non-specific chronic neck pain. Cervicalgia
Conditions
Interventions
Intervention 1: Intervention group: Group 1: Motor Control Exercise + Positive Social Learning Interaction Prior to ExerciseParticipants in Group 1 will undergo a six-week, individually tailored motor
Sponsors
Kharazmi University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Men and women Aged between 18 and 65 years Persian-speaking (both written and spoken) Diagnosis of chronic neck pain (duration > 3 months) confirmed by a clinician Baseline Pain Intensity Score =3 on a Numeric Pain Rating Scale (NPRS) Neck Disability Index (NDI) score = 20% (= 10/50)
Exclusion criteria
Exclusion criteria: Current or past addictive behaviors History of serious psychiatric disorders Pregnancy Participation in structured exercise > 30 min/week or rehabilitation in the past 3 months Serious spinal pathologies (e.g., tumor, infection, stenosis, herniated disc, mielopathy) and injuries (e.g., fracture, whiplash) History of spinal surgery Neurological or cardiovascular diseases Inflammatory or neuropathic neck pain Initiation of new medication within 6 weeks prior to the study Severe visual or auditory impairment interfering with protocol adherence.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Baseline (T0), post-intervention (T1, 6 weeks), follow-up (T2, 3 months). Method of measurement: 11-point Numerical Pain Rating Scale (NPRS).;Disability. Timepoint: Baseline (T0), post-intervention (T1, 6 weeks), follow-up (T2, 3 months). Method of measurement: Neck Disability Index (NDI), 10 items scored 0–100%. | — |
Secondary
| Measure | Time frame |
|---|---|
| Neck motion (kinematics). Timepoint: Baseline (T0), post-intervention (T1, 6 weeks), follow-up (T2, 3 months). Method of measurement: Motion analysis system.;Muscle activity. Timepoint: Baseline (T0), post-intervention (T1, 6 weeks), follow-up (T2, 3 months). Method of measurement: Surface EMG (sEMG).;Fear-avoidance beliefs. Timepoint: Baseline (T0), post-intervention (T1, 6 weeks), follow-up (T2, 3 months). Method of measurement: Fear-Avoidance Beliefs Questionnaire (FABQ):Fear-avoidance beliefs will be assessed using the Persian version of the Fear-Avoidance Beliefs Questionnaire (FABQ). This questionnaire consists of 16 items and evaluates fear-avoidance beliefs in two domains: work-related beliefs (FABQ-W) and physical activity-related beliefs (FABQ-PA). A score of 34 or higher (out of 42) on the FABQ-W indicates a lower likelihood of return to work within four weeks, whereas a score of 15 or higher (out of 24) on the FABQ-PA reflects fear-avoidance beliefs associated with physical activity. Previous studies on the Persian version of the FABQ have demonstrated acceptable reliability. The test-retest reliability of the FABQ, assessed using the intraclass correlation coefficient (ICC), was 0.88 for the FABQ-W and 0.82 for the FABQ-PA, confirming its reproducibility. The minimal clinically important difference (MCID) for the FABQ in patients with neck pain has been reported as 9.5 points.;Self-efficacy. Timepoint: Baseline (T0), post-intervention (T1, 6 weeks), follow-up (T2, 3 months). Method of measurement: Pain Self-Efficacy Questionnaire (PSEQ)The Persian version of the Pain Self-Efficacy Questionnaire (PSEQ) will be used to assess self-efficacy. This questionnaire consists of 10 items, with a total score ranging from 0 (no self-efficacy) to 60 (maximum self-efficacy). Higher scores indicate greater confidence and belief in one’s ability to perform daily activities despite pain, whereas lower scores reflect weaker levels of confidence and belief. The minimal cl | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh amirizadeh
Kharazmi University
Outcome results
None listed