Headache, Headache Disorders, Neck Pain, Shoulder Pain
Conditions
Keywords
Behavior Therapy, Relaxation Techniques, Cognitive Therapy, Exercise Movement Techniques
Brief summary
The primary purpose of this study is to evaluate the effectiveness of a workplace cognitive and physical program (Intervention), in reducing the frequency of head and neck pain
Detailed description
Many studies have been performed to assess the efficacy of non invasive physical interventions in the treatment of different types of headache and cervical pain. However the evidence on their effectiveness is still limited and the results of recent studies are conflicting. The primary objective of this study is to evaluate the effectiveness of a workplace cognitive and physical programme (Intervention) in reducing the frequency of pain involving the head and neck area. The Intervention consists of brief shoulder and neck exercises to be performed several times a day, a relaxation exercise and instructions of how to reduce parafunction and hyperfunction of the craniofacial and cervical muscles during the day. Comparison(s): Group of employees that will receive a cognitive/physical programme (Intervention), compared to a similar group of employees that will not receive the Intervention (Controls); (frequency of headache and neck and shoulder pain).
Interventions
Relaxation exercises once a day, visual feedback, exercises for neck and shoulder
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects employed at the Municipality of Turin ( Registry-Tax office) from the 1th January 2005 that will give informed consent before starting the study.
Exclusion criteria
\- Because of the pragmatic design, no
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of headache and neck and shoulder pain after 6 months (monthly frequency, responder rate) | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Headache index after 6 and 12 months | 12 months |
| Neck and shoulder pain index after 6 and 12 months | 12 months |
| Analgesic drug consumption after 6 and 12 months | 12 months |
| Psychiatric comorbidity and psychosomatic symptoms prevalence | 12 months |
| Frequency of pain in head/neck area after 12 months in both groups | 12 months |
| Muscle tenderness at palpation after 6 and 12 months | 12 months |