{"id":"https://openalex.org/W4409102349","doi":"https://doi.org/10.3357/amhp.6491.2025","title":"Self-Administered Physical Exercise Training and Flight-Associated Neck Pain in Military Pilots","display_name":"Self-Administered Physical Exercise Training and Flight-Associated Neck Pain in Military Pilots","publication_year":2025,"publication_date":"2025-04-01","ids":{"openalex":"https://openalex.org/W4409102349","doi":"https://doi.org/10.3357/amhp.6491.2025","pmid":"https://pubmed.ncbi.nlm.nih.gov/40642857"},"language":"en","primary_location":{"id":"doi:10.3357/amhp.6491.2025","doi":"https://doi.org/10.3357/amhp.6491.2025","is_oa":false,"landing_page_url":"https://doi.org/10.3357/amhp.6491.2025","pdf_url":null,"source":{"id":"https://openalex.org/S2764403496","display_name":"Aerospace Medicine and Human Performance","issn_l":"2375-6314","issn":["2375-6314","2375-6322"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316708","host_organization_name":"Aerospace Medical Association","host_organization_lineage":["https://openalex.org/P4310316708"],"host_organization_lineage_names":["Aerospace Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Aerospace Medicine and Human Performance","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026257292","display_name":"Haoqian Chen","orcid":"https://orcid.org/0009-0005-8976-0990","observed_orcids":["https://orcid.org/0009-0005-8976-0990"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Haoqian Chen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Mofei Wang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mofei Wang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Jia Li","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jia Li","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115695322","display_name":"Xin Wang","orcid":"https://orcid.org/0000-0002-6229-1945","observed_orcids":["https://orcid.org/0000-0002-6229-1945","https://orcid.org/0009-0004-3016-0547"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xin Wang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Yanming Fu","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yanming Fu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5082947829","display_name":"Binghong Gao","orcid":"https://orcid.org/0000-0003-2888-4744","observed_orcids":["https://orcid.org/0000-0003-2888-4744"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Binghong Gao","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.06424832,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"96","issue":"4","first_page":"339","last_page":"349"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9115999937057495,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9115999937057495,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12138","display_name":"Occupational Health and Performance","score":0.06549999862909317,"subfield":{"id":"https://openalex.org/subfields/3609","display_name":"Occupational Therapy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12006","display_name":"Ergonomics and Musculoskeletal Disorders","score":0.007400000002235174,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/military-pilots","display_name":"military pilots","score":0.9900000095367432},{"id":"https://openalex.org/keywords/neck-pain","display_name":"neck pain","score":0.5870000123977661},{"id":"https://openalex.org/keywords/neck-strength","display_name":"neck muscle strength","score":0.7350000143051147},{"id":"https://openalex.org/keywords/maximal-voluntary-contraction","display_name":"maximal voluntary contraction","score":0.8880000114440918},{"id":"https://openalex.org/keywords/neck-extension","display_name":"neck extension","score":0.5920000076293945},{"id":"https://openalex.org/keywords/neck-flexion","display_name":"neck flexion","score":0.9940000176429749},{"id":"https://openalex.org/keywords/neck-function","display_name":"neck function","score":0.7459999918937683}],"concepts":[{"id":"https://openalex.org/C23161992","wikidata":"https://www.wikidata.org/wiki/Q2922301","display_name":"Hum","level":3,"score":0.7469387650489807},{"id":"https://openalex.org/C6439246","wikidata":"https://www.wikidata.org/wiki/Q3332475","display_name":"Aviation medicine","level":2,"score":0.717657744884491},{"id":"https://openalex.org/C2777790407","wikidata":"https://www.wikidata.org/wiki/Q383695","display_name":"Flight training","level":3,"score":0.6082645654678345},{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.5712058544158936},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5664412975311279},{"id":"https://openalex.org/C181588539","wikidata":"https://www.wikidata.org/wiki/Q219067","display_name":"Physical