Musculoskeletal diseases: Spinal conditions Musculoskeletal Diseases Spinal conditions
Conditions
Interventions
1. Brief intervention: problem solving approach encouraging self-help. It will consist of advice, including a home exercise programme, and incorporate cognitive behavioural principles.
2. Standard car
Sponsors
NHS R&D Regional Programme Register - Department of Health (UK)
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria updated as of 25/07/2007: 1. A minimum age of 18 years 2. Neck pain of musculoskeletal origin lasting at least two weeks 3. Referred to a participating physiotherapy department and having consented to participate in the study 4. Willingness to be randomized; that is, no overwhelming preference for either intervention Inclusion criteria provided at time of registration: Patients who are referred by their GPs to the participating community based physiotherapy departments for the management of neck related pain thought to be of musculoskeletal origin and corresponding to the diagnostic categories 1 and 2 (neck pain with or without referral to the proximal extremity) of the classification system proposed by the Quebec Task Force on Spinal Disorders.
Exclusion criteria
Exclusion criteria: Exclusion criteria added as of 25/07/2007: 1. Potentially serious pathology 2. Main pain below the elbow or in some other part of the body or coexisting ?serious other problem? (such as capsulitis of the shoulder or tennis elbow) that would require additional treatment other than that required for the neck pain 3. Recent treatment for a neck problem (in the previous six weeks) or intention to pursue additional (private) treatment concurrent with that provided by the physiotherapy department 4. Surgery on the neck
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Neck Pain Questionnaire: a condition specific questionnaire measuring functional disability which has been developed from the Oswestry Disability Score for back pain patients 2. SF-36: This is a generic health-related quality of life questionnaire including both psychological and physical factors 3. EuroQol: This a generic quality of life measure required for the economic evaluation | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
United Kingdom
Outcome results
None listed