Chronic non-specific neck pain Musculoskeletal Diseases Dorsalgia
Conditions
Interventions
The study will compare the efficacy of a progressive neck exercise programme (PNEP) in isolation to the same intervention in conjunction with interactive behavioural modification therapy (IBMT). The s
Sponsors
Pennine Acute Hospitals NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients aged 16 years and over (no uppper age limit, either sex) 2. Have experienced non-specific neck pain for at least three months 3. Recruited from patients referred to the physiotherapy departments of three hospital physiotherapy departments and one primary care centre in the Greater Manchester region of the United Kingdom. Referrals will be from both primary and secondary care.
Exclusion criteria
Exclusion criteria: 1. Unable to speak or write English 2. Identified or suspected radiculopathy, inflammatory disorder, chronic fatigue syndrome/myalgic encephalitis, fibromyalgia or other suspected serious pathology (cervical fracture or dislocation, carcinoma or spinal infection) 3. Diagnosed with serious psychiatric disorder (e.g. bipolar disorder, schizophrenia or dementia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Northwick Park Neck Pain Questionnaire (NPQ): the NPQ is a validated measure of neck pain and disability and consists of nine questions. Participants rate levels of pain and function on five point scales. Scores are then converted to a percentage. The NPQ will be completed prior to commencing treatment and again six months later. The primary measure for the trial will be the between group difference in six month change in NPQ score. The NPQ will be assessed pre and post treatment by means of a self-report postal questionnaire. Primary and secondary outcome measures will be completed before the initial assessment and returned by postal questionnaire. At follow up they will be completed six months after completing the initial questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Numeric pain rating scale (NPRS): The NPRS is an eleven point pain rating scale whereby participants highlight the number that best represents their current pain intensity. The scale will be anchored 0 = "no pain" and 10 = "worst possible pain" 2. Pain catastrophising scale (PCS): The PCS is a 13 item questionnaire, recording frequency catastrophic thoughts, with higher scores representing greater levels of catastrophising. Participants rate levels of agreement with 13 statements about levels of catastrophising on five point scales anchored "not at all" and "all the time" 3. Tampa Scale for Kinesiophobia (TSK): Pain-related fear was assessed by the TSK, a seven item questionnaire, with greater scores representing higher levels of pain-related fear. Participants rate levels of agreement with statements relating to pain-related fear on four point scales anchored "strongly agree" and "strongly disagree" 4. Chronic Pain Self-Efficacy Scale - Physical Function Sub Scale (CPSS-pf): The CPSS-pf is one of the sub-scales of the CPSS, a self report measure which assesses participants' confidence in performing physical tasks. Higher scores on the CPSS-pf represent greater confidence in performing physical tasks. Scales were scored from 0 - 8 and anchored 0 = "totally unconfident" and 8 = "totally confident" 5. Pain Vigilance and Awareness Questionnaire (PVAQ): Vigilance and awareness to painful sensations was measured by the PVAQ, a 16 item measure, where participants rate levels of agreement with statement regarding pain vigilance and awareness on six point scales. Scales are anchored 0 = "strongly disagree" and 5 = "strongly agree". Higher scores represent greater vigilance and awareness to pain 6. Global Assessment of Change: patients' global assessment of change will be measured by a five point scale assessing improvement in neck pain. The scale will be anchored "much better" and "much worse" 7. Patient satisfaction: patient satisfaction will be measured with a five | — |
Countries
United Kingdom
Outcome results
None listed