Hirokuni Yamanishi, Tetsuo Ito, Makoto Hosono
Activities to support individual dosimetry of children in Kawamata Town
Annals of the ICRP
previous systematic reviews identified benefits exercise chronic neck pain subjective reports pain objective measures quantitative sensory testing qst systematic review conducted identify effects neck specific exercise qst measures adults chronic neck pain synthesise existing literature provide clinical recommendations study protocol registered prospectively prospero prospero crd42021297383 randomised nonrandomised trials following databases trial registries searched amed cinahl embase google scholar medline pedro pubmed scopus sportdiscus science citation index social science citation index web science core collection clinicaltrialsgov greyopen isrctn registry searches conducted inception february 2022 updated september 2023 reference lists eligible studies screened study selection performed independently two reviewers data extraction quality appraisal completed one reviewer independently ratified second reviewer due high heterogeneity narrative synthesis performed results grouped exercise type three trials included risk bias rated moderate certainty evidence low moderate studies exercise groups demonstrated statistically significant improvement intermediateterm followup progressive resistance training combined graded physical training demonstrating highest certainty evidence fixed resistance training demonstrated statistically significant improvement qst measures shortterm assessment fixed resistance training effective shortterm changes pain sensitivity based lowquality evidence whilst moderatequality evidence supports progressive resistance training combined graded physical training intermediateterm changes pain sensitivity