Musculoskeletal Disease Musculoskeletal Diseases
Conditions
Interventions
We aim to recruit 500 participants from GP practices across North England, and will randomly allocate them on a ratio of 1:1:1 to acupuncture and usual GP care, Alexander Technique lessons and usual G
and the impact of the interventions on their self efficacy, stress management, quality of life, self care and lifestyle. The results will be of value to patients, practitioners and NHS policy makers i
2. Alexander technique lessons, 20 20-minute lessons (600 minutes)
3. Usual GP care, Patients will remain under the care of their GP and will receive usual NHS treatments.
Sponsors
University of York (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 and over who have consulted their GP with chronic neck pain and are being managed in primary care 2. Patients who have had neck pain for at least 3 months, and have a 28% minimum cut-off score on the Northwick Park Questionnaire (NPQ) 3. Male and female participants 4. Lower Age Limit 18
Exclusion criteria
Exclusion criteria: 1. Serious underlying pathology, prior cervical spine surgery, history of psychosis, rheumatoid arthritis, ankylosing spondylitis, osteoporosis, haemophilia, cancer, HIV or hepatitis, or with alcohol or drug dependency currently or in the last 12 months 2. Actively pursuing compensation or with pending litigation, or currently (or in the previous 24 months) 3. Receiving acupuncture or Alexander lessons, participation in a clinical trial in the previous year if there is potential confounding or the burden for the patient appears to be too great 4. Unable to speak or who find it difficult to communicate in English 5. Patients who are pregnant at baseline (participants who become pregnant after entry in to the trial will remain in the trial and continue to receive the intervention).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Northwick Park Neck Pain Questionnaire measured at baseline, 3, 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Adverse events and beneficial effects measured at 3, 6 and 12 months 2. Chronic Pain Self-efficacy Scale measured at baseline, 6 and 12 months 3. EQ-5D measured at baseline, 6 and 12 months 4. General Flow Index measured at baseline, 6 and 12 months 5. Incorporation of practitoner advice measured at 6 and 12 months 6. Pain intensity by text message measured fornightly for the first 6 months and monthly thereafter until the 12 months' endpoint 7. Perceived Stress Scale measured baseline, 6 and 12 months 8. Preferences, expectations and beliefs about the interventions measured at baseline 9. Short Form (SF)-12v2 measured at baseline, 6 and 12 months | — |
Countries
United Kingdom
Outcome results
None listed