Non-specific neck pain Musculoskeletal Diseases Neck pain
Conditions
Interventions
1. Manual therapy: defined as hands-on, passive or active assisted movements/mobilisations, graded as appropriate to the patient's signs and symptoms
2. PSWD: delivered according to the best available
Sponsors
Arthritis Research Campaign (ARC) (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Males and females aged 18 years and over 2. Clinical diagnosis of neck pain and/or stiffness, including unilateral referred pain into the arm 3. No consultations for this problem with health care professionals other than the Primary Health Care Team in the previous six months 4. Ability to understand and to cooperate and capable of giving written informed consent
Exclusion criteria
Exclusion criteria: 1. Weight loss 2. Fever 3. Progressive neurological signs including bilateral arm pain 4. Evidence of muscle weakness or disturbance in normal sensation 5. History of malignancy 6. Inflammatory arthritis 7. Polymyalgia rheumatica 8. Osteoporosis or gross structural or neurological abnormality affecting the neck 9. Contra-indications to the study treatments (e.g. patients on anti-coagulants) 10. Any injury awaiting a compensation claim (e.g. deceleration or industrial injury) 11. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in self-reported neck pain related disability at six months as measured on the Northwick Park Neck Pain Questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Participants' global assessment of change compared with baseline 2. Average pain severity over the past three days 3. Severity rating of main problem 4. Number of days lost from paid employment 5. Co-interventions e.g. visits to general practitioner (GP), use of analgesia 6. Quality of life (EuroQoL EQ-5D) and 12-item short form health survey (SF-12) | — |
Countries
United Kingdom
Outcome results
None listed