Evidence map›Paper›PMID 22253751›Full record

Trial reportPloS one2012

An educational and physical program to reduce headache, neck/shoulder pain in a working community: a cluster-randomized controlled trial.

Franco Mongini, Andrea Evangelista, Chantal Milani, Luca Ferrero, Giovannino Ciccone, Alessandro Ugolini, Alessandro Piedimonte, Monica Sigaudo, Elisa Carlino, Emanuela Banzatti and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00551980 (Effectiveness of a Workplace Cognitive and Physical Program in Reducing Headache,Neck and Shoulder Pain in an Extensive Working Community. A Randomized Controlled Trial), which is not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00551980 phase3completednot on this map

Effectiveness of a Workplace Cognitive and Physical Program in Reducing Headache,Neck and Shoulder Pain in an Extensive Working Community. A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Turin, ItalyRan2007 to 2009Enrolled2,895ConditionsMigraine, Tension Type Headache, Cervical PainArmsCognitive, Relaxation, Exercise Therapy
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Physical Therapy in Tension-Type Headache: A Systematic Review of Randomized Controlled Trials.International journal of environmental research and public health · 2023
    Pooled it
  2. Cognitive-behavioural treatment for subacute and chronic neck pain.The Cochrane database of systematic reviews · 2015
    Pooled it
  3. Exercises for mechanical neck disorders.The Cochrane database of systematic reviews · 2015
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Franco MonginiSection Headache-Facial Pain, Department of Clinical Pathophysiology, University of Turin, Turin, Italy. franco.mongini@unito.it
Andrea Evangelista
Chantal Milani
Luca Ferrero
Giovannino Ciccone
Alessandro Ugolini
Alessandro Piedimonte
Monica Sigaudo
Elisa Carlino
Emanuela Banzatti
Claudia Galassi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoninvasive physical management is often prescribed for headache and neck pain. Systematic reviews, however, indicate that the evidence of its efficacy is limited. Our aim was to evaluate the effectiveness of a workplace educational and physical program in reducing headache and neck/shoulder pain. METHODOLOGY/PRINCIPAL

findingsCluster-randomized controlled trial. All municipal workers of the City of Turin, Italy, were invited to participate. Those who agreed were randomly assigned, according to their departments, to the intervention group (IG) or to the control group and were given diaries for the daily recording of pain episodes for 1 month (baseline). Subsequently, only the IG (119 departments, 923 workers) began the physical and educational program, whereas the control group (117 departments, 990 workers) did not receive any intervention. All participants were again given diaries for the daily recording of pain episodes after 6 months of intervention. The primary outcome was the change in the frequency of headache (expressed as the proportion of subjects with a ≥50% reduction of frequency; responder rate); among the secondary outcomes there were the absolute reduction of the number of days per month with headache and neck/shoulder pain. Differences between the two groups were evaluated using mixed-effect regression models. The IG showed a higher responder rate [risk ratio, 95% confidence interval (CI)] for headache (1.58; 1.28 to 1.92) and for neck/shoulder pain (1.53; 1.27 to 1.82), and a larger reduction of the days per month (95% CI) with headache (-1.72; -2.40 to -1.04) and with neck/shoulder pain (-2.51; -3.56 to -1.47).

conclusionsThe program effectively reduced headache and neck/shoulder pain in a large working community and appears to be easily transferable to primary-care settings. Further trials are needed to investigate the program effectiveness in a clinical setting, for highly selected patients suffering from specific headache types.

trial registrationClinicalTrials.gov NCT00551980.

Indexed as

Exercise TherapyHealth EducationResidence CharacteristicsWorkplaceFemaleHeadacheHumansItalyMaleMiddle AgedNeck PainShoulder PainTreatment Outcome

Identifiers

PMID22253751
PMCPMC3253792

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.