chronic neck pain
Conditions
Interventions
Neck Functional Training Group:Neck Functional Training
Tuina Manipulation Group:Tuina Manipulation Therapy
Sponsors
Shanghai Shuguang Hospital Shanghai University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Inclusion Criteria for Patients with Chronic Neck Pain and Comorbid Anxiety: Chief complaint of neck pain and discomfort accompanied by anxiety stiffness or restricted cervical mobility with a Self-Rating Anxiety Scale (SAS) score = 50;Age between 18 and 75 years (inclusive) male or female right-handed;Visual Analog Scale (VAS) score for neck pain = 3 on at least 5 days within a 7-day period; Duration of symptoms = 3 months; Good compliance willingness to cooperate with the study voluntary participation and provision of written informed consent. 2. Inclusion Criteria for Healthy Controls: Age between 18 and 75 years (inclusive) male or female right-handed;In good general health (as defined by the World Health Organization: health is a state of complete physical mental and social well-being and not merely the absence of disease or infirmity) with no physical or mental discomfort in the past month;No history of anxiety depression or other mood disorders and scores within the normal range on standardized anxiety and depression rating scales; Voluntary participation and provision of written informed consent.
Exclusion criteria
Exclusion criteria: Age below 18 or above 75 years;Receipt of acupuncture Tuina (Chinese manual therapy) or pharmacological treatment for chronic neck pain within the past 3 months;Presence of space-occupying lesions in the spinal canal such as cervical vertebral tuberculosis tumors or spinal deformities (e.g. scoliosis);Cervical-extrinsic causes of upper limb pain such as thoracic outlet syndrome tennis elbow carpal tunnel syndrome cubital tunnel syndrome frozen shoulder or biceps tenosynovitis;Severe osteoporosis or coexisting poorly controlled systemic diseases including cardiovascular cerebrovascular gastrointestinal urogenital hematologic or endocrine disorders;History of alcohol dependence or substance abuse particularly analgesics;Presence of metal implants or retained metallic foreign bodies (e.g. dental prostheses pacemakers neurostimulators infusion pumps);Claustrophobia or other contraindications to undergoing functional magnetic resonance imaging (fMRI);Pregnant or breastfeeding women or women planning to become pregnant within the next six months;Concurrent participation in other clinical studies.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| McGill Pain Questionnaire Short-Form;Neck Disability Index;Pain Anxiety Symptoms Scale;Short Form 12 Health Survey;Serological Indicators;Pittsburgh sleep quality index;Functional Magnetic Resonance Imaging Metrics;Northwick Park,NPQ;Self-Rating Anxiety Scale; | — |
Primary
| Measure | Time frame |
|---|---|
| Visual analogue scale; | — |
Countries
shanghai
Contacts
Public Contactlijinghu
Shanghai Shuguang Hospital Shanghai University of Traditional Chinese Medicine
Outcome results
None listed