 3.33 percentage points [CI, 2.22 to 4.44 percentage points]). No reported serious adverse events were considered probably or definitely related to either intervention.Limitation: Practitioners belonged to the 2 main U.K.-based professional associations, which may limit generalizability of the findings.Conclusion: Acupuncture sessions and Alexander Technique lessons both led to significant reductions in neck pain and associated disability compared with usual care at 12 months. Enhanced self-efficacy may partially explain why longer-term benefits were sustained.Primary Funding Source: Arthritis Research UK.

AB - Background: Management of chronic neck pain may benefit from additional active self-care-oriented approaches.Objective: To evaluate clinical effectiveness of Alexander Technique lessons or acupuncture versus usual care for persons with chronic, nonspecific neck pain.Design: Three-group randomized, controlled trial. (Current Controlled Trials: ISRCTN15186354).Setting: U.K. primary care.Participants: Persons with neck pain lasting at least 3 months, a score of at least 28% on the Northwick Park Questionnaire (NPQ) for neck pain and associated disability, and no serious underlying pathology.Intervention: 12 acupuncture sessions or 20 one-to-one Alexander lessons (both 600 minutes total) plus usual care versus usual care alone.Measurements: NPQ score (primary outcome) at 0, 3, 6, and 12 months (primary end point) and Chronic Pain Self-Efficacy Scale score, quality of life, and adverse events (secondary outcomes).Results: 517 patients were recruited, and the median duration of neck pain was 6 years. Mean attendance was 10 acupuncture sessions and 14 Alexander lessons. Between-group reductions in NPQ score at 12 months versus usual care were 3.92 percentage points for acupuncture (95% CI, 0.97 to 6.87 percentage points) (P = 0.009) and 3.79 percentage points for Alexander lessons (CI, 0.91 to 6.66 percentage points) (P = 0.010). The 12-month reductions in NPQ score from baseline were 32% for acupuncture and 31% for Alexander lessons. Participant self-efficacy improved for both interventions versus usual care at 6 months (P < 0.001) and was significantly associated (P < 0.001) with 12-month NPQ score reductions (acupuncture, 3.34 percentage points [CI, 2.31 to 4.38 percentage points]; Alexander lessons, 3.33 percentage points [CI, 2.22 to 4.44 percentage points]). No reported serious adverse events were considered probably or definitely related to either intervention.Limitation: Practitioners belonged to the 2 main U.K.-based professional associations, which may limit generalizability of the findings.Conclusion: Acupuncture sessions and Alexander Technique lessons both led to significant reductions in neck pain and associated disability compared with usual care at 12 months. Enhanced self-efficacy may partially explain why longer-term benefits were sustained.Primary Funding Source: Arthritis Research UK.

U2 - 10.7326/M15-0667

DO - 10.7326/M15-0667

M3 - Article

VL - 163

SP - 653

EP - 662

JO - Annals of Internal Medicine

JF - Annals of Internal Medicine

SN - 0003-4819

IS - 9

ER -