Neck and shoulder region pain due to mechanical causes such as cervical spondylosis, muscle strain, ligamental sprain and facet joint osteoarthritis Signs and Symptoms
Conditions
Interventions
This trial will be conducted in a clinic in Colombo Sri Lanka. This clinic has four rheumatology clinics held on four different days of the week. Each clinic will be considered as a cluster. One clust
Sponsors
University of Bath
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients in the age range 18-65 years and affected with chronic (>12 weeks) neck and shoulder region pain attending the four clinics managed by the same physician and physiotherapist 2. Patients affected with mechanical causes such as degenerative changes of the spine, muscle strain, ligament sprain, and facet joint osteoarthritis 3. Patients who can understand and communicate in Sinhala
Exclusion criteria
Exclusion criteria: 1. Patients affected with infections, inflammatory arthropathies, malignancies, Alzheimer’s disease, psychiatric conditions, severe depression and anxiety 2. Patients who take part in yoga and other meditation programmes 3. Patients who are below the age of 18 years and above the age of 65 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain in the neck and shoulder region assessed using the numerical pain rating scale at 8 weeks follow up | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain in the neck and shoulder region assessed using the numerical pain rating scale at 4 and 12 weeks follow up 2. The range of movement in the neck and shoulder region, assessed clinically by measuring the active and passive movements of the neck and shoulder joint using a goniometer at 4, 8 and 12 weeks follow-up 3. Physical and social disability with regard to activities of daily living, occupation and social activities (with family, friends, neighbours and/or groups) assessed using validated questionnaires (Neck Disability Index, Disability of Shoulder Arm and Hand and the SF-36 Short Form) at 4, 8 and 12 weeks follow-up 4. How patients in the three intervention groups feel about the effects of meditation on pain, physical and social disability with regard to activities of daily living, occupation and social activities (with family, friends, neighbours and/or groups) and the acceptability and feasibility of the different types of meditation training and practice for the participants will be assessed using semi-structured interviews/focus groups at 8 weeks follow-up | — |
Countries
Sri Lanka
Contacts
Public ContactAranjan Karunanayake
Outcome results
None listed