Effect of Group Pilates and Yoga Exercise Classes for Chronic Cervical Pain

Effect of Group Pilates and Yoga Exercise Classes on Function, Range of Motion, Endurance, Postural Position, Medication Use and Balance in Adults With Chronic Cervical Pain

Exercise has been found to be effective in alleviating back and neck pain. Two exercise methods which are available in the community in a group format are Yoga and Pilates. While there is some research on the efficacy of these exercise methods for low back pain, there is no definitive research on the use of Yoga or Pilates group exercise for individuals with chronic cervical pain.This study investigated the effect of group Yoga and Pilates exercise compared to a wait-listed control group on impairments and function related to neck pain for individuals with chronic cervical pain.

Individuals reporting chronic mild to moderate neck pain for more than 3 months were assigned to a pilates, yoga or wait-listed control group. The exercise group consisted of 12 one hour small group sessions instructed by experienced Physical Therapists with additional yoga or pilates training. Participants were evaluated at baseline, 6 weeks, and 12 weeks. Exercise participants also completed a follow up 6 weeks after completion.

Inclusion Criteria:

• Able to attend at 12 exercise class sessions (once a week for an hour)
• Stable moderate to severe neck pain (3/10- 8/10) present for > 3 months
• Able to get up and down off the floor
• Able to ambulate in the community without an assistive device
• Medically stable and cleared to participate in exercise

Exclusion Criteria:

• Neck Pain that is easily aggravated with exercise
• Neurological symptoms in the arms or legs (numbness, tingling, weakness)
• History of recent whiplash, spine surgery, diagnosed osteoporosis, cervical stenosis with leg symptoms
• Any medical conditions which does not allow active exercise
• Unable to make medical decisions independently or have memory problems
• Regularly attending Pilates or Yoga classes or individual sessions