exercise","level":2,"score":0.4959650933742523},{"id":"https://openalex.org/C2779072820","wikidata":"https://www.wikidata.org/wiki/Q47064","display_name":"Military personnel","level":2,"score":0.48727500438690186},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.4745548367500305},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.4359634220600128},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.42859163880348206},{"id":"https://openalex.org/C178802073","wikidata":"https://www.wikidata.org/wiki/Q8421","display_name":"Aeronautics","level":1,"score":0.4049934148788452},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3979514539241791},{"id":"https://openalex.org/C41376638","wikidata":"https://www.wikidata.org/wiki/Q214932","display_name":"Flight simulator","level":2,"score":0.32753807306289673},{"id":"https://openalex.org/C44154836","wikidata":"https://www.wikidata.org/wiki/Q45045","display_name":"Simulation","level":1,"score":0.19424030184745789},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.1218981146812439},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.07021990418434143},{"id":"https://openalex.org/C554144382","wikidata":"https://www.wikidata.org/wiki/Q213156","display_name":"Performance art","level":2,"score":0.0},{"id":"https://openalex.org/C52119013","wikidata":"https://www.wikidata.org/wiki/Q50637","display_name":"Art history","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C153294291","wikidata":"https://www.wikidata.org/wiki/Q25261","display_name":"Meteorology","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C142362112","wikidata":"https://www.wikidata.org/wiki/Q735","display_name":"Art","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000070356","descriptor_name":"Pilots","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000070356","descriptor_name":"Pilots","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000070356","descriptor_name":"Pilots","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000337","descriptor_name":"Aerospace Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000337","descriptor_name":"Aerospace Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000337","descriptor_name":"Aerospace Medicine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005081","descriptor_name":"Exercise Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005081","descriptor_name":"Exercise Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005081","descriptor_name":"Exercise Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008889","descriptor_name":"Military Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015444","descriptor_name":"Exercise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015444","descriptor_name":"Exercise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015444","descriptor_name":"Exercise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019547","descriptor_name":"Neck Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D019547","descriptor_name":"Neck Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D019547","descriptor_name":"Neck Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3357/amhp.6491.2025","doi":"https://doi.org/10.3357/amhp.6491.2025","is_oa":false,"landing_page_url":"https://doi.org/10.3357/amhp.6491.2025","pdf_url":null,"source":{"id":"https://openalex.org/S2764403496","display_name":"Aerospace Medicine and Human Performance","issn_l":"2375-6314","issn":["2375-6314","2375-6322"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316708","host_organization_name":"Aerospace Medical Association","host_organization_lineage":["https://openalex.org/P4310316708"],"host_organization_lineage_names":["Aerospace Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Aerospace Medicine and Human Performance","raw_type":"journal-article"},{"id":"pmid:40642857","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40642857","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Aerospace medicine and human