None listed
Conditions
Brief summary
Optimal management of chronic mechanical neck pain (CMNP) still represents a challenge for both clinician and researchers. Based on the current literature, it could be argued that optimal intervention may not exists because of the lack of accepted causative mechanisms of CMNP. Rehabilitative management of CMNP patients is usually performed in an outpatient facility, and is often based on a prescription-oriented (Pr-O) therapy. With this term, we intend the use of different therapeutic modalities (e.g. exercise, manipulation, physical therapies) usually prescribed at first medical referral on the basis of actual physical status, and never changed and/or adjusted during the whole treatment period. As a possible counter-party, a patient-oriented (Pa-O) therapy would ideally be scheduled for each patient at the beginning of each therapeutic session and based on his current physical status, thereby being similar to that prospected for severe disabilities, such as post-stroke hemiplegia. We hypothsize that a Pa-O approach may be more effective, in terms of pain management, than a Pr-O one in CMNP suffers.
Interventions
Patient-oriented rehabilitation: therapeutic exercises and/or physical modalities are prescribed according to patient clinical status before each therapeutic session starts.
All patients will be treated in a one-on-one modality by an experienced physiotherapist, that will not change during the whole treatment period, three times a week for a total of a 10 treatment sessions over a period of 4 weeks. The duration of each single therapy session may vary according to prescription from a minimum of
Patient-oriented rehabilitation: therapeutic exercises and/or physical modalities are prescribed according to patient clinical status before each therapeutic session starts. All patients will be treated in a one-on-one modality by an experienced physiotherapist, that will not change during the whole treatment period, three times a week for a total of a 10 treatment sessions over a period of 4 weeks. The duration of each single therapy session may vary according to prescription from a minimum of 30 minutes to a maximum of 50 minutes.
Sponsors
Sapienza University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
Neck pain predominantly located in the somatic referral zones of the cervical spine, with or without shoulder, arm or face irradiation and of at least moderate intensity (4 cm or more on a 10-cm visual analog scale labeled 0=no pain and 10= the worst pain possible).
Exclusion criteria
clinical signs of radiculopathy (i.e., tendon reflex loss, myotomal weakness, sensory abnormalities); disc herniation as documented by MRI; cervical stenosis; history of neck trauma or previous spinal surgery; diabetic neuropathy; history of rheumatic, central and peripheral nervous system diseases; anxiety-depression syndromes; tumors; pregnancy; inability to read or comprehend the questionnaires
Outcome results
None listed