performance","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":62,"referenced_works":["https://openalex.org/W67278404","https://openalex.org/W73155725","https://openalex.org/W91466950","https://openalex.org/W161926774","https://openalex.org/W235549791","https://openalex.org/W311213690","https://openalex.org/W1497634959","https://openalex.org/W1528806028","https://openalex.org/W1608600262","https://openalex.org/W1763007608","https://openalex.org/W1791947859","https://openalex.org/W1859846440","https://openalex.org/W1964435302","https://openalex.org/W1972291870","https://openalex.org/W1986215651","https://openalex.org/W1995065060","https://openalex.org/W2001112387","https://openalex.org/W2013342746","https://openalex.org/W2024551449","https://openalex.org/W2026386054","https://openalex.org/W2035853851","https://openalex.org/W2047599242","https://openalex.org/W2050424699","https://openalex.org/W2058373524","https://openalex.org/W2072313443","https://openalex.org/W2080848084","https://openalex.org/W2096858952","https://openalex.org/W2097265927","https://openalex.org/W2098923148","https://openalex.org/W2105415196","https://openalex.org/W2105727495","https://openalex.org/W2113353857","https://openalex.org/W2126930838","https://openalex.org/W2157823046","https://openalex.org/W2197767782","https://openalex.org/W2259639913","https://openalex.org/W2269841801","https://openalex.org/W2278963368","https://openalex.org/W2332539317","https://openalex.org/W2356099715","https://openalex.org/W2419743104","https://openalex.org/W2583294235","https://openalex.org/W2594000116","https://openalex.org/W2804457564","https://openalex.org/W2917828115","https://openalex.org/W2925830049","https://openalex.org/W3015126898","https://openalex.org/W3042066188","https://openalex.org/W3088169262","https://openalex.org/W3089722657","https://openalex.org/W3091700429","https://openalex.org/W3107745603","https://openalex.org/W3118615836","https://openalex.org/W3145690844","https://openalex.org/W3173094270","https://openalex.org/W4205856360","https://openalex.org/W4235412292","https://openalex.org/W4294219041","https://openalex.org/W4306658757","https://openalex.org/W6604107555","https://openalex.org/W6714948251","https://openalex.org/W7073703297"],"related_works":["https://openalex.org/W3017533490","https://openalex.org/W2345101521","https://openalex.org/W3094341468","https://openalex.org/W1516642800","https://openalex.org/W4285738310","https://openalex.org/W816833364","https://openalex.org/W2965817054","https://openalex.org/W2030993735","https://openalex.org/W3025653595","https://openalex.org/W2222129271"],"abstract_inverted_index":{"INTRODUCTION:":[0],"This":[1],"study":[2],"systematically":[3],"explores":[4],"the":[5,38],"effects":[6,76],"of":[7,29,120],"self-administered":[8,93,133],"physical":[9,94,134,159,199],"exercise":[10,95,135,160,200],"training":[11,96,136,161,201],"on":[12],"alleviating":[13,167],"flight-associated":[14,168,203],"neck":[15,87,121,169,179,204],"pain":[16,170,205],"and":[17,37,61,69,123,202],"improving":[18,178],"functional":[19],"outcomes":[20],"in":[21,101,125,171,177,206],"military":[22,126,172,182,207],"pilots.":[23,173,208],"METHODS:":[24],"PubMed,":[25],"Cochrane":[26],"Library,":[27],"Web":[28],"Science,":[30],"Embase,":[31],"Scopus,":[32],"China":[33],"National":[34],"Knowledge":[35],"Infrastructure,":[36],"Chinese":[39],"biomedical":[40],"literature":[41],"service":[42],"system":[43],"(SinoMed)":[44],"were":[45,67,80],"searched":[46],"from":[47],"inception":[48],"to":[49,113,145,155],"September":[50],"18,":[51],"2024.":[52],"Standardized":[53],"mean":[54,58],"differences":[55,59],"(SMD)":[56],"or":[57,74],"(MD)":[60],"95%":[62,110,142,152],"confidence":[63],"intervals":[64],"(95%":[65],"CI)":[66],"calculated":[68],"data":[70],"pooled":[71],"using":[72],"fixed":[73],"random":[75],"models.":[77],"RESULTS:":[78],"Included":[79],"7":[81],"studies":[82],"involving":[83],"366":[84],"patients":[85],"having":[86],"pain.":[88],"Military":[89],"pilots":[90,127,183],"who":[91],"underwent":[92],"showed":[97],"a":[98],"significant":[99],"reduction":[100],"their":[102],"Visual":[103],"Analog":[104],"Scale":[105],"scores":[106],"(SMD":[107],"=":[108,140,150],"-0.25,":[109],"CI:":[111,143,153],"-0.47":[112],"-0.03).":[114],"The":[115],"maximum":[116],"voluntary":[117],"contraction":[118],"(MVC)":[119],"extension":[122],"flexion":[124,147],"did":[128],"not":[129],"increase":[130],"significantly":[131],"after":[132],"(extension":[137],"MVC,":[138,148],"MD":[139,149],"3.00,":[141],"-1.33":[144],"7.33;":[146],"1.12,":[151],"-2.12":[154],"4.36).":[156],"DISCUSSION:":[157],"Self-administered":[158,198],"is":[162],"an":[163],"effective":[164],"method":[165],"for":[166],"However,":[174],"its":[175],"effectiveness":[176],"function":[180],"among":[181],"remains":[184],"uncertain.":[185],"Chen":[186],"H,":[187],"Wang":[188,192],"M,":[189],"Li":[190],"J,":[191],"X,":[193],"Fu":[194],"Y,":[195],"Gao":[196],"B.":[197],"Aerosp":[209],"Med":[210],"Hum":[211],"Perform.":[212],"2025;":[213],"96(4):339-349.":[214]},"counts_by_year":[],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}
